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Menopause and Sexuality

The menopause process is a period in which women deal with various problems. sexuality is over Is it a problematic process? Or can everything continue as before? In recent years, as human life has increased, the number of post-menopausal women has increased in all countries, quality of lifehas led to increased expectations. 

Today, women spend at least one of their lives one third The proportion of women in menopause reaches one-fifth of the total population. Of course sexuality not alone, but as a state of biological, psychological, emotional and social well-being with general health should be evaluated together. 
Menopause is a period of physical and anatomical changes that affect sexuality in women. psychological It also includes a transition period. Although it is thought that there will be a decrease in interest in sexuality with menopause, this phenomenon actually occurs more frequently with menopause. from psychological factors It is due to.

Many women, with menopause body image will be distorted and she worries that her feminine functions will come to an end. This way now your sexual attractiveness A woman who thinks that she has no interest in sexuality may inevitably lose her interest in sexuality or have a subconscious fear of sexuality. escape can live. 

Besides that your man too general physical and sexual health, psychological state, sociocultural perspective, and the in sexual life is of importance. The man's anxiety that his sexual functions will decrease and weaken with age may cause him to be less assertive and even experience impotence (erectile dysfunction) just because of this anxiety.
In reality, the events that change with menopause are not as expected. menopause There is no beginning of aging Likewise, it is never the end of femininity. After being aware of these events, sexuality becomes more important in menopause. freely and without risk of pregnancy livable.

In many societies, women's sexuality decreases with age. Even though you have beliefs, studies show that women and men, even at older ages, sexually activerevealed that it is.

What events occur during menopause that affect sexual life?
Estrogen secretion in the ovaries during menopause because egg cells are exhausted A significant difference in menopausal women estrogen decrease is observed. estrogenAs it decreases, changes are also observed in the sexual organs under the influence of this hormone. 
vaginal tissue slipperiness and flexibility may lose. Thinning is observed in the cells called epithelium that line the inside of the vagina. All this during intercourse pain and burning sensationIt means. 
Only in menopause decreased estrogen unlivable. Aging also causes a decrease in the production of male hormones called androgens from the ovaries and adrenal glands. If this decrease decreased libido (sexual desire) It is seen as . 

What Happens in Androgen Deficiency?
The most basic androgen testosterone It plays an important role in female sexuality. The desire to initiate sexual activity is effective in responding to sexual stimuli. In addition, research has found that there is a delay in reaching the excitement phase and a decrease in the number of orgasms in menopausal women.
While it has a direct effect on libido (sexual desire), it is also very effective on mood, general energy and well-being. The direct effect of testosterone is also necessary for vaginal blood flow and wetness. 

In testosterone deficiency women low libido, unexplained fatigue, lack of motivation They complain.
Testosterone deficiency is expected to be more common in patients receiving menopause treatment (Hormone Replacement Therapy) and in people who have entered surgical menopause (uterus and ovaries have been surgically removed). 

It is known that estrogen drugs, especially taken orally, can cause a decrease in male hormone levels and therefore a decrease in libido. In many studies, a decrease in complaints has been observed with the administration of testosterone alone.

What can be given in treatment?
in the genitals dryness and burning and soreness during sexual intercourse Locally applied creams and suppositories can be very useful for women with complaints. If there are complaints of hot flashes, an effective treatment can be applied with estrogen patches taken orally or attached to the skin. 
If there are complaints such as low libido, unexplained fatigue, lack of motivation despite estrogen supplementation, androgen-active drugs should also be added to the treatment.
In summary; During menopause, women face known problems as well as sexual origin their troubles too with great clarity They should share it with their physicians and cooperate for a better and higher quality life.

I hope you have a healthy and happy menopause period.

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