Impact Of Vulvovaginal Atrophy Of Menopause In Spanish Women: Prevalence And Symptoms According To The EVES Study Article Swipe
Santiago Palacios
,
Silvia Pilar González Rodríguez
,
Micaela Fernández-Abellán
,
Montserrat Manubens
,
Pascual García-Alfaro
,
Cesar Prieto
,
Laura Baquedano
,
J.Calleja Abu-Amshah
,
María Jesús Cancelo Hidalgo
,
Camil Castelo‐Branco
,
Pauline Martin
,
Marta Correa Rancel
,
M.Fernández Abellán
,
José M. Fernández Moya
,
Pascual García Alfaro
,
M.González Fernández
,
Silvia González Rodríguez
,
Eva Iglesias Bravo
,
Plácido Llaneza Coto
,
Montserrat Manubens Grau
,
Priscila Sánchez
,
Nicolás Mendoza
,
Borja Otero García-Ramos
,
Santiago Palacios
,
J.C.Presa Lorite
,
Rafael Sánchez‐Borrego
,
Sonia Sánchez Méndez
,
F.Vázquez Fernández
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1016/j.esxm.2019.01.005
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1016/j.esxm.2019.01.005
Introduction The prevalence of menopausal women with confirmed vulvovaginal atrophy (VVA) oscillates between 67–98%. Aim To assess the prevalence of postmenopausal women with VVA confirmed by gynecologic clinical assessment among all women attending menopause centers in Spain, as well as to describe the impact of VVA on quality of life and sexual functioning. Methods Women aged 45–75 years old with the last menstrual period >12 months before were included in a cross-sectional study. Main Outcome Measures Women with ≥1 VVA symptoms filled out a number of questionnaires, including EuroQoL, Day-to-Day Impact of Vaginal Aging, Female Sexual Function Index, and Female Sexual Distress Scale-revised. A gynecologic examination was performed to confirm diagnosis. Results 1,177 evaluable patients were included. VVA was confirmed in 87.3% of the patients. Almost 80% of women who acknowledged being sexually active (n = 717) presented pain during intercourse. As compared with patients without confirmed VVA (n = 66), patients with confirmed VVA (n = 1,028) were significantly older (P < .0001), had lower rates of sexual activity (P < .05), and used more VVA treatments (P < .05). Severe vaginal atrophy and severe vulvar atrophy were more prevalent in VVA-confirmed women (P < .0001, in both cases). No differences regarding the confirmation of VVA were observed for EuroQoL and Day-to-Day Impact of Vaginal Aging quality-of-life questionnaires. Sexual function measured through the Female Sexual Function Index score was significantly reduced in sexually-active patients with confirmed VVA (P < .05). Conclusion VVA signs and symptoms are highly prevalent in Spanish postmenopausal women. Confirmation of VVA diagnosis was associated with impaired sexual function. The early recognition of VVA symptoms should be actively promoted in medical practice, instead of waiting until signs appear to exclude other reasons for VVA and to manage treatment effectively.
Related Topics
Concepts
Medicine
Menopause
Sexual function
Quality of life (healthcare)
Distress
Atrophy
Vaginal atrophy
Sexual intercourse
Gynecology
Sexual dysfunction
Vagina
Vaginal disease
Internal medicine
Sex organ
Postmenopausal women
Obstetrics
Surgery
Population
Clinical psychology
Biology
Environmental health
Genetics
Nursing
Metadata
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- Language
- en
- Landing Page
- https://doi.org/10.1016/j.esxm.2019.01.005
- https://academic.oup.com/smoa/article-pdf/7/2/207/48791674/smoa_7_2_207.pdf
- OA Status
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- Cited By
- 14
- References
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- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W2921525807Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.esxm.2019.01.005Digital Object Identifier
- Title
-
Impact Of Vulvovaginal Atrophy Of Menopause In Spanish Women: Prevalence And Symptoms According To The EVES StudyWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-03-15Full publication date if available
- Authors
-
Santiago Palacios, Silvia Pilar González Rodríguez, Micaela Fernández-Abellán, Montserrat Manubens, Pascual García-Alfaro, Cesar Prieto, Laura Baquedano, J.Calleja Abu-Amshah, María Jesús Cancelo Hidalgo, Camil Castelo‐Branco, Pauline Martin, Marta Correa Rancel, M.Fernández Abellán, José M. Fernández Moya, Pascual García Alfaro, M.González Fernández, Silvia González Rodríguez, Eva Iglesias Bravo, Plácido Llaneza Coto, Montserrat Manubens Grau, Priscila Sánchez, Nicolás Mendoza, Borja Otero García-Ramos, Santiago Palacios, J.C.Presa Lorite, Rafael Sánchez‐Borrego, Sonia Sánchez Méndez, F.Vázquez FernándezList of authors in order
- Landing page
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https://doi.org/10.1016/j.esxm.2019.01.005Publisher landing page
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https://academic.oup.com/smoa/article-pdf/7/2/207/48791674/smoa_7_2_207.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/smoa/article-pdf/7/2/207/48791674/smoa_7_2_207.pdfDirect OA link when available
- Concepts
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Medicine, Menopause, Sexual function, Quality of life (healthcare), Distress, Atrophy, Vaginal atrophy, Sexual intercourse, Gynecology, Sexual dysfunction, Vagina, Vaginal disease, Internal medicine, Sex organ, Postmenopausal women, Obstetrics, Surgery, Population, Clinical psychology, Biology, Environmental health, Genetics, NursingTop concepts (fields/topics) attached by OpenAlex
- Cited by
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14Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 4, 2023: 6, 2021: 1, 2020: 1Per-year citation counts (last 5 years)
- References (count)
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41Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| corresponding_institution_ids | https://openalex.org/I4210109638 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| sustainable_development_goals[1].id | https://metadata.un.org/sdg/5 |
| sustainable_development_goals[1].score | 0.4000000059604645 |
| sustainable_development_goals[1].display_name | Gender equality |
| citation_normalized_percentile.value | 0.61653089 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |