Sexual Dysfunction and Dyspareunia in the Setting of the Genitourinary Syndrome of Menopause

Clin Obstet Gynecol. 2024 Mar 1;67(1):43-57. doi: 10.1097/GRF.0000000000000846. Epub 2023 Dec 6.

Abstract

Sexual dysfunction is a common consequence of the genitourinary syndrome of menopause (GSM). In this book chapter, we discuss the pathophysiology, prevalence, evaluation, and evidence-based management of sexual dysfunction in patients affected by GSM. Additionally, we present an algorithm to guide clinicians in the management and treatment of sexual dysfunction in this setting based on available evidence and best practices.

MeSH terms

  • Atrophy
  • Dyspareunia* / etiology
  • Dyspareunia* / therapy
  • Female
  • Genital Diseases, Female*
  • Humans
  • Menopause
  • Sexual Dysfunction, Physiological* / etiology
  • Sexual Dysfunction, Physiological* / therapy
  • Syndrome
  • Vagina / pathology