26 nov. 2009 DISFUNCTIA SEXUALA FEMININA IN POSTMENOPAUZA – IMPACTUL CLIMAXULUI IATROGEN VERSUS CLIMAX FIZIOLOGIC
Bucuras Dana*, Chiriac Dana*, Bucuras V**., Grigoras D.*
* Clinica de Obstetrica Ginecologie I, Universitatea de Medicina si Farmacie, Timisoara
** Clinica de Urologie, Universitatea de Medicina si Farmacie, Timisoara
Rezumat
Menopauza este asociata cu o serie de modificari la anatomice, fiziologice si psihologice ce interfera cu sexualitatea femeilor.
Disfunctia sexuala feminina curpinde: dorinta sexuala diminuata, aversiuni sexuale, modificarea capacitatii de excitare (diminuarea pâna la disparitie a lubrifierii vaginale, scaderea sensibilitatii si tumefierii labiale si clitoridiene, absenta relaxarii musculaturii netede vaginale), disfunctii orgasmice, respectiv disfunctia sexuala dureroasa (dispareunie si vaginism). Sexualitatea este grevata de o serie de factori familiali, aspecte sociale, orientari religioase, relatii interpersonale. Indiferent de variabilitatea acestora, momentul declinului functiei endocrine ovariene induce alterari semnificative ale vietii sexuale la femei. Deprivarea estrogenica induce scaderea libidoului, a frecventei activitatilor sexuale, discomfort la contact, disorgasmie si scaderea excitabilitatii genitale.
Abstract – FEMINI SEXUAL DISFUNCTION IN POSTMENOPAUSE – THE IMPACT OF IATROGENIC VERSUS PHYSIOLOGICAL CLIMAX FEMINI SEXUAL DISFUNCTION IN POSTMENOPAUSE – THE IMPACT OF IATROGENIC VERSUS PHYSIOLOGICAL CLIMAX
Menopause is associated with a number of changes in anatomical, physiological and psychological changes that interfere with women’s sexuality.
Female sex ual disfunction includes: decreased sexual desire, sexual aversion, changed capacity off excitement (decrease to the disappearance of vaginal lubrication, decreasing sensitivity and labial and clitoridiene swelling, absence of vaginal smooth muscle relaxation), orgasmic disfunction, respectively painful secsual disfunction (dispareuny and vaginismus). Sexuality is encumbered by a number of family factors, social issues, religious beliefs, interpersonal relationships. Regardless of their variability, the decline in ovarian endocrine function induces significant alterations of sexual life in women. Estrogen deprivation induces decreased libido, decreased frequency of the sexual activity and sexual disconfort.
Key words: menopause, sexual disfunction