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Continuing Medical Education: The Use of Estrogen Therapy in Women's Sexual Functioning (CME)

Identifieur interne : 000584 ( Main/Exploration ); précédent : 000583; suivant : 000585

Continuing Medical Education: The Use of Estrogen Therapy in Women's Sexual Functioning (CME)

Auteurs : Rossella E. Nappi [Italie] ; Franco Polatti [Italie]

Source :

RBID : ISTEX:B99C07B6A914EE80D9D46A9C504C9099B61F8B08

English descriptors

Abstract

Introduction.  Estrogen is relevant to women's well‐being including sexual functioning.
Aim.  The goal of this Continuing Medical Education article was to provide a comprehensive review of the effect of exogenous estrogen use on women's sexual function.
Main Outcome Measures.  We present a literature review.
Methods.  The medical literature was accurately searched (1990–2008) with regard to estrogen therapy in menopausal women by using several terms related to and including the terms “estrogen” and “sexual function.”
Results.  A review of the studies most useful to guide menopausal practice.
Conclusions.  Estrogen decline is one of the key factors contributing to sexual functioning during menopausal transition and beyond. Systemic estrogen treatments are associated with significant benefits in some domains of menopausal sexual function, especially when estradiol is delivered transdermally, whereas local estrogens are effective in preventing urogenital aging. Even tibolone, a selective tissue estrogenic activity regulator, displays positive effects in postmenopausal women with sexual complaints. However, a tailored approach to the individual woman is always needed. Nappi RE, and Polatti F. The use of estrogen therapy in women's sexual functioning. J Sex Med 2009;6:603–616.

Url:
DOI: 10.1111/j.1743-6109.2008.01198.x


Affiliations:


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Le document en format XML

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<term>American menopause society</term>
<term>Androgen</term>
<term>Aromatase inhibitors</term>
<term>Atrophic vaginitis</term>
<term>Breast cancer</term>
<term>Climacteric</term>
<term>Climacteric symptoms</term>
<term>Clin</term>
<term>Clin endocrinol metab</term>
<term>Clin oncol</term>
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<term>Dryness</term>
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<term>Estrogen deprivation</term>
<term>Estrogen therapy</term>
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<term>Fertil</term>
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<term>Gynecol</term>
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<term>Menopause</term>
<term>Nappi</term>
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<term>Older women</term>
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<term>Postmenopausal women</term>
<term>Progestin</term>
<term>Raloxifene</term>
<term>Randomized</term>
<term>Receptor</term>
<term>Selective tissue estrogenic activity regulator</term>
<term>Serms</term>
<term>Sexual activity</term>
<term>Sexual behavior</term>
<term>Sexual complaints</term>
<term>Sexual desire</term>
<term>Sexual dysfunction</term>
<term>Sexual function</term>
<term>Sexual hormones</term>
<term>Sexual life</term>
<term>Sexual satisfaction</term>
<term>Sexual symptoms</term>
<term>Shbg</term>
<term>Steril</term>
<term>Surgical menopause</term>
<term>Symptom</term>
<term>Tamoxifen</term>
<term>Target tissues</term>
<term>Tde2</term>
<term>Tibolone</term>
<term>Tibolone treatment</term>
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<term>Transdermal estradiol</term>
<term>Transdermal estrogen therapy</term>
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<term>Vaginal</term>
<term>Vaginal atrophy</term>
<term>Vaginal dryness</term>
<term>Vaginal maturation index</term>
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<div type="abstract">Introduction.  Estrogen is relevant to women's well‐being including sexual functioning.</div>
<div type="abstract">Aim.  The goal of this Continuing Medical Education article was to provide a comprehensive review of the effect of exogenous estrogen use on women's sexual function.</div>
<div type="abstract">Main Outcome Measures.  We present a literature review.</div>
<div type="abstract">Methods.  The medical literature was accurately searched (1990–2008) with regard to estrogen therapy in menopausal women by using several terms related to and including the terms “estrogen” and “sexual function.”</div>
<div type="abstract">Results.  A review of the studies most useful to guide menopausal practice.</div>
<div type="abstract">Conclusions.  Estrogen decline is one of the key factors contributing to sexual functioning during menopausal transition and beyond. Systemic estrogen treatments are associated with significant benefits in some domains of menopausal sexual function, especially when estradiol is delivered transdermally, whereas local estrogens are effective in preventing urogenital aging. Even tibolone, a selective tissue estrogenic activity regulator, displays positive effects in postmenopausal women with sexual complaints. However, a tailored approach to the individual woman is always needed. Nappi RE, and Polatti F. The use of estrogen therapy in women's sexual functioning. J Sex Med 2009;6:603–616.</div>
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