Genitourinary syndrome of menopause in Chinese-speaking sex workers attending an urban Australian sexual health clinic: a quality improvement project.

Abstract

This Letter reports on perimenopausal and menopausal symptoms among Chinese-speaking commercial sex workers (CSWs) attending Sydney Sexual Health Centre. Forty-six CSWs aged ≥45 years were screened using a modified Greene Climacteric Scale. Sixteen showed symptoms of oestrogen deficiency, and 31 reported vaginal dryness causing painful sex. Given the physical demands of sex work, these symptoms may impact quality of life and ability to work. Findings highlight the need for culturally sensitive, accessible healthcare services to address the menopausal health concerns of CSWs and reduce barriers to care.