{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T21:26:09Z","timestamp":1792185969317,"version":"4.4.0"},"reference-count":26,"publisher":"Informa UK Limited","issue":"2","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The study was sponsored by Shionogi Ltd"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Post Reprod Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the attitudes and perceptions of postmenopausal women from the United Kingdom regarding menopause, vulvo-vaginal atrophy and its therapeutic management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Post hoc analysis of the United Kingdom population from the REVIVE-EU Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>The survey contained questions about women\u2019s knowledge of menopause and vulvo-vaginal atrophy symptoms, impact on their life and sexual activities, communication with healthcare professionals and treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The most frequent symptom of menopause was hot flushes (75%). Vulvo-vaginal atrophy symptoms had a significant impact on participants\u2019 ability to enjoy sexual intercourse (66%), spontaneity (62%) and ability to be intimate (61%); however, only 68% of women had been to their healthcare professional for advice. Half of the sample expected that doctors would initiate a discussion of menopausal symptoms and sexual health, but was in fact rare (5%). Only 27% were under current treatment without a clear therapy pattern, of which 43% used vaginal over-the-counter treatments, 28% prescription (Rx), and 13% both. Efficacy was the main limitation for over-the-counter treatments, while for Rx products were side effects and safety. Women highlighted the restoring of the natural condition of the vagina as the main goal for a treatment (35%). Many United Kingdom women did not feel the need to see any healthcare professional for their gynaecological symptoms. Overall satisfaction with treatment was only 44%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Vulvo-vaginal atrophy remains underdiagnosed and undertreated in United Kingdom. There is a lack of coherent discussion about vulvo-vaginal atrophy symptoms with clinicians. Many United Kingdom healthcare professionals could improve proactive communication with patients about vulvo-vaginal atrophy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2053369120925193","type":"journal-article","created":{"date-parts":[[2020,7,4]],"date-time":"2020-07-04T06:24:37Z","timestamp":1593843877000},"page":"101-109","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Symptoms, attitudes and treatment perceptions of vulvo-vaginal atrophy in UK postmenopausal women: Results from the REVIVE-EU study"],"prefix":"10.1080","volume":"26","author":[{"given":"Claudine","family":"Domoney","sequence":"first","affiliation":[{"name":"Chelsea and Westminster Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Short","sequence":"additional","affiliation":[{"name":"Oakfield Surgery, Newmarket, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2546-8008","authenticated-orcid":false,"given":"Martire","family":"Particco","sequence":"additional","affiliation":[{"name":"Shionogi B.V., London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Panay","sequence":"additional","affiliation":[{"name":"Queen Charlotte's & Chelsea and Westminster Hospitals, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"301","published-online":{"date-parts":[[2020,7,4]]},"reference":[{"key":"bibr1-2053369120925193","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2009.0413"},{"key":"bibr2-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2009.03.012"},{"key":"bibr3-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2008.10.002"},{"key":"bibr4-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01335.x"},{"key":"bibr5-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2009.03.021"},{"key":"bibr6-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2009.04.009"},{"key":"bibr7-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2015.05.007"},{"key":"bibr8-2053369120925193","doi-asserted-by":"publisher","DOI":"10.3109\/13697137.2013.871696"},{"key":"bibr9-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2014.5177"},{"key":"bibr10-2053369120925193","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S44579"},{"key":"bibr11-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1446930"},{"key":"bibr12-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12120"},{"key":"bibr13-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e318051718c"},{"key":"bibr14-2053369120925193","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1111\/tog.12539","volume":"21","author":"Khanjani S","year":"2019","journal-title":"Obstet Gynaecol"},{"key":"bibr15-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12190"},{"key":"bibr16-2053369120925193","doi-asserted-by":"publisher","DOI":"10.3109\/13697137.2011.647840"},{"key":"bibr17-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.10.036"},{"key":"bibr18-2053369120925193","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2013.05.003"},{"key":"bibr19-2053369120925193","unstructured":"Novo N.\n                      Data reveal the negative emotional and physical impact that a silent symptom of menopause has on U.S. women and their partners\n                      . 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