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Section 5 - Post-Reproductive Care

Published online by Cambridge University Press:  24 November 2021

Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Print publication year: 2021

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References

Kok, HS, van Asselt, KM, van der Schouw, YT, Peeters, PH, Wijmenga, C. Genetic studies to identify genes underlying menopausal age. Hum Reprod Update 2005;11:483493.Google Scholar
Mishra, GD, Pandeya, N, Dobson, AJ, et al. Early menarche, nulliparity and the risk for premature and early natural menopause. Hum Reprod 2017;32:679686.Google Scholar
Soules, MR, Sherman, S, Parrott, E, et al. Executive summary: stages of reproductive aging workshop (STRAW). Climacteric 2001;4:267272.Google Scholar
Durlinger, AL, Kramer, P, Karels, B, et al. Control of primordial follicle recruitment by anti-Müllerian hormone in the mouse ovary. Endocrinology 1999;140:57895796.Google Scholar
Avis, NE, Crawford, SL, Greendale, G, et al. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med 2015;175:531539.Google Scholar
Muka, T, Oliver-Williams, C, Colpani, V, et al. Association of vasomotor and other menopausal symptoms with risk of cardiovascular disease: a systematic review and meta-analysis. PLoS One 2016;11:e0157417.CrossRefGoogle ScholarPubMed
Portman, DJ, Gass, ML. Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women’s Sexual Health and the North American Menopause Society. Climacteric 2014;17:557563.Google Scholar
Kanis, JA. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. Osteoporos Int 1994;4:368381.CrossRefGoogle ScholarPubMed
Thurston, RC, Joffe, H. Vasomotor symptoms and menopause: findings from the Study of Women’s Health across the Nation. Obstet Gynecol Clin 2011;38:489501.CrossRefGoogle ScholarPubMed
Anderson, GL, Limacher, M, Assaf, AR, et al. Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women’s Health Initiative randomized controlled trial. JAMA 2004;291:17011712.Google Scholar
Collaborative Group on Epidemiological Studies of Ovarian Cancer. Menopausal hormone use and ovarian cancer risk: individual participant meta-analysis of 52 epidemiological studies. Lancet 2015;385:18351842.CrossRefGoogle Scholar
Boardman, HM, Hartley, L, Eisinga, A, et al. Hormone therapy for preventing cardiovascular disease in post‐menopausal women. Cochrane Database Syst Rev 2015;3:CD002229.Google Scholar
Pandya, KJ, Raubertas, RF, Flynn, PJ, et al. Oral clonidine in postmenopausal patients with breast cancer experiencing tamoxifen-induced hot flashes: a University of Rochester Cancer Center Community Clinical Oncology Program study. Ann Intern Med 2000;132:788793.Google Scholar
Evans, ML, Pritts, E, Vittinghoff, E, et al. Management of postmenopausal hot flushes with venlafaxine hydrochloride: a randomized, controlled trial. Obstet Gynecol 2005;105:161166.Google Scholar

References

Handa, VL, Garrett, E, Hendrix, S, Gold, E, Robbins, J. Progression and remission of pelvic organ prolapse: a longitudinal study of menopausal women. Am J Obstet Gynecol 2004;190:2732.CrossRefGoogle ScholarPubMed
Beck, RP. Pelvic relaxation in prolapse. In: Principles and Practice of Clinical Gynaecology. New York: Wiley; 1983, pp. 677685.Google Scholar
Cardozo, L. Prolapse. In: Dewhurst’s Textbook of Obstetrics and Gynaecology for Postgraduates. Oxford: Blackwell Science; 1995, pp. 642652.Google Scholar
Srikrishna, S Robinson, D. Urogenital prolapse. In: Obstetrics and Gynaecology: An Evidence-Based Text for MRCOG, 2nd edition. Boca Raton (FL): CRC Press; 2016.Google Scholar
Swift, SE, Pound, T, Dias, JK. Case–control study of etiological factors in the development of severe pelvic organ prolapse. Int Urogynecol J 2001;12:187192.Google Scholar
Altman, D Falconer, C, Cnattingius, S, Granath, F. Pelvic organ prolapse surgery following hysterectomy on benign indications. Am J Obstet Gynecol 2008;198:572.e1e6.Google Scholar
Bump, RC, Mattiasson, A, , K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996;175:1017.Google Scholar
Price, N, Jackson, S, Avery, K, Brookes, S, Abrams, P. Development and psychometric evaluation of the ICIQ Vaginal Symptoms Questionnaire: the ICIQ-VS. BJOG 2006;113:113.Google Scholar
Zacharakis, D, Grigoriadis, T, Kastanias, S, et al. Occult stress urinary incontinence in women with pelvic organ prolapse: is the one step surgical approach a risky choice? Female Pelvic Med Reconstr Surg 2016;22:5559.Google Scholar
Brubaker, L, Nygaard, I, Richter, HE, et al. Two‐year outcomes after sacrocolpopexy with and without Burch to prevent stress urinary incontinence. Obstet Gynecol 2008;112:4955.Google Scholar
Visco, AG, Brubaker, L, Nygaard, I, et al. The role of preoperative urodynamic testing in stress‐continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:607614.Google Scholar
Sarma, S, Ying, T, Moore, K. Long-term vaginal pessary use: discontinuation rates and adverse events. BJOG 2009;116:17151721.Google Scholar
Hagen, S, Stark, D, Glazener, C, et al. Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): a multicentre randomised controlled trial. Lancet 2014;383:796806.Google Scholar
Maher, C, Feiner, B, Baessler, K, Schmid, C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 2013;4:CD004014.Google Scholar
Olsen, AL, Smith, VJ, Bergstrom, JO, Colling, JC, Clark, AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997;89:501506.Google Scholar
Price, N, Slack, A, Jwarah, E, Jackson, S. The incidence of reoperation for surgically treated pelvic organ prolapse: an 11 year experience. Menopause Int 2008;14:145148.Google Scholar
Reid, RI, You, H, Luo, K. Site-specific prolapse surgery: I. Reliability and durability of native tissue paravaginal repair. Int Urogynecol J 2011;22:591599.CrossRefGoogle ScholarPubMed
Khan, MA, Stanton, SL. Posterior colporrhaphy: its effects on bowel and sexual function. Br J Obstet Gynaecol 1997;104:8286.CrossRefGoogle Scholar
McCall, ML. Posterior culdoplasty. Obstet Gynecol 1957;10:595602.CrossRefGoogle Scholar
Marchionni, M, Bracco, GL, Checcucci, V, et al. True incidence of vaginal vault prolapse: thirteen years of experience. J Reprod Med 1999;44:679684.Google ScholarPubMed
Aigmueller, T, Dungl, A, Hinterholzer, S, Geiss, I, Riss, P. An estimation of the frequency of surgery for posthysterectomy vault prolapse. Int Urogynecol J 2010;21:299302.Google Scholar
Maher, CF, Qatawneh, AM, Dwyer, PL, et al. Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomised study. Am J Obstet Gynecol 2004;190:2026.Google Scholar

References

Haylen, BT, de Ridder, D, Freeman, RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2010;29:420.Google Scholar
Coyne, KS, Sexton, CC, Thompson, CL, et al. The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study. BJU Int 2009;104:352360.Google Scholar
Ebbesen, MH, Hunskaar, S, Rortveit, G, Hannestad, YS. Prevalence, incidence and remission of urinary incontinence in women: longitudinal data from the Norwegian HUNT study (EPINCONT). BMC Urol 2013;13:27.Google Scholar
Giarenis, I, Mastoroudes, H, Srikrishna, S, Robinson, D, Cardozo, L. Is there a difference between women with or without detrusor overactivity complaining of symptoms of overactive bladder? BJU Int 2013;112:501507.Google Scholar
Roosen, A, Chapple, CR, Dmochowski, RR, et al. A refocus on the bladder as the originator of storage lower urinary tract symptoms: a systematic review of the latest literature. Eur Urol 2009;56:810819.Google Scholar
DeLancey, JO. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 1994;170:17131720.Google Scholar
Petros, PE, Ulmsten, UI. An integral theory of female urinary incontinence. experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl 1990;153:731.Google Scholar
Kelleher, CJ, Cardozo, LD, Khullar, V, Salvatore, S. A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol 1997;104:13741379.Google Scholar
Avery, K, Donovan, J, Peters, TJ, et al. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 2004;23:322330.Google Scholar
Wyman, JF, Harkins, SW, Choi, SC, Taylor, JR, Fantl, JA. Psychosocial impact of urinary incontinence in women. Obstet Gynecol 1987; 70:378381.Google Scholar
Coyne, K, Revicki, D, Hunt, T, et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res 2002;11:563574.Google Scholar
Subak, LL, Wing, R, West, DS, et al. Weight loss to treat urinary incontinence in overweight and obese women. N Engl J Med 2009;360:481490.Google Scholar
Cody, JD, Jacobs, ML, Richardson, K, Moehrer, B, Hextall, A. Oestrogen therapy for urinary incontinence in post-menopausal women. Cochrane Database Syst Rev 2012;10:CD001405.Google Scholar
Dumoulin, C, Cacciari, LP, Hay-Smith, EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 2018;10:CD005654.Google Scholar
Mariappan, P, Alhasso, A, Ballantyne, Z, Grant, A, N’Dow, J. Duloxetine, a serotonin and noradrenaline reuptake inhibitor (SNRI) for the treatment of stress urinary incontinence: a systematic review. Eur Urol 2007;51:6774.Google Scholar
Vella, M, Duckett, J, Basu, M. Duloxetine 1 year on: the long-term outcome of a cohort of women prescribed duloxetine. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:961964.Google Scholar
Lapitan, MCM, Cody, JD, Mashayekhi, A. Open retropubic colposuspension for urinary incontinence in women. Cochrane Database Syst Rev 2017;7:CD002912.Google Scholar
Dean, N, Ellis, G, Herbison, GP, Wilson, D, Mashayekhi, A. Laparoscopic colposuspension for urinary incontinence in women. Cochrane Database Syst Rev 2017;7:CD002239.Google Scholar
Albo, ME, Richter, HE, Brubaker, L, et al. Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med 2007;356:21432155.Google Scholar
Ulmsten, U, Henriksson, L, Johnson, P, Varhos, G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1996;7:8185.CrossRefGoogle ScholarPubMed
Ward, KL, Hilton, P, UK and Ireland TVT Trial Group. Tension-free vaginal tape versus colposuspension for primary urodynamic stress incontinence: 5-year follow up. BJOG 2008;115:226233.Google Scholar
Delorme, E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 2001;11:13061313.Google Scholar
Richter, HE, Albo, ME, Zyczynski, HM, et al. Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med 2010;362:20662076.Google Scholar
Abdel-Fattah, M, Ford, JA, Lim, CP, Madhuvrata, P. Single-incision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: a meta-analysis of effectiveness and complications. Eur Urol 2011;60:468480.Google Scholar
Zacche, MM, Mukhopadhyay, S, Giarenis, I. Trends in prolapse surgery in England. Int Urogynecol J 2018;29:16891695.Google Scholar
Kirchin, V, Page, T, Keegan, PE, et al. Urethral injection therapy for urinary incontinence in women. Cochrane Database Syst Rev 2012;2:CD003881.Google Scholar
Wallace, SA, Roe, B, Williams, K, Palmer, M. Bladder training for urinary incontinence in adults. Cochrane Database Syst Rev 2004;1:CD001308.Google Scholar
Chapple, CR, Khullar, V, Gabriel, Z, et al. The effects of antimuscarinic treatments in overactive bladder: an update of a systematic review and meta-analysis. Eur Urol 2008;54:543562.Google Scholar
Rai, BP, Cody, JD, Alhasso, A, Stewart, L. Anticholinergic drugs versus non-drug active therapies for non-neurogenic overactive bladder syndrome in adults. Cochrane Database Syst Rev 2012;12:CD003193.Google Scholar
Abrams, P, Kelleher, C, Staskin, D, et al. Combination treatment with mirabegron and solifenacin in patients with overactive bladder: efficacy and safety results from a randomised, double-blind, dose-ranging, phase 2 study (Symphony). Eur Urol 2015;67:577588.CrossRefGoogle ScholarPubMed
Chapple, C, Sievert, KD, MacDiarmid, S, et al. OnabotulinumtoxinA 100 U significantly improves all idiopathic overactive bladder symptoms and quality of life in patients with overactive bladder and urinary incontinence: a randomised, double-blind, placebo-controlled trial. Eur Urol 2013;64:249256.Google Scholar
Monga, AK, Tracey, MR, Subbaroyan, J. A systematic review of clinical studies of electrical stimulation for treatment of lower urinary tract dysfunction. Int Urogynecol J 2012;23:9931005.Google Scholar
Burton, C, Sajja, A, Latthe, PM. Effectiveness of percutaneous posterior tibial nerve stimulation for overactive bladder: a systematic review and meta-analysis. Neurourol Urodyn 2012;31:12061216.Google Scholar
Gurocak, S, De Gier, RP, Feitz, W. Bladder augmentation without integration of intact bowel segments: critical review and future perspectives. J Urol 2007;177:839844.CrossRefGoogle ScholarPubMed

References

Srivastava, R, Thakar, R, Sultan, A. Female sexual dysfunction in obstetrics and gynecology. Obstet Gynecol Surv 2008;63:527.Google Scholar
Masters, WH, Johnson, VE. Human Sexual Response. New York: Bantam, 1981.Google Scholar
Masters, WH, Johnson, VE. Human Sexual Inadequacy. Boston: Little Brown, 1970.Google Scholar
Kaplan, HS. The New Sex Therapy. New York: Brunner/Mazel, 1974.Google Scholar
Basson R. A model of women’s sexual arousal. J Sex Marital Ther 2002;28:110.Google Scholar
Levin, RJ, Both, S, Georgiadis, J, et al. The physiology of female sexual function and the pathophysiology of female sexual dysfunction (Committee 13A). J Sex Med 2016;13:733759.Google Scholar
Parish, S, Bitzer, J. Sexual medicine education and training. In: Textbook of Female Sexual Function and Dysfunction: Diagnosis and Treatment. Chichester: Wiley-Blackwell, 2018, pp. 716.CrossRefGoogle Scholar
Pfaus, JG, Scepkowski, LA. The biologic basis for libido. Curr Sex Health Rep 2005;2:95100.Google Scholar
Brotto, LA, Bitzer, J, Laan, E, Leiblum, S, Luria, M. Women’s sexual desire and arousal disorders. J Sex Med 2010;7:586614.Google Scholar
Althof, SE, Leiblum, SR, Chevret-Measson, M, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med 2005;2:793800.CrossRefGoogle ScholarPubMed
Levine, SB, Risen, CB, Althof, SE. Handbook of Clinical Sexology for Mental Health Professionals. New York: Houve Brunner Routledge, 2003.Google Scholar
World Health Organization. International classification of diseases, 10th revision. Available at: www.who.int/classifications/icd/en.Google Scholar
American Psychiatric Association. Sexual dysfunctions. In: Diagnostic and Statistical Manual of Mental Disorders, 5th edition. Arlington, VA: APA, 2013, pp. 423450.Google Scholar
McCabe, MP, Sharlip, ID, Atalla, E, et al. Definitions of sexual dysfunctions in women and men: a consensus statement From the Fourth International Consultation on Sexual Medicine 2015. J Sex Med 2016;13:135143.Google Scholar
Basson, R, Althof, S, Davis, S, et al. Summary of the recommendations on sexual dysfunctions in women. J Sex Med 2004;1:2434.Google Scholar
Brandenburg, U, Bitzer, J. The challenge of talking about sex: the importance of patient–physician interaction. Maturitas 2009;63:124127.Google Scholar
Kingsberg, SA. Taking a sexual history. Obstet Gynecol Clin North Am 2006;33:535547.Google Scholar
Bitzer, J, Platano, G, Tschudin, S, Alder, J. Sexual counseling for women in the context of physical diseases: a teaching model for physicians. J Sex Med 2007;4:2937.Google Scholar
Salonia, A. Medical conditions associated with female sexual dysfunction. In: Women’s Sexual Function and Dysfunction: Study, Diagnosis and Treatment. London: Taylor & Francis; 2006, pp. 263275.Google Scholar
Segraves, R. Sexual side-effects of psychiatric drugs. Int J Psychiatry Med 1988;18:243252.Google Scholar
Dennerstein, L, Dudley, EC, Hopper, JL, Burger, H. Sexuality, hormones and the menopausal transition. Maturitas 1997;26:8393.Google Scholar
Davis, SR, Davison, SL, Donath, S, Bell, RJ. Circulating androgen levels and self-reported sexual function in women. JAMA 2005;294:9196.CrossRefGoogle ScholarPubMed
Achtari, C, Dwyer, PL. Sexual function and pelvic floor disorders. Best Pract Res Clin Obstet Gynaecol 2005;19:9931008.Google Scholar
Dennerstein, L, Lehert, P, Burger, H. The relative effects of hormones and relationship factors on sexual function of women through the natural menopausal transition. Fertil Steril 2005;84:174180.Google Scholar
van Lankveld, JJ, Grotjohann, Y. Psychiatric comorbidity in heterosexual couples with sexual dysfunction assessed with the composite international diagnostic interview. Arch Sex Behav 2000;29:479498.Google Scholar
Zemishlany, Z, Weizman, A. The impact of mental illness on sexual dysfunction. Adv Psychosom Med 2008;29:89106.Google Scholar
Kingsberg, SA, Janata, JW. Female sexual disorders: assessment, diagnosis, and treatment. Urol Clin North Am 2007;34:497506.Google Scholar
Leiblum, S, Rosen, R. Principles and Practice of Sex Therapy. New York: Guilford Press, 2000.Google Scholar
Traish, A, Kim, NN. Modulation of female genital sexual arousal by sex steroid hormones. In: Women’s Sexual Function and Dysfunction. Study, Diagnosis and Treatment. London: Taylor and Francis; 2006, pp. 181192.Google Scholar
Somboonporn, W, Davis, S, Seif, MW, Bell, R. Testosterone for peri- and postmenopausal women. Cochrane Database Syst Rev 2005;4:CD004509.Google Scholar
Laan, E, van Lunsen, W, Everaerd, W. The effects of tibolone on vaginal blood flow, sexual desire and arousability in postmenopausal women. Climacteric 2001;4:2841.Google Scholar
Labrie, F, Archer, D, Bouchard, C, et al. Effect on intravaginal prasterone (DHEA) on libido and sexual dysfunction in postmenopausal women. Menopause 2009;16:923931.Google Scholar
Basson, R. Female sexual response: the role of drugs in the management of sexual dysfunction. Obstet Gynecol 2001;98:350353.Google Scholar
Balon, R, Segraves, RT. Survey of treatment practices for sexual dysfunction(s) associated with anti-depressants. J Sex Marital Ther 2008;34:353365.Google Scholar
Ferger, B, Shimasaki, M, Ceci, A, et al. Flibanserin, a drug intended for treatment of hypoactive sexual desire disorder in pre-menopausal women, affects spontaneous motor activity and brain neurochemistry in female rats. Naunyn Schmiedebergs Arch Pharmacol 2010;381:573579.Google Scholar
Pfaus, J, Giuliano, F, Gelez, H. Bremelanotide: an overview of preclinical CNS effects on female sexual function. J Sex Med 2007;4(Suppl 4):269279.Google Scholar
Trudel, G, Marchand, A, Ravart, M, et al. The effect of a cognitive behavioral treatment program on hypoactive sexual desire in women. Sex Relat Ther 2003;16:145164.Google Scholar
Pridal, CG, LoPiccolo, J. Multielement treatment of desire disorders. In: Principles and Practice of Sex Therapy, 3rd edition. New York: Guilford Press, 2000, pp. 5781.Google Scholar
Vansteenwegen, A. How can men and women in a couple bridge the difference between them? Sex Marital Ther 1998;13:439448.Google Scholar
Brotto, LA, Basson, R, Luria, M. A mindfulness-based group psychoeducational intervention targeting sexual arousal disorder in women. J Sex Med 2008;5:16461659.Google Scholar
Derogatis, LR, Burnett, AL. The epidemiology of sexual dysfunctions. J Sex Med 2008;5:289300.Google Scholar
Shifren, JL, Monz, BU, Russo, PA, et al. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol 2008;112:970978.Google Scholar
Kingsberg, SA, Althof, S, Simon, JA, et al.Female sexual dysfunction-medical and psychological treatments, Committee 14. J Sex Med 2017;14:14631491.Google Scholar
Basson, R, Berman, J, Burnett, A, et al. Report on the International Consensus Development Conference on Female Sexual Dysfunction: definitions and classification. J Urol 2000;163:888893.Google Scholar
Fugl-Meyer, KS, Bohm-Starke, N, Damsted Petersen, C, et al. Standard operating procedures for female genital sexual pain. J Sex Med 2013;10:8393.Google Scholar
Goldstein, AT, Pukall, CF, Brown, C, et al. Vulvodynia: assessment and treatment. J Sex Med 2016;13:572590.Google Scholar

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