With age, many changes occur in the body of each person, which are physiological and necessarily affect different aspects of his life. Aging changes – it is not only the appearance of wrinkles and tissue ptosis, but also certain changes in sexual health.
On March 24, a conference for advanced gynecologists, surgeons and aesthetic medicine specialists "Expert Aesthetic Gynecology Meeting" was held in Kyiv, at which Doctor of Medical Sciences, Professor, Obstetrician-Gynecologist and Sexologist Romashchenko Oksana Vasilievna presented a report on the topic “Sexual health of women of elegant age. Clinical case».
In an exclusive interview for readers of estet-portal.com, the doctor spoke about the age-related changes that occur with a woman's sexual health, and how, in this case, specialists can help.
How does a woman's sexual health change with age?
Women's Sexuality – a collective category containing many components. Firstly, the sexual state and sexuality are predetermined & nbsp; a world of unique emotions with the peculiarity of the microclimate in the family, in society, in society. Emotions – this is basic. We must also take into account the somatic condition of the woman.
In my report today, I highlighted that the hormonal restructuring of the female body begins at the age of 35, and gradually forms until adulthood, reaches its milestone, and then a cascade of qualitative changes occurs in the woman's body.
Sexual changes with age are largely predetermined by changes in hormonal status, due to the gradual extinction of the functional activity of the ovaries. It should be understood that the spectrum of somatic and sexual disorders is both preventable and eliminated in a timely manner.
Did you present just such a clinical case today?
I introduced a typical clinical example of a cascade of somatic and sexual disorders in a woman against the background of age-related changes (decrease in lubrication, the formation of atrophic changes in the urogenital tract, dyspareunia). couple disadaptation.
The patient's husband, a young man, appreciates and cherishes the uniqueness of the established relationships in the family. Therefore, the first signs of trouble that arose became a cause of serious concern for both the woman and her husband. Undoubtedly, the correction of the problems that have arisen in the couple's family relations should be carried out in a timely and adequate manner. In this case, it is important to resort to psychotherapy, both individually and in pairs, with the involvement of an arsenal of a spectrum of various therapeutic opportunities.
Correction of the above described changes in sexual health should be carried out in the early stages of the occurrence of the described violations. All this will greatly contribute to maintaining the harmony of relations in the family, and maintaining the quality of life of the couple. To live long and with pleasure is one of the main manifestations of the well-being of every person.
How are age-related changes in sexual health clinically manifested?
Against the background of hormonal age-related changes that occur in a woman's body, and which are not a pathology, a decrease in the desire for arousal, the formation of problems in achieving sexual satisfaction have recently become more common.
Among the reasons contributing to this, it should be noted: difficulties in the relationship of partners, somatic disorders, social disadvantage, hormonal changes, against the background of which the formation of a medium-term genitourinary syndrome.
This syndrome is characterized by atrophic changes in the mucous membrane of the vagina, cervix, urethra, bladder, lower third of the ureters, ligamentous apparatus and muscles of the pelvic organs. Decreased lubrication, dryness of the mucous membranes of the urogenital tract are the cause of the couple's sexual problems and genitourinary disorders.
It is important, in this case, to seek specialized help from a doctor in a timely manner, and not be shy to resort to solving problems that have arisen with understanding and optimism, of course, together with your husband.
Today's event is called "Expert Aesthetic Gynecology Meeting". How do you think gynecologists can help such patients?
I believe that adherence to the principles of interdisciplinary approach in solving the above problems has a special meaning. The same principles are paramount in eliminating disturbances of sexual health in a woman at the age limit. In this case, the unification of efforts of gynecologists, andrologists, urologists, therapists, psychologists is of paramount importance.
It is very important to explain to the patient with optimism that everything can be fixed and that the problem that has arisen is temporary.
Moreover, no pessimistic notes should be present in the perception of age-related changes in the female body. It's like an inevitability and a tribute to time. And the elegant age of women largely depends on the perception of themselves in this age category, combined with the uniqueness of everything that happens in the world.
The task of the obstetrician – gynecologist in a timely manner to eliminate the first signs of changes that have occurred, including those of the urogenital tract, the general condition against the background of age-related changes and maintain adequate therapy in order to prevent the formation of various disorders on the part of the whole organism.
In this case, the effectiveness of patient management largely depends on combining the efforts of specialists in various fields (obstetrician-gynecologists, andrologists, urologists, psychologists, therapists). Each pair of – this is a unique, special world that requires careful attitude and preservation of well-being at any stage of life.
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