After the end of ovarian functions in women, that is, after the six-month period during which they do not menstruate, the 'menopause period' begins, and approximately one-third of all women's lives pass during menopause. It covers a period of 8 to 10 years for women to enter menopause. It is normal for some changes to occur during menopause, which takes such a long time in a woman's life. Women can prepare themselves for hormonal changes in this new phase of their lives by adopting a better health strategy. While this period passes unnoticed for many women, some experience hot flashes, sweats, and sleep problems. It shows problems such as problems. Sometimes, as these changes are more intense, depression, insomnia and irritability may be experienced.
What is the cause of sexual problems and complaints in menopause?
Loss of the elasticity of the vagina before menopause and Vaginal atrophy, which increases after menopause, causes urinary infections and urinary incontinence, as well as sexual problems and complaints. With the disappearance of the estrogen effect, complaints of vaginal dryness, pain and burning during intercourse occur. Deficiency of this hormone causes the vaginal walls to become significantly thinner and dryer. Meanwhile, another phenomenon caused by the thinning and drying of the vaginal walls is the increase in vaginal inflammation. Changes in the cardiovascular system brought about by aging are another important factor that negatively affects sexual physiology. The disappearance of reproductive capacity should not mean the absence of sex life after menopause. On the contrary, menopause is a period when couples can have sexual intercourse without fear of pregnancy
What are the most common sexual complaints in menopause?
The main sexual health problems seen in the menopausal period are related to sexual interest. There is a decrease in arousal, lubrication and orgasm, and an increase in sexual pain. All of these appear as a source of stress in women.
The first reason for women in menopause is that sexual contact and/or orgasm is painful. It is among the complaints.
As a result of physiological changes, vaginal inflammation and cystitis occur during sexual intercourse. It is also a known fact that damage to the walls of the vagina increases.
How to treat complaints of sexual reluctance in menopause?
Psychological and physiological changes that occur with aging have significant effects on sexual function. The complexity of sexual dysfunction in women is different from men. The practices for this are not like men. A woman's motivation and response to sexual stimulation ability depends very much on the emotional state of the partner.
In postmenopausal women with sexual dysfunction, the problem should be addressed with reversible, less invasive and less costly clinical treatment strategies. Sexual therapy, vaginal lubricants, lifestyle changes. and pelvic floor exercises are among these. Hormonal therapy, vasoactive agents, dopamine agonists, topical steroids, antibiotics and analgesic agents can be used depending on the diagnosis of the problem, risk, benefit, expectations and cost. As a second-line treatment, patient preference and response to previous treatments can be used. Surgical methods can be applied according to your needs.
Menopause is definitely not old age, but the end of reproduction. Hormones must be used during menopause. Urinary burning and painful sexual intercourse are menopause problems, and excellent results can be achieved with hormone treatments.
Multidisciplinary approaches may be appropriate when necessary. Accurate questioning of sexual health may require history, physical examination and laboratory tests along with psychiatric consultation. Detailed psychological A physical examination should be performed along with social and medical history. Physical therapy, psychological evaluation, hormone therapy and sexual devices can be used for diagnosis. In addition to methods that act on the central nervous system, such as serotonin agonists, peripheral effects can also be achieved with local creams that dilate the vessels in the region.
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