May 2, 2016
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Menopause and Sex (cont.)

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What are some symptoms of menopause that can affect sexual function?

A decrease in estrogen levels is the hallmark of menopause, and this change in hormone level can cause a number of different symptoms. Not all women experience all the characteristic symptoms of menopause, but some women may have more severe symptoms than others. In addition to vaginal dryness and decreased libido, menopause can be associated with other troublesome symptoms that can affect sexual drive and function. Examples of these symptoms include trouble sleeping, hot flashes, headache, mood changes, stress, anxiety, and bladder control problems. These symptoms alone are sufficient to affect sexual function in some women.

What are some treatments for troubling symptoms of menopause?

Estrogen therapy (ET) is available for women to treat symptoms of menopause, although due to some health risks (see below), not all women wish to take estrogen therapy. Estrogen, in pill, patch, trandsdermal spray, or gel form; is the single most effective therapy for troubling symptoms of menopause. Because ET alone can cause uterine cancer (endomketrial cancer), a progestin drug is typically given together with estrogen in women who have a uterus (those who have not undergone a hysterectomy) to eliminate this increased risk. Hormone therapy has been shown to have other risks, including small but still increased risks of stroke and heart disease. Because of these risks, women who have no major menopause symptoms may choose to avoid hormone therapy (HT). Most doctors agree that hormone therapy, when used for symptoms of menopause, should be used in the lowest effective dose and for the shortest time period possible.

Estrogen is also available in cream, ring (vaginal device that secretes estrogen for up to 3 months), or vaginal tablet form for use directly in the vagina. This can help relieve some of the symptoms of vaginal dryness and discomfort. Water-soluble lubricants (such as K-Y jelly, K-Y Silk, liquibeads, etc. ) are also recommended and can be effective for women experiencing symptoms of vaginal dryness. Estrogen given vaginally for dryness is given in very low doses and is not associated with the risks associated with hormone therapy which is given for hot flashes and other menopause symptoms.


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