{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T08:53:33Z","timestamp":1781859213909,"version":"3.54.5"},"reference-count":43,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Menopause represents a significant transition in women's lives characterised by hormonal fluctuations that impact various aspects of health, including sexual function. This paper examines menopausal changes through the framework of the five sexual function domains: desire, arousal\/lubrication, orgasm, satisfaction and pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>A literature review was done regarding evaluation and treatment for each domain of sexual function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials\/Methods<\/jats:title><jats:p>A search on PubMed was done searching for terms \u201cmenopause\u201d or \u201cperimenopause\u201d + \u201chypoactive sexual desire disorder,\u201d and \u201cfemale arousal disorder,\u201d and \u201cfemale orgasmic disorder\u201d and \u201cfemale sexual pain\u201d or \u201cdyspareunia.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The literature demonstrates that while sexual function may decline for many women during menopause, this decline is multifactorial, involving not only hormonal and biological changes but also psychosocial factors, relationship dynamics and societal attitudes. Interventions ranging from hormone therapy, pharmacotherapy to psychosexual approaches have shown varying degrees of efficacy in addressing sexual concerns during menopause.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Understanding the complex interplay between biological, psychological, and social factors within each female sexual domain is essential for healthcare providers to effectively support women's sexual health during this life transition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Treatment is available for all domains of female sexual function in perimenopause and menopause and therefore, clinicians and researchers ought to continue work in this important aspect of women's health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.70041","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T08:25:59Z","timestamp":1759307159000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sexual Function Through Menopause: A Review of Basic Evaluation and Treatment"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1097-7611","authenticated-orcid":false,"given":"Rachel","family":"Pope","sequence":"first","affiliation":[{"name":"Division of Female Sexual Health University Hospitals Cleveland Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10]]},"reference":[{"issue":"1","key":"e_1_2_15_2_1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1093\/aje\/kws421","article-title":"Factors Related to Age at Natural Menopause: Longitudinal Analyses From SWAN","volume":"178","author":"Gold E. 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