The yin and yang of GSM and low sexual desire

Abstract

Numerous surveys have documented that sexuality and/or sexual activity is important to women at all stages of adulthood, including postmenopause. Genitourinary syndrome of menopause (GSM) and hypoactive sexual desire disorder (HSDD) are common disorders in postmenopausal women and may co-occur. Both are often undiagnosed due to a lack of knowledge of the disorder, health-care professional discomfort in discussing sexual problems or a lack of routine screening. It is incumbent upon health-care professionals to identify and differentiate these conditions in women through a biopsychosocial assessment, and may require a focused physical examination. Numerous treatments, both non-pharmacologic and pharmacologic, are available to address GSM and HSDD.

摘要

许多调查表明, 性行为和/或性活动对各个阶段成年女性都很重要, 包括绝经后女性。绝经泌尿生殖道综合征（GSM）和女性性欲低下障碍（HSDD）是绝经后妇女常见的疾病, 可能同时发生。由于缺乏对该疾病的了解、医疗专业人员在讨论性问题时感到不适或缺乏常规筛查, 这两种疾病往往都未被诊断出来。卫生保健专业人员有责任通过生物-心理-社会评估来识别和区分妇女的这些情况, 可能需要进行重点体检。有许多非药物和药物治疗方法可用于解决GSM和HSDD问题。

Keywords:

• Female sexual dysfunction
• genitourinary syndrome of menopause
• vulvovaginal atrophy
• hypoactive sexual desire disorder
• low desire

View correction statement:

Correction

Correction Statement

This article was originally published with errors, which have now been corrected in the online version. Please see Correction (http://dx.doi.org/10.1080/13697137.2023.2210455)

Potential conflict of interest

The authors disclose the following conflicts of interest: Sheryl Kingsberg: Paid Consultant or Advisory Board Member-Alloy, Astellas, Bayer, Dare Bioscience, Freya, Reunion Neuroscience, Materna Medical, Madorra, Palatin Technologies, Pfizer, ReJoy, Sprout, Strategic Sciencies Technologies, Ms. Medicine; Stephanie Faubion: No disclosures to report; Bob Adler: Indegene; Jim Metropoulos: Indegene.

Source of funding

Nil.