Self-reported sexual symptoms in women attending menopause clinics

Rossella E. Nappi, Jole Baldaro Verde, Franco Polatti, Andrea R. Genazzani, Carlo Zara

Research output: Contribution to journalArticle


The aim of the present cross-sectional study was to investigate the frequency of self-reported sexual symptoms in women (n = 355; age range 46-60 years) attending menopausal clinics in Italy and to relate them to other vasomotor, psychological, physical, and genital complaints. Each subject completed a visual scale for sexual symptoms and for other complaints frequently occurring at menopause. Pain during sexual intercourse (29.8%) and low libido/lack of arousal (22%) were significantly more frequent with age (X 2 = 8.0, <0.02;X 2= 6.2, <0.04, respectively) and years since menopause (X 2= 13.0, p <0.005;X 2= 11.3, <0.01, respectively). Reduction of sexual pleasure/satisfaction (45.9%) was common with age, but was more frequent with longer time since the menopause (X 2= 19.9, <0.001). By examining the intensity of sexual symptoms according to the presence of other complaints, we found that physical, psychological, and genital well-being significantly affects components of sexual response after the menopause. For example, loss of fitness, urogenital symptoms, a negative self-image (increase of facial hair), and depressive symptoms were more common in women with sexual complaints. Given the concomitant role of hormonal and aging determinants, a comprehensive approach to female health is needed when facing climacteric sexual dysfunction.

Original languageEnglish
Pages (from-to)181-187
Number of pages7
JournalGynecologic and Obstetric Investigation
Issue number3
Publication statusPublished - 2002



  • Dyspareunia
  • Libido
  • Menopause
  • Vaginal dryness

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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