绝经后妇女外阴阴道萎缩相关性功能障碍的综述

T. Okeke, C. C. Ezenyeaku, Ikeako Lc, Agu Pu
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引用次数: 5

摘要

绝经期和更年期是外阴阴道萎缩相关性功能障碍发生的不利危险因素。性功能障碍是绝经后妇女的一个常见问题,通常诊断不足,治疗不充分,经常被忽视,并经常损害这些妇女的生活质量。为临床医生提供绝经后妇女外阴阴道萎缩相关性功能障碍的最新信息。本研究是对绝经后妇女外阴阴道萎缩相关性功能障碍的文献综述。通过搜索PubMed和Medline、选定的参考文献、期刊和教科书,确定了相关的出版物,并将其纳入综述。女性性功能障碍的患病率随着年龄的增长而增加。它是绝经后妇女常见的多维问题,改变了妇女的生理、生化、心理和社会文化环境。绝经期相关的性功能障碍不经治疗可能无法逆转。雌激素治疗是最有效的选择,也是目前绝经后妇女外阴阴道萎缩相关性功能障碍的标准治疗方法。性功能障碍是绝经后妇女常见的多维问题,往往会损害这些妇女的生活质量。雌激素制剂是最有效的治疗方法。选择性雌激素受体调节剂、阴道脱氢表雄烯二酮、阴道睾酮和组织选择性雌激素复合物是很有前途的治疗方法,但需要进一步的研究来证实它们的作用、有效性和安全性。关键词:雌激素,绝经后妇女,性功能障碍,外阴-阴道
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Overview of Vulvovaginal Atrophy‑Related Sexual Dysfunction in Postmenopausal Women
Menopause and the climacteric period are associated with adverse risk factors for the development of vulvovaginal atrophyrelated sexual dysfunction. Sexual dysfunction is a common problem in postmenopausal women, often underdiagnosed, inadequately treated, frequently overlooked, and most often impairing the quality of life of these women. To provide clinicians with current information on vulvovaginal atrophy‑related sexual dysfunction in postmenopausal women. This study is a literature review on vulvovaginal atrophy‑related sexual dysfunction in postmenopausal women. Relevant publications were identified through a search of PubMed and Medline, selected references, journals, and textbooks on this topic, and were included in the review. The prevalence of female sexual dysfunction increases with age. It is a common multidimensional problem for postmenopausal women that alter the physiological, biochemical, psychological, and sociocultural environment of a woman. Menopause‑related sexual dysfunction may not be reversible without therapy. Estrogen therapy is the most effective option and is the current standard of care for vulvovaginal atrophy‑related sexual dysfunction in postmenopausal women. Sexual dysfunction is a common multidimensional problem for postmenopausal women and often impairs the quality of life of these women. Estrogen preparations are the most effective treatment. Selective estrogen receptor modulators, vaginal dehydroepiandrostenedione, vaginal testosterone, and tissue‑selective estrogen complexes are promising therapies, but further studies are required to confirm their role, efficacy, and safety. Keywords: Estrogen, postmenopausal women, sexual dysfunction, vulvo‑vaginal
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