Joserita Serrano de Assis

Efeitos do Trifolium pratense nos sintomas climatéricos e sexuais na pós-menopausa

OBJECTIVE To evaluate the effects of treatment with Trifolium pratense on climacteric symptoms and sexual satisfaction in postmenopausal women. METHODS This is a prospective, randomized, double-blind, placebo-controlled study. Initially, 120 women aged 45-65 years with menopausal symptoms, more than 12-month amenorrhea and no treatment in the past six months were selected. The participants were then divided into two groups: TG – receiving 40 mg Trifolium pratense, 1 capsule/day; PG – receiving placebo capsules containing lactose (control), 1 capsule/day. The duration of treatment was 12 months. The patients underwent clinical and laboratory evaluation before treatment and at four, eight and 12 months of treatment. The Kupperman Menopausal Index and the Golombok Rust Inventory of Sexual Satisfaction (GRISS) were used. At the end of the study, each group comprised 50 patients. RESULTS According to the Kupperman Menopausal Index, there was significant improvement in menopausal symptoms after four months of treatment, especially in relation to hot flashes, when compared to baseline data in both groups. However, no significant differences were observed between groups. There was no improvement in sexual satisfaction after treatment. CONCLUSION A 12-month treatment with a daily dose of 40 mg Trifolium pratense did not yield a significant improvement in menopausal symptoms and sexual satisfaction.

Sexuality in healthy postmenopausal women

Objective: To assess the influence of psychosocial factors, behavior and hormones on postmenopausal sexuality. Methods: Nine hundred and ninety-nine women (age range 41-60 years) underwent physical and supplementary tests and answered questionnaires regarding sexual behavior. Sixty healthy women with 1 or more years of amenorrhea, without hormone replacement therapy and with a partner capable of intercourse were chosen from this group. Logistic regression models with dependent variables (sexual satisfaction and orgasmic capacity) and independent variables (sexual initiation, psychosocial factors, behavior, relationship, menopause and hormones) were developed. Results: Important variables for sexual satisfaction were: good self-esteem (p< 0.01), first orgasm obtained by masturbation (p = 0.004), major personal income (p = 0.007), sexual initiation in adulthood (p = 0.008), value physical contact with partner (p = 0.021) and major orgasmic capacity p = 0.040). The following contributed (towards orgasmic capacity with the partner: sexual initiation in adulthood (p = 0.012), regular physical activity (p = 0.040) and higher testosterone levels (p = 0.050). Conclusions: The importance of relationship, psychological, hormonal, economic and behavioral factors confirm the complexity of sexuality, and we note that current as well as prior events seem to affect the sexual satisfaction and orgasmic capacity of healthy postmenopausal women.

Avaliação da capacidade orgástica em mulheres na pós-menopausa

OBJETIVO: Correlacionar a capacidade orgastica (durante a relacao sexual e/ou a masturbacao solitaria) de mulheres pos-menopausadas, saudaveis e sem tratamento hormonal com fatores climatericos, psicossociais, comportamentais, hormonais e interpessoais. METODOS: De um total de 999 mulheres avaliadas com idade entre 41 e 60 anos, selecionaram-se 60 mulheres saudaveis, sexualmente ativas, com pelo menos um ano de amenorreia, utero integro, relacionamento estavel com parceiro capacitado ao coito e nao usuarias de terapia hormonal. Elaborou-se um modelo estatistico de regressao logistica que avaliou a capacidade de orgasmo (variavel dependente) em funcao de 17 variaveis independentes, que representavam fatores psicossociais, comportamentais, interpessoais, climatericos e hormonais. RESULTADOS: A capacidade orgastica esta significativamente correlacionada a pratica da masturbacao (p=0,000), ao gostar de abracar e acariciar o corpo do parceiro (p= 0,036) e a presenca de secura vaginal (p=0,021). CONCLUSOES: Nas mulheres pos-menopausadas avaliadas, a capacidade orgastica relacionou-se positivamente com o relacionamento mais afetivo com o companheiro e com a pratica da masturbacao. Mulheres que apresentam secura vaginal, mas que praticam a masturbacao e mantem relacionamento afetivo com o parceiro, conseguem obter o mesmo numero ou um numero maior de orgasmos se comparados a frequencia do coito.