Nappi Rossella E, Cucinella Laura
Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Viale Golgi 19.
Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS S. Matteo Foundation, Piazzale Golgi 2, Pavia, Italy.
Clin Obstet Gynecol. 2025 Mar 1;68(1):44-50. doi: 10.1097/GRF.0000000000000910. Epub 2024 Dec 2.
Sexual health is multidimensional across the lifespan. At midlife, women may face challenges to sexuality, often requiring intervention. Menopause-related and age-related hormonal changes intermingle with common medical conditions and contribute to biological substrates less favorable to a healthy sexual response. Psychological, sociocultural, and relational factors modulate the impact of such changes positively or negatively, contributing to adaptation or manifestation of sexually related distress. A comprehensive diagnostic approach and multidimensional management are needed to address sexual symptoms due to both menopause and aging, individualizing non-pharmacological and pharmacological evidence-based treatment options according to personal goals and expectations in the woman/couple.
性健康在整个生命周期中是多维度的。在中年时期，女性可能会面临性方面的挑战，通常需要干预。与绝经和年龄相关的激素变化与常见的医疗状况相互交织，导致不利于健康性反应的生物学基础。心理、社会文化和人际关系因素会对这些变化的影响产生积极或消极的调节作用，从而导致性相关困扰的适应或表现。需要一种全面的诊断方法和多维度管理来解决绝经和衰老引起的性症状，根据女性/夫妻的个人目标和期望，对非药物和基于证据的药物治疗方案进行个性化定制。
