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Volume 41, Issue 12
Publication date: June 1, 2016
June 1, 2019
Dyspareunia in the Postmenopause: Solving a Frequent Problem
Gloria A. Bachmann, MD (Moderator)
Professor and Interim Chair, Department of Obstetrics, Gynecology, and Reproductive Sciences; Associate Dean for Women’s Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
JoAnn V. Pinkerton, MD
Professor, Department of Obstetrics and Gynecology, Division of Midlife Health, University of Virginia Health Center, Charlottesville, Virginia; Executive Director, North American Menopause Society, Mayfield Heights, Ohio
Tami S. Rowen, MD, MS
Assistant Professor, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California
After completing this activity, the physician should be better able to:
Explain the importance of including sexual health questions in all routine encounters with postmenopausal women.
Describe the numerous etiologies of sexual pain in this age group, in addition to those related to estrogen loss.
Review pharmacologic (prescription and over the counter) vulvovaginal management strategies, including both hormonal and nonhormonal options for postmenopausal sexual pain.
Describe nonpharmacologic management strategies for treating sexual pain in postmenopausal women.
Discuss specific sexual counseling recommendations for this age group, such as changing a sexual script that had been used during the premenopausal years.
Identify ways to counsel postmenopausal women on sexual issues when they present to the office with potential barriers, such as speaking a different language or having a family member present.
Cite ways to address both urinary and/or fecal incontinence that may interfere with sexual health.