Hormones
play an important role in regulating sexual function in women. With the
decrease in the female hormone estrogen that is related to aging and menopause,
many women experience some changes in sexual function as they age, including
poor vaginal lubrication and decreased genital sensation.
Further,
research suggests that low levels of the male hormone testosterone also
contribute to a decline in sexual arousal, genital sensation, and orgasm.
Researchers
still are investigating the benefits of hormones and other medications,
including drugs like Viagra, to treat sexual problems in women.
What Effect Does a Hysterectomy Have on Sexual Function?
Many
women experience changes in sexual function after a hysterectomy (surgical
removal of the uterus). These changes may include a loss of desire as well as
decreased vaginal lubrication and genital sensation.
These
problems may be associated with the hormonal changes that occur with the loss
of the uterus. Furthermore, nerves and blood vessels critical to sexual
function can be damaged during the surgery.
How Does Menopause Affect a Woman's Sexual Function?
The
loss of estrogen following menopause can lead to changes in a woman's sexual
functioning. Emotional changes that often accompany menopause can add to a
woman's loss of interest in sex and/or ability to become aroused.
Hormone
replacement therapy -- HRT -- may improve certain conditions, such as loss of
vaginal lubrication and genital sensation, which can create problems with
sexual function.
It
should be noted that some postmenopausal women report an increase in sexual
satisfaction. This may be due to decreased anxiety over getting pregnant.
In
addition, postmenopausal woman often have fewer child-rearing responsibilities,
allowing them to relax and enjoy intimacy with their partners.
Many
women experience a problem with sexual function from time to time. However,
when the problems are persistent, they can cause distress for the women and her
partner, and can have a negative impact on their relationship. If you
consistently experience these problems, see your doctor for evaluation and
treatment.
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