Vaginal Discomfort

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Rossella E Nappi - One of the best experts on this subject based on the ideXlab platform.

  • ORIGINAL RESEARCH—WOMEN'S SEXUAL HEALTH The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) Survey: Implications of Vaginal Discomfort in Postmenopausal Women and in Male Partners
    2020
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Introduction. Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim. The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods. Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures. Descriptive data on the impact of VA. Results. Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions. VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232-2241.

  • Efficacy, tolerability and safety of a new medical device, Monurelle Biogel® Vaginal gel, in the treatment of Vaginal dryness: a randomized clinical trial in women of reproductive age
    European Journal of Obstetrics & Gynecology and Reproductive Biology, 2016
    Co-Authors: Rossella E Nappi, Secondo Guaschino, Chiara Benedetto, Federica Campolo, Silvia Martella, Claudia Tosti, Antonio Cianci, Salvatore Caruso, Grimaldi E, Massimo Bagolan
    Abstract:

    Abstract Objective To prove the efficacy, tolerability and safety of Monurelle Biogel ® (ZP-025) Vaginal gel, which contains a purified, dialyzed, lyophilized bovine colostrum, in women of reproductive age suffering from Vaginal dryness. Design Randomized clinical trial (RCT) (Z7213M01). Setting Five University Gynaecological Units. Patients Ninety-five subjects were allocated at random to receive either ZP-025 ( n  = 48) for about 23 intermenstrual days (1 or 2 times/daily intra-Vaginally) or no treatment (lubricants on demand were allowed). Main outcome measures Change of Verbal Rating Scale (VRS) total and single score for Vaginal symptoms, Vaginal Health Index (VHI) score, Female Sexual Function index (FSFI) and Female Sexual Distress Scale-revised (FSDS-R) scores. Results A total number of 85 subjects was evaluable for primary analyses. Symptoms (VRS) of Vaginal Discomfort improved significantly already after 11 days, as compared to the control arm ( p p p p p  = 0.01)]. Women reported a compliance rate of 100% for one ZP-025 application/day. Local tolerability of ZP-025 was excellent or good in 82.9% of the subjects. Conclusions The present multicentre RCT supports the use of Monurelle Biogel ® in women of reproductive age reporting symptoms of Vaginal dryness. A positive impact on Vaginal health and sexual function was also evident.

  • clarifying Vaginal atrophy s impact on sex and relationships closer survey emotional and physical impact of Vaginal Discomfort on north american postmenopausal women and their partners
    Menopause, 2014
    Co-Authors: James A Simon, Ricardo Maamari, Rossella E Nappi, Sheryl A Kingsberg, Vivien Brown
    Abstract:

    AbstractObjectiveThis study aims to determine the emotional and physical impact of Vaginal atrophy on North American postmenopausal women and their male partners.MethodsA weighted sample of 1,000 married or cohabiting North American postmenopausal women aged 55 to 65 years with Vaginal Discomfort an

  • the closer clarifying Vaginal atrophy s impact on sex and relationships survey implications of Vaginal Discomfort in postmenopausal women and in male partners
    The Journal of Sexual Medicine, 2013
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Abstract Introduction Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures Descriptive data on the impact of VA. Results Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232–2241.

  • the closer survey impact of postmenopausal Vaginal Discomfort on relationships between women and their partners in northern and southern europe
    Maturitas, 2013
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Larsake Mattsson, Michele Lachowsky, Annamaria Giraldi
    Abstract:

    Abstract Objectives CLOSER investigated how postmenopausal Vaginal atrophy (‘Vaginal Discomfort’) affects relationships between women and their partners. Study design CLOSER involved postmenopausal women (55–65 years) with Vaginal Discomfort, and male partners of women with the condition. Main outcome measures Structured questionnaire collecting information on impact of Vaginal Discomfort and local oestrogen treatment on intimacy and relationships, and symptoms and impact of menopause. Results 1600 women and 1600 men from Northern Europe and 1000 women and 1000 men from Southern Europe were included. Worry that Vaginal Discomfort would never go away was expressed by 28% and 38% of women in Northern and Southern Europe, respectively (p  Conclusions Vaginal Discomfort impairs quality of life in postmenopausal women and their partners. Southern European women were generally more worried about long-term effects on their relationship, and were more likely to report benefits after treatment.

Ricardo Maamari - One of the best experts on this subject based on the ideXlab platform.

  • ORIGINAL RESEARCH—WOMEN'S SEXUAL HEALTH The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) Survey: Implications of Vaginal Discomfort in Postmenopausal Women and in Male Partners
    2020
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Introduction. Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim. The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods. Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures. Descriptive data on the impact of VA. Results. Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions. VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232-2241.

  • clarifying Vaginal atrophy s impact on sex and relationships closer survey emotional and physical impact of Vaginal Discomfort on north american postmenopausal women and their partners
    Menopause, 2014
    Co-Authors: James A Simon, Ricardo Maamari, Rossella E Nappi, Sheryl A Kingsberg, Vivien Brown
    Abstract:

    AbstractObjectiveThis study aims to determine the emotional and physical impact of Vaginal atrophy on North American postmenopausal women and their male partners.MethodsA weighted sample of 1,000 married or cohabiting North American postmenopausal women aged 55 to 65 years with Vaginal Discomfort an

  • the closer clarifying Vaginal atrophy s impact on sex and relationships survey implications of Vaginal Discomfort in postmenopausal women and in male partners
    The Journal of Sexual Medicine, 2013
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Abstract Introduction Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures Descriptive data on the impact of VA. Results Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232–2241.

  • the closer survey impact of postmenopausal Vaginal Discomfort on relationships between women and their partners in northern and southern europe
    Maturitas, 2013
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Larsake Mattsson, Michele Lachowsky, Annamaria Giraldi
    Abstract:

    Abstract Objectives CLOSER investigated how postmenopausal Vaginal atrophy (‘Vaginal Discomfort’) affects relationships between women and their partners. Study design CLOSER involved postmenopausal women (55–65 years) with Vaginal Discomfort, and male partners of women with the condition. Main outcome measures Structured questionnaire collecting information on impact of Vaginal Discomfort and local oestrogen treatment on intimacy and relationships, and symptoms and impact of menopause. Results 1600 women and 1600 men from Northern Europe and 1000 women and 1000 men from Southern Europe were included. Worry that Vaginal Discomfort would never go away was expressed by 28% and 38% of women in Northern and Southern Europe, respectively (p  Conclusions Vaginal Discomfort impairs quality of life in postmenopausal women and their partners. Southern European women were generally more worried about long-term effects on their relationship, and were more likely to report benefits after treatment.

  • the closer survey impact of postmenopausal Vaginal Discomfort on women and male partners in the uk
    Menopause International, 2013
    Co-Authors: C L Domoney, Heather Currie, Nick Panay, Ricardo Maamari, Rossella E Nappi
    Abstract:

    ObjectiveTo understand the physical and emotional impact of postmenopausal Vaginal Discomfort on relationships between women and their male partners.Study designIn a quantitative, Internet-based survey, 8200 individuals from the UK, Denmark, Sweden, Norway, Finland, France, Italy, US and Canada (postmenopausal, married/cohabiting women, aged 55–65 years, who had experienced Vaginal Discomfort, and male partners of such women) completed a structured questionnaire.Main outcome measuresResults for respondents from the UK (500 men, 500 women), expressed as percentages of women/men describing particular answers, are reported.ResultsAvoiding physical intimacy because of Vaginal Discomfort was reported by 69% of women and 76% of male partners, mainly due to concern about sex being painful (women 63%; men 61%); 18% of women considered Vaginal Discomfort had created emotional distance between them and their partners. Local estrogen treatment was used by 21% of women, among whom 58% subsequently reported less painf...

James A Simon - One of the best experts on this subject based on the ideXlab platform.

  • ORIGINAL RESEARCH—WOMEN'S SEXUAL HEALTH The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) Survey: Implications of Vaginal Discomfort in Postmenopausal Women and in Male Partners
    2020
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Introduction. Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim. The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods. Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures. Descriptive data on the impact of VA. Results. Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions. VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232-2241.

  • clarifying Vaginal atrophy s impact on sex and relationships closer survey emotional and physical impact of Vaginal Discomfort on north american postmenopausal women and their partners
    Menopause, 2014
    Co-Authors: James A Simon, Ricardo Maamari, Rossella E Nappi, Sheryl A Kingsberg, Vivien Brown
    Abstract:

    AbstractObjectiveThis study aims to determine the emotional and physical impact of Vaginal atrophy on North American postmenopausal women and their male partners.MethodsA weighted sample of 1,000 married or cohabiting North American postmenopausal women aged 55 to 65 years with Vaginal Discomfort an

  • the closer clarifying Vaginal atrophy s impact on sex and relationships survey implications of Vaginal Discomfort in postmenopausal women and in male partners
    The Journal of Sexual Medicine, 2013
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Abstract Introduction Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures Descriptive data on the impact of VA. Results Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232–2241.

  • original research women s sexual health the closer clarifying Vaginal atrophy s impact on sex and relationships survey implications of Vaginal Discomfort in postmenopausal women and in male partners
    2013
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Introduction. Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim. The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods. Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures. Descriptive data on the impact of VA. Results. Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions. VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232-2241.

Sheryl A Kingsberg - One of the best experts on this subject based on the ideXlab platform.

  • ORIGINAL RESEARCH—WOMEN'S SEXUAL HEALTH The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) Survey: Implications of Vaginal Discomfort in Postmenopausal Women and in Male Partners
    2020
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Introduction. Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim. The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods. Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures. Descriptive data on the impact of VA. Results. Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions. VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232-2241.

  • clarifying Vaginal atrophy s impact on sex and relationships closer survey emotional and physical impact of Vaginal Discomfort on north american postmenopausal women and their partners
    Menopause, 2014
    Co-Authors: James A Simon, Ricardo Maamari, Rossella E Nappi, Sheryl A Kingsberg, Vivien Brown
    Abstract:

    AbstractObjectiveThis study aims to determine the emotional and physical impact of Vaginal atrophy on North American postmenopausal women and their male partners.MethodsA weighted sample of 1,000 married or cohabiting North American postmenopausal women aged 55 to 65 years with Vaginal Discomfort an

  • the closer clarifying Vaginal atrophy s impact on sex and relationships survey implications of Vaginal Discomfort in postmenopausal women and in male partners
    The Journal of Sexual Medicine, 2013
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Abstract Introduction Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures Descriptive data on the impact of VA. Results Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232–2241.

  • original research women s sexual health the closer clarifying Vaginal atrophy s impact on sex and relationships survey implications of Vaginal Discomfort in postmenopausal women and in male partners
    2013
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Sheryl A Kingsberg, James A Simon
    Abstract:

    Introduction. Postmenopausal Vaginal atrophy (VA) is a chronic condition with symptoms that include Vaginal dryness, soreness, itching, burning, and dyspareunia. Aim. The CLarifying Vaginal Atrophy's Impact On SEx and Relationships survey evaluated the impact of VA on the physical and emotional aspects of sexual relationships between postmenopausal women and their male partners. Methods. Four thousand one hundred females and 4,100 males representing the United Kingdom, Finland, Norway, Sweden, Denmark, Italy, France, Canada, and the United States were surveyed. Assessments included: (i) talking about VA and its symptoms; (ii) the impact of VA on intimacy, relationships, and women's self-esteem; (iii) talking about VA and erectile dysfunction (ED); and (iv) the impact of local estrogen therapy (LET) on intimacy and relationships. Main Outcome Measures. Descriptive data on the impact of VA. Results. Twenty-eight percent of women did not tell their partners when they first encountered Vaginal Discomfort, mainly because they felt "it was just a natural part of growing older" (52%) or because of "embarrassment" (21%). Eighty-two percent of males wanted their partner to share their experiences with VA; males were also more comfortable discussing VA than females (68% vs. 58%, respectively). Having sex less often (women: 58%, men: 61%), less satisfying sex (women: 49%, men: 28%), and putting off having sex (women: 35%, men: 14%) were the main effects of VA. Intimacy avoidance was attributed to painful sex (women: 55%, men: 61%) and women's reduced sexual desire (women: 46%, men: 43%). Discussions about Vaginal Discomfort and ED were generally limited to partners and healthcare providers (HCPs). LET use resulted in less painful sex (women: 62%, men: 59%) and more satisfying sex (women: 47%, men: 49%). Conclusions. VA has an adverse emotional and physical impact on postmenopausal women and their partners. These findings may encourage more open communication about VA between couples and their HCPs. Nappi RE, Kingsberg S, Maamari R, and Simon J. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) survey: Implications of Vaginal Discomfort in postmenopausal women and in male partners. J Sex Med 2013;10:2232-2241.

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  • the closer survey impact of postmenopausal Vaginal Discomfort on relationships between women and their partners in northern and southern europe
    Maturitas, 2013
    Co-Authors: Rossella E Nappi, Ricardo Maamari, Larsake Mattsson, Michele Lachowsky, Annamaria Giraldi
    Abstract:

    Abstract Objectives CLOSER investigated how postmenopausal Vaginal atrophy (‘Vaginal Discomfort’) affects relationships between women and their partners. Study design CLOSER involved postmenopausal women (55–65 years) with Vaginal Discomfort, and male partners of women with the condition. Main outcome measures Structured questionnaire collecting information on impact of Vaginal Discomfort and local oestrogen treatment on intimacy and relationships, and symptoms and impact of menopause. Results 1600 women and 1600 men from Northern Europe and 1000 women and 1000 men from Southern Europe were included. Worry that Vaginal Discomfort would never go away was expressed by 28% and 38% of women in Northern and Southern Europe, respectively (p  Conclusions Vaginal Discomfort impairs quality of life in postmenopausal women and their partners. Southern European women were generally more worried about long-term effects on their relationship, and were more likely to report benefits after treatment.