(SACRAMENTO)

Having intercourse much less usually through the transition to menopause will not be related to an elevated danger of creating ache with intercourse, in response to a brand new examine printed just lately by the Journal of Obstetrics and Gynecology.

Elaine Waetjen
Elaine Waetjen

This 13-year examine examined whether or not a discount within the frequency of intercourse is liable for ladies’s signs of sexual ache through the transition to menopause. The examine additionally examined different elements doubtlessly related to sexual ache.

“Ladies have been advised by the favored media and a few physicians that if you happen to ‘don’t use it, you’ll lose it,’ which means if ladies don’t stay sexually lively, particularly by means of the menopause transition, they are going to lose the flexibility to have snug intercourse. However this examine supplies some empirical proof towards this standard notion,” mentioned Elaine Waetjen, main investigator of the examine and professor of obstetrics and gynecology at UC Davis Well being.

Painful intercourse is reported in 20% to 59% of perimenopausal and postmenopausal ladies. This examine gathered questionnaire information yearly throughout the primary 10 visits of the Research of Ladies’s Well being Throughout the Nation (SWAN), a multicenter, multiracial and multiethnic potential examine of the menopausal transition. Inclusion standards for this examine had been these ages 42-52 years who self-identified as Black, Hispanic, Japanese, Chinese language or White.

Of the two,247 ladies with no sexual ache on the baseline, 1,087 (48.4%) developed sexual ache a minimum of “generally” as much as 10 follow-up visits over 13 years. Members accomplished questionnaires at every go to, gauging frequency of participation in sexual behaviors, genital or urinary signs and ache skilled throughout sexual exercise. A few of the examine’s different findings:

  • Ladies had been most in danger for creating sexual ache in late perimenopause and postmenopause, impartial of age
  • Use of systemic hormone remedy didn’t seem to scale back this danger of creating sexual ache
  • Reporting of vaginal dryness had the strongest affiliation with creating ache
  • Participating in oral intercourse and having the next frequency of arousal had been related to a lowered probability of creating sexual ache
  • Historical past of sexual trauma was not related to sexual ache amongst this older cohort

“Our examine outcomes present a essential public well being and medical message: ladies whose sexual activity exercise declines don’t seem like at greater danger for creating sexual ache in contrast with ladies who keep or enhance sexual frequency,” Waetjen mentioned. “Ladies and their well being care professionals ought to deal with creating individualized methods to forestall and deal with sexual ache and never attribute ache to lowered intercourse frequency.”

Different examine authors embody Wesley O. Johnson, of UC Irvine; Guibo Xing, of UC Davis; Rachel Hess, of College of Utah Well being; Nancy E. Avis, of Wake Forest College Faculty of Drugs; Barbara D. Reed, of College of Michigan Drugs; Sheila A. Dugan, of Rush College Medical Middle; Genevieve Neal-Perry, of UNC Faculty of Drugs; and Ellen B. Gold, of UC Davis Well being.

The examine was funded by grants from the Nationwide Institutes of Well being (NIH), U.S. Division of Well being and Human Companies, the Nationwide Institute on Ageing (NIA), the Nationwide Institute on Nursing Analysis (NINR) and the NIH Workplace of Analysis on Ladies’s Well being (ORWH).



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