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女性在更年期过渡期间的性经历以及医疗保健提供者给予她们的支持:一项系统综述与元综合分析。

Women's experiences of their sexuality during their menopausal transition and the support offered to them by healthcare providers: A systematic review and meta-synthesis.

作者信息

Calvin Amanda, Cina Sarah, Byrskog Ulrika, Erlandsson Kerstin, Borneskog Catrin

机构信息

School of Health and Welfare, Dalarna University, Falun, Sweden.

出版信息

Eur J Midwifery. 2025 Sep 18;9. doi: 10.18332/ejm/209571. eCollection 2025.

Abstract

INTRODUCTION

Menopause can significantly impact women's sexuality and sexual health, yet knowledge gaps among healthcare practitioners is a barrier to adequate support. Research on women's issues is less prioritized and limited funds are invested in studying female sexuality. In addition, women may feel hesitant to seek medical assistance for sexual health concerns during menopause due to lack of knowledge or societal taboos.

METHODS

This is a meta-synthesis of qualitative research on women's experiences of their sexuality during the menopausal transition and the support offered by healthcare providers. Data collection was conducted using PubMed, CINAHL, and PsycINFO. A total of 21 qualitative studies from diverse cultural contexts, including Lebanon, Iran, Sweden/Chile, Spain, UK, Ireland, Thailand, Singapore, Australia, USA, China, Malaysia, and Taiwan, were synthesized, encompassing 610 participants.

RESULTS

Women's experiences of sexuality during menopause are highly individualized and influenced by relationship dynamics, sexual autonomy, and personal perceptions of menopause. The synthesis also highlighted a common concern: women reported a lack of adequate healthcare support, knowledge, and targeted treatments to address their sexual well-being during this period.

CONCLUSIONS

Menopause can profoundly affect women's health, sexuality, and quality of life. For women to make informed choices regarding menopausal healthcare, extended knowledge, education, destigmatisation, and access to healthcare are essential. This synthesis underscores the critical need for enhanced education and interdisciplinary collaboration within healthcare systems.

摘要

引言

更年期会对女性的性和性健康产生重大影响,但医疗从业者之间的知识差距是提供充分支持的障碍。对女性问题的研究不太受重视,用于研究女性性行为的资金有限。此外,由于缺乏知识或社会禁忌,女性在更年期出现性健康问题时可能会犹豫是否寻求医疗帮助。

方法

这是一项关于女性在更年期过渡期间的性经历以及医疗服务提供者提供的支持的定性研究的元综合分析。使用PubMed、CINAHL和PsycINFO进行数据收集。共综合了来自黎巴嫩、伊朗、瑞典/智利、西班牙、英国、爱尔兰、泰国、新加坡、澳大利亚、美国、中国、马来西亚和台湾等不同文化背景的21项定性研究,涵盖610名参与者。

结果

女性在更年期的性经历高度个体化,受到关系动态、性自主权和对更年期的个人认知的影响。该综合分析还突出了一个共同问题:女性报告在此期间缺乏足够的医疗支持、知识和针对性治疗来解决她们的性健康问题。

结论

更年期会深刻影响女性的健康、性和生活质量。为了让女性能够就更年期医疗做出明智的选择,扩展知识、教育、消除污名化以及获得医疗服务至关重要。这一综合分析强调了医疗系统内加强教育和跨学科合作的迫切需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/225e/12445056/f7d7b9b7de84/EJM-9-43-g001.jpg

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