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Climacteric ; 21(2): 167-173, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29411644

RESUMO

OBJECTIVE: To determine the prevalence of genitourinary syndrome of menopause (GSM) and urogynecological conditions associated with menopause, and to evaluate the impact of GSM on quality of life in a cohort of Spanish postmenopausal women. METHODS: Multicenter, cross-sectional, and observational study involving 430 women. RESULTS: The prevalence of GSM was 70%. GSM was diagnosed in 60.2% of women with no known diagnosis of vulvovaginal atrophy or GSM. Most prevalent symptoms were vaginal dryness (93.3%) and reduced lubrication with sexual activity (90.0%). Most prevalent signs were decreased moisture (93.7%) and loss of vaginal rugae (78.4%). GSM was significantly associated with stress or mixed urinary incontinence, overactive bladder, and vaginal prolapse. Symptoms showed a low-moderate impact on quality of life, mainly in sexual functioning and self-concept and body image. CONCLUSIONS: The GSM is very prevalent in Spanish postmenopausal women, affecting up to 70% of those consulting the gynecologist. Despite the high prevalence of symptoms and signs and its impact on the women's well-being, GSM remains underdiagnosed and undertreated. Given its relationship with urogynecological conditions, it seems necessary to provide an adequate evaluation of postmenopausal women for identifying potential co-morbidities and providing most adequate treatments. An adequate management of GSM will contribute to an improvement in the quality of life of these women.


Assuntos
Doenças Urogenitais Femininas/epidemiologia , Pós-Menopausa , Qualidade de Vida , Disfunções Sexuais Fisiológicas/epidemiologia , Incontinência Urinária por Estresse/epidemiologia , Atrofia , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Espanha/epidemiologia , Síndrome , Vagina/patologia , Vulva/patologia
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