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Tristan Manalac, 5 days ago
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Decreased arousal, vulvovaginal atrophy highly prevalent among postmenopausal Asian women

09 Jan 2018

There appears to be a high prevalence of decreased sexual desire and vulvovaginal atrophy symptoms, including dryness, irritation, soreness and dyspareunia, among postmenopausal Asian women, a study has reported.

Researchers performed a systematic review of the literature to investigate the prevalence of sexual symptoms in women in Asia in relation to their menopause status. They searched multiple online databases for relevant population-based prevalence studies published between 1988 and 2016.

A total of 34 articles, comprising 24,743 women, were included. Risk of bias was assessed using a risk-of-bias tool developed specifically for the systematic review of prevalence studies.

Data showed a high prevalence of diminished sexual desire among postmenopausal women in Asia. Vulvovaginal atrophy symptoms, while common after menopause in some Asian countries, appeared to be either less common or under-reported in other Asian countries.

Researchers noted a paucity of data pertaining to menopause and sexual well-being in Asia, as well as the lack of prevalence studies assessing sexual function using a validated questionnaire. Most of the included studies had a high risk of bias, particularly in the four items that pertain to external validity.

Despite its limitations, the available data suggest that decreased sexual desire and vulvovaginal atrophy symptoms (eg, dryness, irritation, soreness and dyspareunia) commonly occur after menopause in women in Asia, researchers said. However, the extent to which the said symptoms cause women distress is unclear.

Additional studies of representative samples of premenopausal, perimenopausal and postmenopausal women that use robustly translated and culturally appropriate validated questionnaires, and that collect detailed demographic data are warranted to determine the prevalence of sexual symptoms in relation to menopause in women in Asia, they added.

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Most Read Articles
Tristan Manalac, 5 days ago
The causes, presentations and management of anaphylaxis vary considerably with age, according to a recent Singapore study, which reported that children are more likely to present with food anaphylaxis, while drug anaphylaxis is more common in adults.
Pearl Toh, 4 days ago
Low-density lipoprotein cholesterol (LDL-C) levels remained high in many patients with stable or acute coronary heart disease (CHD) in Asia, despite having a very high risk of recurrent cardiovascular (CV) events, indicating that the use of lipid-lowering therapies and lipid monitoring were inadequate.
13 Sep 2018
Substituting diets high in carbohydrates with those high in monounsaturated fatty acids in the context of low saturated fatty acids do not appear to yield favourable effects on blood pressure, according to a meta-analysis.
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There is a strong association between smoking duration and colorectal polyps, independent of smoking intensity, cessation and other potential confounders, reports a recent study. Such association is more robust with distal rather than proximal polyps, and with serrated polyps rather than adenomas.