Petra M Casey1, Kathy L MacLaughlin2, Stephanie S Faubion3. 1. 1 Department of Obstetrics and Gynecology, Mayo Clinic , Rochester, Minnesota. 2. 2 Department of Family Medicine, Mayo Clinic , Rochester, Minnesota. 3. 3 Women's Health Clinic, Division of General Internal Medicine, Mayo Clinic , Rochester, Minnesota.
Abstract
BACKGROUND: Sexual dysfunction is common among US women of reproductive age, many of whom use contraception. Various contraceptive methods have been associated with changes in sexual function. METHODS: In this narrative review, we selected key articles based on our collective clinical experience. We summarized findings and best practice recommendations for addressing a woman's contraception and its potential relationship to sexual function. RESULTS: Although some hormonal contraception is associated with sexual dysfunction, studies show mixed results based on route of administration and progestin component. Interestingly, nonuse of contraception also appears to be associated with sexual dysfunction and dissatisfaction. Low-dose vaginal estrogen, lubricants, and moisturizers may be used for treating vaginal dryness in the setting of hypoestrogenic states in reproductive-age women. CONCLUSION: A review of current contraception is appropriate for women presenting with sexual health concerns. Sexual dysfunction chronologically associated with a contraceptive may be addressed by trial of an alternative method. A multidisciplinary approach to treatment is recommended, including sex therapy, pelvic floor physical therapy, and consultation with a women's health specialist as needed.
BACKGROUND:Sexual dysfunction is common among US women of reproductive age, many of whom use contraception. Various contraceptive methods have been associated with changes in sexual function. METHODS: In this narrative review, we selected key articles based on our collective clinical experience. We summarized findings and best practice recommendations for addressing a woman's contraception and its potential relationship to sexual function. RESULTS: Although some hormonal contraception is associated with sexual dysfunction, studies show mixed results based on route of administration and progestin component. Interestingly, nonuse of contraception also appears to be associated with sexual dysfunction and dissatisfaction. Low-dose vaginal estrogen, lubricants, and moisturizers may be used for treating vaginal dryness in the setting of hypoestrogenic states in reproductive-age women. CONCLUSION: A review of current contraception is appropriate for women presenting with sexual health concerns. Sexual dysfunction chronologically associated with a contraceptive may be addressed by trial of an alternative method. A multidisciplinary approach to treatment is recommended, including sex therapy, pelvic floor physical therapy, and consultation with a women's health specialist as needed.
Entities:
Keywords:
contraception; dyspareunia; female sexual dysfunction; genitourinary syndrome of menopause; oral contraceptive pills
Authors: Mariana Negri; Eduardo de Souza; Maria Regina Torloni; Meireluci Costa Ribeiro; Edward Araujo Júnior; Cristina Aparecida Falbo Guazzelli Journal: Rev Assoc Med Bras (1992) Date: 2022-09 Impact factor: 1.712
Authors: Mert Ulaş Barut; Hakan Çoksüer; Sibel Sak; Murat Bozkurt; Elif Ağaçayak; Uğur Hamurcu; Didem Kurban; Süleyman Eserdağ Journal: Med Sci Monit Date: 2018-08-12
Authors: Mohammad S Alyahya; Heba H Hijazi; Hussam A Alshraideh; Nihaya A Al-Sheyab; Dana Alomari; Sara Malkawi; Sarah Qassas; Samah Darabseh; Yousef S Khader Journal: Health Qual Life Outcomes Date: 2019-10-15 Impact factor: 3.186
Authors: James Curtis Dring; Alicja Forma; Zuzanna Chilimoniuk; Maciej Dobosz; Grzegorz Teresiński; Grzegorz Buszewicz; Jolanta Flieger; Tomasz Cywka; Jacek Januszewski; Jacek Baj Journal: Nutrients Date: 2021-12-31 Impact factor: 5.717