Sexuality during the climacteric period

Lucia Alves da Silva Lara, Bernardo Useche, Julio Cesar Rosa e Silva, Rui Alberto Ferriani, Rosana Maria Reis, Marcos Felipe Silva de Sá, Bruno Ramalho de Carvalho, Maria Ângela Cury Ramos Carvalho, Ana Carolina Japur de Sá Rosa e Silva

Research output: Articles / NotesArticle in a non-specialized journalpeer-review

29 Scopus citations


Background: Cultural, social, physiological and psychological factors may alter the course of sexual function in climacteric women. Objective: The objective of the present literature review is to survey the prevalence of sexual dysfunctions in the climacteric and to establish the association between the organic and psychic changes that occur during this phase and sexual dysfunction. We also discuss potential treatments. Methods: We evaluated the data available in PubMed (1982-2008). For each original article, two reviewers analyzed the data independently and considered a study to be of high quality if it had all three of the following characteristics: prospective design, valid data and adequate sample size. Both reviewers extracted data from each of the 99 studies selected: 34 cross-sectional studies, 25 cohort studies, 9 trials, 31 reviews related to sexuality in pre- and post-menopausal women. Results: Sexual dysfunction among climacteric women is widespread and is associated with bio-psychosocial factors. However, there is not enough evidence to correlate sexual dysfunction with a decrease in estrogen levels and biological aging. A strong association exists between climacteric genital symptoms and coital pain. There is, however, sufficient evidence demonstrating the benefits of local estrogen therapy for patients with genital symptoms. Conclusion: A significant decline in sexual function occurs in climacteric women, although it is still unclear whether this is associated with the known decrease in estrogen levels or with aging, or both. Relational factors may interfere with sexual function during this phase. The climacteric genital symptoms improve with estrogen replacement therapy, and positively influence sexual function. Further studies are needed to establish the actual impact of the decrease in estrogen levels and of aging on the sex life of climacteric women.

Original languageEnglish
Pages (from-to)127-133
Number of pages7
Issue number2
StatePublished - 20 Feb 2009
Externally publishedYes


  • Climacterium
  • Hormone replacement therapy
  • Sexual dysfunction
  • Sexuality


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