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A gynecologic examination was performed to confirm diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u00a0= 717) presented pain during intercourse. As compared with patients without confirmed VVA (n\u00a0= 66), patients with confirmed VVA (n\u00a0= 1,028) were significantly older (P &amp;lt; .0001), had lower rates of sexual activity (P &amp;lt; .05), and used more VVA treatments (P &amp;lt; .05). Severe vaginal atrophy and severe vulvar atrophy were more prevalent in VVA-confirmed women (P &amp;lt; .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 &amp;lt; .05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.esxm.2019.01.005","type":"journal-article","created":{"date-parts":[[2019,3,16]],"date-time":"2019-03-16T07:06:50Z","timestamp":1552720010000},"page":"207-216","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Impact Of Vulvovaginal Atrophy Of Menopause In Spanish Women: Prevalence And Symptoms According To The EVES Study"],"prefix":"10.1093","volume":"7","author":[{"given":"Santiago","family":"Palacios","sequence":"first","affiliation":[{"name":"Palacios Institute of Women\u2019s Health , Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia P.","family":"Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Policl\u00ednico HM Gabinete Vel\u00e1zquez , Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micaela","family":"Fern\u00e1ndez-Abell\u00e1n","sequence":"additional","affiliation":[{"name":"Instituto Materno Infantil Alhambra , M\u00e1laga , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Montserrat","family":"Manubens","sequence":"additional","affiliation":[{"name":"Profs. 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