“Migraine tends to worsen in the years leading up to the menopause, with attacks occurring more frequently and sometimes also lasting longer. Many women start to notice that the attacks are more likely to start a few days before or during their periods. These perimenstrual migraine attacks often last longer, are more severe, and are less responsive to treatment compared to attacks at other times of the cycle. Periods can become erratic and more frequent, which also means more migraine.
Following menopause, migraine becomes less of a problem, particularly in women who have noticed a strong link between migraine and hormonal triggers. It is not an immediate improvement as it takes a while after your last period for the hormones to settle”.2
“A headache diary can include information on a range of things, however, it’s often best to keep it simple and record basic information. This can include:
Date
Day of week
Duration (how long the attack lasted)
Severity (how bad the attack was). This can either be recorded as mild, moderate or severe. Or on a scale from 1-10, where 10 is the worst pain you can imagine
Other symptoms you experience alongside the headache such as dizziness, vertigo, sensitivity to light, sound, smells or any symptoms that affect your movement (e.g. numbness)
Medication you take, including if you take a second dose
Anything else that may be helpful. Such as side effects from medication, any potential triggers, your period, any changes in medication, and anything else that may be helpful”.4
“Some primary headaches can be triggered by lifestyle factors or situations, including:
Alcohol, particularly red wine
Certain foods, such as processed meats that contain nitrates (food-triggered headaches)
Consuming nicotine (nicotine headache)
Changes in sleep or lack of sleep
Poor posture
Physical activity, such as exercise (exertion headaches)
Skipped meals (hunger headache)
Coughing, sneezing, blowing your nose, straining (such as when having a bowel movement), or laughing or crying vigorously (primary cough headaches)”.5
Health Care Provider
What if I would like help to look for a pattern with my headaches?
If you would like help to look for a pattern with your headaches, it may be in your best interest to choose to talk to your health care provider about this. Together you can identify any patterns, discuss your options and if required, agree on who may be the most appropriate health care provider to help you.
“It is important to make an appointment with your doctor for the specific purpose of addressing your headache history rather than discussing headaches as part of a physician visit for other reasons. The National Headache Foundation also recommends keeping a headache diary to track the characteristics of your headaches. Patterns identified from your diary may help your doctor determine which type of headache you have and the most beneficial treatments”.6
Health Topics A-Z
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Where may I find Links related to Menopause Headaches Pattern?
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“…EMAS is leading in health and wellbeing frameworks and
policies to incorporate menopausal health as part of
the wider context of gender and age equality and…”.1
Umbrella What may the Menopause and the Workplace Guidance Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
For Workplaces
Menopause Workplace
Menopause Workplace Guidance
Menopause Workplace Policy
EMAS Menopause In the Workplace
What is the European Menopause and Andropause Society’s (EMAS) EMAS Menopause In the Workplace?
“In 2023 the global female population is over 4 billion. Women form a large part of workforces worldwide, and many will be working throughout their menopausal years.
Women with severe menopause symptoms may exit employment or reduce their working hours, with a negative effect on income and security in later life. For employers, this means the loss of experienced staff with valuable skills and talent.
Thus, EMAS is leading in health and wellbeing frameworks and policies to incorporate menopausal health as part of the wider context of gender and age equality and reproductive and post-reproductive health”.2
Global Consensus Recommendations on
Menopause In the Workplace
What is the aim of the Global Consensus Recommendations on Menopause In the Workplace: A European Menopause and Andropause Society (EMAS) Position Statement?
“To provide recommendations for employers, managers, healthcare professionals and women to make the workplace environment more menopause supportive, and to improve women’s wellbeing and their ability to remain in work”.3
“A. First off, menopause is not a disease. Menopause is a normal, natural event—defined as the final menstrual period and usually confirmed when a woman has missed her periods for 12 consecutive months (in the absence of other obvious causes)”.4
“Most women become menopausal naturally between the ages of 45 and 55 years, with the average age of onset at around 51 years. Surgical menopause refers to menopause as a result of bilateral oophorectomy. Premature menopause or premature ovarian insufficiency may occur before the age of 40 due to natural ovarian function ceasing, following surgery to remove the ovaries, or as a result of chemo/ radiotherapy. Menopause is considered “early” when it occurs between 40 and 45 years”.5
Menopause Symptoms Duration
What is the average duration of menopause symptoms?
“It is estimated that menopausal symptoms affect more than 75% of women, with over 25% of women describing severe symptoms. Furthermore, menopausal symptoms may last for a long time with an average duration of 7 years, with a third of women experiencing symptoms beyond 7 years”.6
Health Topics A-Z
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This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
Rees, M. et al. Global Consensus Recommendations on Menopause In the Workplace: A European Menopause and Andropause Society (EMAS) Position Statement: Abstract – Aim. Maturitas 151, September 2021, Pages 55-62 https://www.sciencedirect.com/science/article/pii/S0378512221001079 Accessed: 25 April 2024
Hamoda, H., Mukherjee, A., Morris, E., Baldeweg, S. E., Jayasena, C. N., Briggs, P., Moger, S. Optimising the Menopause Transition: Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:1-2 https://journals.sagepub.com/doi/10.1177/20533691221104882 Accessed: 25 April 2024
Topic Last Updated: 25 April 2024 – Topic Last Reviewed: 25 April 2024
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“When your partner goes through menopause, different hormonal changes will affect their body, health, energy levels and mood. They may also have different emotions about coming to the end of their reproductive years.
While every woman’s experience is different, it’s a good idea to learn about menopause and related symptoms so you can support them through this time”.2
“It’s common for women to have lower sex drive (libido) during menopause. This could be due to many things, including changing hormone levels, vaginal atrophy, vaginal dryness (which can cause discomfort during sex) and lowered mood and fatigue”.5
“The years surrounding menopause can be difficult for women and families, but supportive communication can help. These tips from Ms Needleman are designed for couples, but some may also apply to women who don’t have a partner.
“There are many things you can do to help your partner through the different stages of menopause.
For example:
Listen and be supportive
Understand that some (not all) mood changes may be due to menopause
Allow your partner to express their feelings, even if you don’t understand them
Ask your partner to help you understand their symptoms
Encourage your partner to talk about what they need and when they need it
Keep an open mind about why your partner may be acting differently
Support your partner to make healthy choices, like eating healthy food and reducing alcohol consumption (which can affect menopausal symptoms)
Be patient when it comes to sex – and find other ways to be intimate
Go with your partner to medical appointments or counselling (if required)”.7
Health Care Provider
What if I would like help with my relationship?
If you would like help with your relationship, it may be in your best interest to choose to talk to your health care provider about this. Together you can decide on who may be the best health care provider to help you.
Health Topics A-Z
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“…women do still get pregnant in their late 40s and
even into their 50s (without using assisted reproduction
techniques). So contraception should be continued until…”.1
Umbrella What may the Menopause and Pregnancy Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Birth Control
Conception
Contraception
Pregnancy
Unplanned Pregnancy
Perimenopause
Is it possible to become pregnant during perimenopause?
“Your fertility will decline as you age, but while you still ovulate it is possible to get pregnant. In the lead-up to menopause, you can ovulate twice during one cycle. And you can still ovulate up to three months before your final period”.2
“Many women are aware that their fertility declines from their mid 30s and think they can stop using contraception once they are in their 40s. They wrongly assume – because their fertility is lower, they have less sex and their periods may have become irregular – that contraception can be abandoned. However, women do still get pregnant in their late 40s and even into their 50s (without using assisted reproduction techniques). So contraception should be continued until menopause, which is defined as two years after the last natural menstrual period in women under age 50 and until one year after the last natural menstrual period in women over age 50. If menopause cannot be confirmed, contraception should be continued until age 55”.3
Pregnancy 45-49 Years
What is the possibility of pregnancy aged 45-49 years?
“If you’re 50 or older and you don’t want to fall pregnant, you should use contraception for at least one year after your final period. Keep in mind, MHT is not a contraceptive”.7
“If periods have not stopped before starting HRT then a method of contraception should be used in addition to HRT. Suitable methods to consider would be barrier methods, an IUD, the progestogen-only pill or the IUS. As well as being an effective method of contraception, the Mirena® IUS has the additional advantage of providing the progestogen component of HRT and so minimises bleeding problems and other side-effects that might occur from the progestogen.
Once HRT has been started, it can be difficult to know when contraception can be stopped since HRT will often produce regular monthly bleeds. It is best to continue contraception alongside HRT until the age of 55 when contraception is no longer needed”.10
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Looking After Yourself: Sex and Relationships – Contraception During Menopause: When Is It Safe To Stop Contraception? Last Updated: 19 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/looking-after-yourself Accessed: 22 April 2024
Looking After Yourself: Sex and Relationships – Contraception During Menopause: When Is It Safe To Stop Contraception? Last Updated: 19 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/looking-after-yourself Accessed: 22 April 2024
Looking After Yourself: Sex and Relationships – Contraception During Menopause: When Is It Safe To Stop Contraception? Last Updated: 19 January 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/looking-after-yourself Accessed: 22 April 2024
Topic Last Updated: 22 April 2024 – Topic Last Reviewed: 22 April 2024
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“Having erection trouble from time to time
isn’t necessarily a cause for concern. If erectile dysfunction
is an ongoing issue, however, it can cause stress…”.1
Umbrella What may the Sexual Health and Erectile Dysfunction Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
“Erectile dysfunction is the most common sex-related condition that men and people assigned male at birth (AMAB) report to healthcare providers, especially as they age and develop other health issues”.4
“Erectile dysfunction is a very common condition, particularly in older men. It is estimated that half of all men between the ages of 40 and 70 will have it to some degree”.5
“Having erection trouble from time to time isn’t necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease”.7
“Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction”.8
“The most common causes of ED are underlying health problems that affect blood vessels and blood flow in the penis. These include hardening of the arteries (atherosclerosis), diabetes, obesity, smoking, high blood pressure, and high cholesterol”.9
Cause: Medicines and Drugs
Can some medicines and drugs cause ED?
In Drugs That May Cause Erection Problems, review date 01 January 2023, the (United States) MedlinePlus list “some medicines and drugs that may cause impotence in men”.
“Medicines that you take by mouth are called oral medicines. They’re often the first line of treatment for trouble getting or keeping an erection, called erectile dysfunction (ED). Oral medicines for ED usually work well and cause few side effects”.11
“The four main medicines taken by mouth for erectile dysfunction are:
Avanafil (Stendra)
Sildenafil (Viagra)
Tadalafil (Cialis)
Vardenafil.
These medicines are called PDE5 inhibitors. They enhance the effects of a chemical the body makes that relaxes muscles in the penis, called nitric oxide. This boosts blood flow and helps you get an erection from sexual activity”.12
Health Care Provider
What if I think I have ED or I think my partner has ED?
“The first thing your doctor will do is to make sure you’re getting the right treatment for any health conditions that could be causing or worsening your erectile dysfunction.
Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. Your doctor can explain the risks and benefits of each treatment and will consider your preferences. Your partner’s preferences also might play a role in your treatment choices”.13
Health Topics A-Z
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“Depressive disorder (also known as depression) is a common mental disorder. It involves a depressed mood or loss of pleasure or interest in activities for long periods of time.
Depression is different from regular mood changes and feelings about everyday life. It can affect all aspects of life, including relationships with family, friends and community. It can result from or lead to problems at school and at work”.2
In Depression: What Is Depression? last reviewed March 2024, the (United States) National Institute of Mental Health’s (NIMH) definition is:
“Depression (also known as major depression, major depressive disorder, or clinical depression) is a common but serious mood disorder. It causes severe symptoms that affect how a person feels, thinks, and handles daily activities, such as sleeping, eating, or working.
To be diagnosed with depression, the symptoms must be present for at least 2 weeks”.3
“Feeling sad is a normal reaction to difficult times in life. Depression is different—it is a mood disorder that can affect how a person feels, thinks, and acts. Read this fact sheet to learn about depression in women and ways to get help”.4
Perimenopause
Is there an association between perimenopause and depression?
“Perimenopausal Depression affects some women during the transition to menopause. Whereas abnormal periods, problems sleeping, mood swings, and hot flashes are common during the menopause transition, more extreme feelings of irritability, anxiety, sadness, or loss of enjoyment may be signs of depression”.5
“Mental health symptoms related to menopause can include feeling:
Irritable
Sad
Anxious
Hopeless
Less able to concentrate or focus
Tired
Unmotivated
Some women might experience these symptoms in a mild form. Others might have more severe symptoms of depression (including thoughts of suicide) lasting for at least two weeks. This is known as a major depressive episode and is more likely in women who have a history of major depression during their pre-menopausal years.
While many women do not have mental health issues during the menopausal transition, unstable oestrogen levels can have an impact on the brain, predisposing some women to feelings of depression and anxiety”.7
“Depressive symptoms worsen as women transition through menopause, although evidence is mixed as to whether depressive disorders are more common during the menopause transition relative to premenopause. Most women who present with depressive disorders during the menopause transition are women with a history of depression before the menopause transition, and women with a history of depression are at high risk for recurrence during the menopause transition”.8
“Hormonal changes around the time of menopause can lead to anxiety and depression, but other factors may also cause these feelings.
If you experienced anxiety before reaching menopause, some symptoms could make your anxiety worse. For example, hot flushes could lead to an anxiety attack.
Also, symptoms such as night sweats can affect your mood and make you feel exhausted, grumpy or depressed.
At this stage of life, you may experience depression for different reasons. For example, if you are having relationship problems or feeling more stress than normal.
You might also reflect on negative past experiences during this time, leading to feelings of depression”.9
“Risk factors for depressive symptoms/disorders are multiple and include VMS, previous mood disorders including prior MDD, reproductive related mood disturbance (severe premenstrual syndrome (PMS) or postpartum depression), other health factors, psychological and socioeconomic factors, and hormonal changes such as variability in FSH and oestradiol”.10
What is VMS?
VMS can be an abbreviation for Vasomotor Symptoms such as hot flushes and night sweats.
What is MDD?
MDD can be an abbreviation for Major Depressive Disorder.
What is FSH?
FSH can be an abbreviation for Follicle Stimulating Hormone.
Treatment
How may perimenopausal and menopausal depression be treated?
“Women should have an individualised assessment with their doctor in order to discuss the most appropriate treatment pathway. Options may include lifestyle changes, psychological therapies and medications such as menopausal hormone therapy (MHT) or antidepressants.
While some international guidelines do not recommend MHT as first line therapy, many doctors have seen a positive effect on mood with the use of MHT in the first instance. There is evidence that oestrogen has antidepressant effects, particularly in perimenopausal women. We emphasise an individualised approach with treatment tailored to the individual patient.
Oestrogen is not recommended for women with a history of breast cancer.
At this stage, there is no evidence to recommend alternative or complementary therapies for treatment of perimenopausal depression”.11
In Depression: A Major Challenge of the Menopause Transition, October 2022, Professor Kulkarni, Professor of Psychiatry at The Alfred Hospital, Melbourne; Head of Department of Psychiatry at Monash University, Melbourne; and Director of the Monash Alfred Psychiatry Research Centre, Melbourne, Victoria, explains:
“Guidelines recommend antidepressant medications as first-line treatment; however, emerging evidence suggests menopausal hormone treatment may also be effective. A biopsychosocial approach to management, including treating depressive symptoms and addressing relevant psychological and lifestyle factors, offers the best outcomes and improvement in quality of life”.12
Health Care Provider
What if I feel depressed?
If you feel depressed, it may be in your best interest to choose to talk to your health care provider abut this, soon as possible.
“Speaking with your doctor about your menopausal symptoms, life circumstances and clinical history can help them to recommend the best treatment options and lifestyle and behavioural changes for your situation”.13
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“If you would like to find out what menopause
position statements are applicable to you, it may be
in your best interest to choose to talk to your…”.Meno Martha
Umbrella What may the Menopause Position Statements Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
Clinical Guides
Consensus Statements
Final Recommendation Statements
Global Consensus Statements
Guidelines
Other Reports
Position Papers
Position Statements
Recommendations
Reports
Statements
White Paper
Date
What can it be important to be clear about with menopause position statements?
It can be important to be clear about the date of all information including the date of menopause position statements because this information may have been updated or retired.
Health Care Provider
What if I would like to find out what menopause position statement information is applicable to me?
If you would like to find out what menopause position statements are applicable to you, it may be in your best interest to choose to talk to your health care provider about this.
Health Topics A-Z
Where may I find Health Topics A-Z related to Menopause Position Statements?
Where may I find Links related to Menopause Position Statements?
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BMS = British Menopause Society EMAS = European Menopause and Andropause Society IGCS = International Gynecologic Cancer Society IMS = International Menopause Society
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“Vulvitis is inflammation in your vulva, or your genitals. Your vulva includes the soft folds of skin that surround your vagina, including your labia majora (the outer folds), labia minora (vaginal lips) and your clitoris. Your vulva may become inflamed because of an infection, allergic reaction or injury that irritates your skin”.5
“Vulval irritation can be caused by many things. Common causes are listed below.
Bodily functions…
Products…
Clothes…
Skin conditions…
Infections…
Sexually transmitted infections (STIs)…
Other conditions…
Hormones…
Medicines…
Cancer…”.6
Douching
What is douching?
DotS the definition of douching may vary. In Douching: What Is Douching? the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov’s definition is:
“The word “douche” means to wash or soak. Douching is washing or cleaning out the inside of the vagina with water or other mixtures of fluids. Most douches are sold in stores as prepackaged mixes of water and vinegar, baking soda, or iodine. The mixtures usually come in a bottle or bag. You squirt the douche upward through a tube or nozzle into your vagina. The water mixture then comes back out through your vagina”.7
Is douching different from washing the outside of your vagina during a bath or shower?
Yes. Womenshealth.gov explain:
“Douching is different from washing the outside of your vagina during a bath or shower. Rinsing the outside of your vagina with warm water will not harm your vagina. But, douching can lead to many different health problems.
Most doctors recommend that women do not douche”.8
Vulval Clinics
Are there clinics specializing in vulval conditions?
DotC (Depending on the Country) there may be clinics specializing in vulval conditions with gynecologists, dermatologists, physiotherapists and other multidisciplinary staff.
These multidisciplinary clinics may be called:
Genito-Urinary Medicine Clinics
Multidisciplinary Vulva/Vulval/Vulvar Clinics
Vulva/Vulval/Vulvar Clinics
Vulvovaginal Clinics
Health Care Provider
What if I think I have vulval irritation?
If you think you have vulval irritation, it may be in your best interest to choose to talk to your health care provider about this. The JH encourage us to seek help and explain:
“If you are experiencing vulval irritation and your symptoms are not getting better, it’s important to see your doctor. They will take your medical history and ask about your symptoms. If they don’t check your vulva, ask for an examination. You might also need to have a urine test, vulval or vaginal swab, blood test or vulval biopsy. This process will ensure you get the right diagnosis and treatment.
The sooner you seek help, the sooner your symptoms will improve”.9
Health Topics A-Z
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Douching: What Is Douching? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 21 April 2024
Douching: What Is Douching? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 21 April 2024
“As a woman ages, estrogen levels are fluctuating from one minute to the next, and erratic. Less progesterone is produced (but stabilizes at low levels in post menopause, around age 55). Estrogen is related to production of serotonin, a mood-regulating neurotransmitter. Fluctuating estrogen and progesterone levels, plus other factors, cause serotonin production disruption, leading to more mood swings. Mood disorders are common during this time”.2
Bipolar Disorder
Are menopause mood swings different to bipolar disorder?
Yes. Menopause mood swings are different to bipolar disorder. In Bipolar Disorder: What Is Bipolar Disorder? the (United States) National Institute of Mental Health’s definition of bipolar disorder is:
“Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental illness that causes unusual shifts in a person’s mood, energy, activity levels, and concentration. These shifts can make it difficult to carry out day-to-day tasks”.3
Depression
Are menopause mood swings different to depression?
Yes. Menopause mood swings are different to depression. In Depression: Overview the World Health Organization explain:
“Depressive disorder (also known as depression) is a common mental disorder. It involves a depressed mood or loss of pleasure or interest in activities for long periods of time.
Depression is different from regular mood changes and feelings about everyday life. It can affect all aspects of life, including relationships with family, friends and community. It can result from or lead to problems at school and at work”.4
Self-Help Measures
What are some self-help measures which may help mood changes?
The Endocrine Society explain:
“Mood swings are a part of aging for many women, but the good news is that you can take steps to help prevent them and manage them when they occur. Often, a healthy lifestyle is the first step in preventing mood swings.
Avoid caffeine, alcohol, and spicy foods
Eat a balanced, health diet with fruits, vegetables, and whole grains
Talk to a therapist or counselor
Get enough sleep
Exercise regularly
Find healthy ways to deal with stress”.5
Health Care Provider
What if I would like help with menopause mood swings?
If you would like help with menopause mood swings, it may be in your best interest to choose to talk to your health care provider about this.
Health Topics A-Z
Where may I find Health Topics A-Z related to Menopause Mood Swings?
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“The question of being troubled is key when it comes to
any potential sexual disorder, since the issue is not
the sexual “problem or condition itself but whether…”.1
Umbrella What may the Sexual Health and Female Sexual Dysfunction Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
“Persistent, recurrent problems with sexual response, desire, orgasm or pain — that distress you or strain your relationship with your partner — are known medically as sexual dysfunction”.2
FSD or Not
If a woman is not troubled by her sex life, does she have FSD?
“The question of being troubled is key when it comes to any potential sexual disorder, since the issue is not the sexual “problem” or condition itself but whether it is bothersome or troubling to the person or partners involved. For instance, if both partners in a couple are content to live without an active sex life, then a condition such as vaginal dryness or erectile difficulty does not really represent sexual dysfunction. Similarly, a woman who notices some decline in sexual desire over time may not be troubled by it if she is not in a relationship. However, if she meets a partner with high libido, she may start to see her low sex drive as a problem”.3
“Symptoms vary depending on what type of sexual dysfunction you’re experiencing:
Low sexual desire. This most common of female sexual dysfunctions involves a lack of sexual interest and willingness to be sexual
Sexual arousal disorder. Your desire for sex might be intact, but you have difficulty with arousal or are unable to become aroused or maintain arousal during sexual activity
Orgasmic disorder. You have persistent or recurrent difficulty in achieving orgasm after sufficient sexual arousal and ongoing stimulation
Sexual pain disorder. You have pain associated with sexual stimulation or vaginal contact”.4
Anorgasmia
What is anorgasmia?
DotS the definition of anorgasmia may vary. The Mayo Clinic’s definition is:
“Anorgasmia is delayed, infrequent or absent orgasms — or significantly less-intense orgasms — after sexual arousal and adequate sexual stimulation. Women who have problems with orgasms and who feel significant distress about those problems may be diagnosed with anorgasmia”.5
Is there an association between anorgasmia and aging?
“Sexual problems often develop when your hormones are in flux, such as after having a baby or during menopause. Major illness, such as cancer, diabetes, or heart and blood vessel (cardiovascular) disease, can also contribute to sexual dysfunction.
Factors — often interrelated — that contribute to sexual dissatisfaction or dysfunction include:
Physical…
Hormonal…
Psychological and social…”.9
Health Care Provider
What if I think I have FSD?
If you think you have FSD and this troubles you, it may be in your best interest to choose to talk to your health care provider about this.
“If your provider asks about your sex life or sexual function, don’t miss the opportunity to be frank and look for help. More important, if your provider doesn’t ask specifically about your sexual function, don’t be afraid to bring up a distressing sexual problem yourself when you’re asked, “How are you feeling?” Most providers today are comfortable addressing such a problem; if your provider is not, consider looking for another.
There is absolutely no need to suffer (or let your relationship suffer) in silence”.10
Health Topics A-Z
Where may I find Health Topics A-Z related to Sexual Health and Female Sexual Dysfunction?
Where may I find Links related to Sexual Health and Female Sexual Dysfunction?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.
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