{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T06:05:20Z","timestamp":1793858720816,"version":"4.6.1"},"reference-count":33,"publisher":"Informa UK Limited","issue":"2","content-domain":{"domain":["www.tandfonline.com"],"crossmark-restriction":true},"short-container-title":["Climacteric"],"published-print":{"date-parts":[[2016,3,3]]},"DOI":"10.3109\/13697137.2015.1107039","type":"journal-article","created":{"date-parts":[[2015,11,19]],"date-time":"2015-11-19T03:58:56Z","timestamp":1447905536000},"page":"188-197","update-policy":"https:\/\/doi.org\/10.1080\/tandf_crossmark_01","source":"Crossref","is-referenced-by-count":180,"title":["Vulvar and vaginal atrophy in four European countries: evidence from the European REVIVE Survey"],"prefix":"10.3109","volume":"19","author":[{"given":"R. E.","family":"Nappi","sequence":"first","affiliation":[{"name":"Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS S. Matteo Foundation, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia","place":["Pavia, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Palacios","sequence":"additional","affiliation":[{"name":"Palacios Institute of Women's Health","place":["Madrid, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Panay","sequence":"additional","affiliation":[{"name":"Imperial College London","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Particco","sequence":"additional","affiliation":[{"name":"Shionogi Italy","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. L.","family":"Krychman","sequence":"additional","affiliation":[{"name":"Southern California Center for Sexual Health and Survivorship Medicine Inc.","place":["Newport Beach, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"301","published-online":{"date-parts":[[2015,11,19]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.maturitas.2009.03.012","article-title":"The effects of oestrogen on urogenital health.","volume":"63","author":"Lachowsky M","year":"2009","unstructured":"Lachowsky M, Nappi RE. The effects of oestrogen on urogenital health. Maturitas 2009;63:149\u201351","journal-title":"Maturitas"},{"key":"e_1_3_4_3_1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.bpobgyn.2008.10.002","article-title":"Symptoms of the menopause.","volume":"23","author":"Bruce D","year":"2009","unstructured":"Bruce D, Rymer J. Symptoms of the menopause. Best Pract Res Clin Obstet Gynaecol 2009;23:25\u201332","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"e_1_3_4_4_1","doi-asserted-by":"crossref","first-page":"87","DOI":"10.4065\/mcp.2009.0413","article-title":"Vulvovaginal atrophy.","volume":"85","author":"MacBride MB","year":"2010","unstructured":"MacBride MB, Rhodes DJ, Shuster LT. Vulvovaginal atrophy. Mayo Clin Proc 2010;85:87\u201394","journal-title":"Mayo Clin Proc"},{"key":"e_1_3_4_5_1","doi-asserted-by":"crossref","first-page":"2133","DOI":"10.1111\/j.1743-6109.2009.01335.x","article-title":"Prevalence and impact of vaginal symptoms among postmenopausal women.","volume":"6","author":"Santoro N","year":"2009","unstructured":"Santoro N, Komi J. Prevalence and impact of vaginal symptoms among postmenopausal women. J Sex Med 2009;6:2133\u201342","journal-title":"J Sex Med"},{"key":"e_1_3_4_6_1","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.maturitas.2009.03.021","article-title":"Menopause and sexuality: prevalence of symptoms and impact on quality of life.","volume":"63","author":"Nappi RE","year":"2009","unstructured":"Nappi RE, Lachowsky M. Menopause and sexuality: prevalence of symptoms and impact on quality of life. Maturitas 2009;63:138\u201341","journal-title":"Maturitas"},{"key":"e_1_3_4_7_1","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.maturitas.2009.04.009","article-title":"Managing urogenital atrophy.","volume":"63","author":"Palacios S.","year":"2009","unstructured":"Palacios S. Managing urogenital atrophy. Maturitas 2009;63:315\u201318","journal-title":"Maturitas"},{"key":"e_1_3_4_8_1","unstructured":"2011 EU Census [Internet]. Eurostat the statistical office of the European Union; 2012. Available from: http:\/\/ec.europa.eu\/eurostat\/web\/population-and-housing-census\/census-data\/2011-census"},{"key":"e_1_3_4_9_1","doi-asserted-by":"crossref","first-page":"36","DOI":"10.3109\/13697137.2011.647840","article-title":"Vaginal Health: Insights, Views & Attitudes (VIVA) \u2013 results from an international survey.","volume":"15","author":"Nappi RE","year":"2012","unstructured":"Nappi RE, Kokot-Kierepa M. Vaginal Health: Insights, Views & Attitudes (VIVA) \u2013 results from an international survey. Climacteric 2012;15:36\u201344","journal-title":"Climacteric"},{"key":"e_1_3_4_10_1","doi-asserted-by":"crossref","first-page":"437","DOI":"10.2147\/IJWH.S44579","article-title":"Impact of vulvovaginal health on postmenopausal women: a review of surveys on symptoms of vulvovaginal atrophy.","volume":"5","author":"Parish SJ","year":"2013","unstructured":"Parish SJ, Nappi RE, Krychman ML, et\u00a0al. Impact of vulvovaginal health on postmenopausal women: a review of surveys on symptoms of vulvovaginal atrophy. Int J Womens Health 2013;5:437\u201347","journal-title":"Int J Womens Health"},{"key":"e_1_3_4_11_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3109\/13697137.2013.871696","article-title":"Impact of vulvovaginal atrophy on sexual health and quality of life at postmenopause.","volume":"17","author":"Nappi RE","year":"2014","unstructured":"Nappi RE, Palacios S. Impact of vulvovaginal atrophy on sexual health and quality of life at postmenopause. Climacteric 2014;17:3\u20139","journal-title":"Climacteric"},{"key":"e_1_3_4_12_1","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1111\/jsm.12120","article-title":"Resistance and barriers to local estrogen therapy in women with atrophic vaginitis.","volume":"10","author":"Kingsberg SA","year":"2013","unstructured":"Kingsberg SA, Krychman ML. Resistance and barriers to local estrogen therapy in women with atrophic vaginitis. J Sex Med 2013;10:1567\u201374","journal-title":"J Sex Med"},{"key":"e_1_3_4_13_1","volume-title":"REVEAL: REvealing Vaginal Effects At mid-Life. Surveys of postmenopausal women and health care professionals who treat postmenopausal women","year":"2009","unstructured":"REVEAL: REvealing Vaginal Effects At mid-Life. Surveys of postmenopausal women and health care professionals who treat postmenopausal women. Madison, NJ: Wyeth, 2009"},{"key":"e_1_3_4_14_1","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1097\/gme.0b013e318051718c","article-title":"The role of local vaginal estrogen for treatment of vaginal atrophy in postmenopausal women: 2007 position statement of The North American Menopause Society.","volume":"14","author":"North American Menopause Society.","year":"2007","unstructured":"North American Menopause Society. The role of local vaginal estrogen for treatment of vaginal atrophy in postmenopausal women: 2007 position statement of The North American Menopause Society. Menopause 2007;14:355\u201369","journal-title":"Menopause"},{"key":"e_1_3_4_15_1","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1097\/gme.0b013e31821f92df","article-title":"Management of vulvovaginal atrophy-related sexual dysfunction in postmenopausal women: an up-to-date review.","volume":"19","author":"Tan O","year":"2012","unstructured":"Tan O, Bradshaw K, Carr BR. Management of vulvovaginal atrophy-related sexual dysfunction in postmenopausal women: an up-to-date review. Menopause 2012;19:109\u201317","journal-title":"Menopause"},{"key":"e_1_3_4_16_1","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1089\/jwh.2007.0407","article-title":"A retrospective managed care claims data analysis of medication adherence to vaginal estrogen therapy: implications for clinical practice.","volume":"17","author":"Shulman LP","year":"2008","unstructured":"Shulman LP, Portman DJ, Lee WC, et\u00a0al. A retrospective managed care claims data analysis of medication adherence to vaginal estrogen therapy: implications for clinical practice. J Womens Health 2008;17:569\u201378","journal-title":"J Womens Health"},{"key":"e_1_3_4_17_1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.ejogrb.2006.10.036","article-title":"Women\u2019s perception of sexuality around the menopause: outcomes of a European telephone survey.","volume":"137","author":"Nappi RE","year":"2008","unstructured":"Nappi RE, Nijland EA. Women\u2019s perception of sexuality around the menopause: outcomes of a European telephone survey. Eur J Obstet Gynecol Reprod Biol 2008;137:10\u201316","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"e_1_3_4_18_1","unstructured":"Pfizer Pharmaceuticals Inc. Healthy women survey [Internet]. 2012 [cited 2012 Aug 11]. Available from: www.personalmenopauseanswers.com\/healthy-women-survey.aspx"},{"key":"e_1_3_4_19_1","unstructured":"News release from Novo Nordisk. Data reveal the negative emotional and physical impact that a silent symptom of menopause has on U.S. women and their partners. October 5 2012"},{"key":"e_1_3_4_20_1","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.maturitas.2013.05.003","article-title":"The CLOSER survey: Impact of postmenopausal vaginal discomfort on relationships between women and their partners in Northern and Southern Europe.","volume":"75","author":"Nappi RE","year":"2013","unstructured":"Nappi RE, Mattsson L-\u00c5, Lachowsky M, Maamari R, Giraldi A. The CLOSER survey: Impact of postmenopausal vaginal discomfort on relationships between women and their partners in Northern and Southern Europe. Maturitas 2013;75:373\u20139","journal-title":"Maturitas"},{"key":"e_1_3_4_21_1","doi-asserted-by":"crossref","first-page":"1790","DOI":"10.1111\/jsm.12190","article-title":"Vulvar and vaginal atrophy in postmenopausal women: findings from the REVIVE (REal Women\u2019s VIews of Treatment Options for Menopausal Vaginal ChangEs) survey.","volume":"10","author":"Kingsberg SA","year":"2013","unstructured":"Kingsberg SA, Wysocki S, Magnus L, Krychman ML. Vulvar and vaginal atrophy in postmenopausal women: findings from the REVIVE (REal Women\u2019s VIews of Treatment Options for Menopausal Vaginal ChangEs) survey. J Sex Med 2013;10:1790\u20139","journal-title":"J Sex Med"},{"key":"e_1_3_4_22_1","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1111\/j.1743-6109.2011.02543.x","article-title":"To lube or not to lube: experiences and perceptions of lubricant use in women with and without dyspareunia.","volume":"9","author":"Sutton KS","year":"2012","unstructured":"Sutton KS, Boyer SC, Goldfinger C, Ezer P, Pukall CF. To lube or not to lube: experiences and perceptions of lubricant use in women with and without dyspareunia. J Sex Med 2012;9:240\u201350","journal-title":"J Sex Med"},{"key":"e_1_3_4_23_1","doi-asserted-by":"crossref","first-page":"557","DOI":"10.3109\/13697137.2014.946279","article-title":"Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women\u2019s Sexual Health and the North American Menopause Society.","volume":"17","author":"Portman DJ","year":"2014","unstructured":"Portman DJ, Gass ML; Vulvovaginal Atrophy Terminology Consensus Conference Panel. Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women\u2019s Sexual Health and the North American Menopause Society. Climacteric 2014;17:557\u201363","journal-title":"Climacteric"},{"key":"e_1_3_4_24_1","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.maturitas.2010.08.001","article-title":"Women\u2019s voices in the menopause: Results from an international survey on vaginal atrophy.","volume":"67","author":"Nappi RE","year":"2010","unstructured":"Nappi RE, Kokot-Kierepa M. Women\u2019s voices in the menopause: Results from an international survey on vaginal atrophy. Maturitas 2010;67:233\u20138","journal-title":"Maturitas"},{"key":"e_1_3_4_25_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1258\/mi.2009.009001","article-title":"Web-based survey on the effect of menopause on women\u2019s libido in a computer-literate population.","volume":"15","author":"Cumming GP","year":"2009","unstructured":"Cumming GP, Currie HD, Moncur R, Lee AJ. Web-based survey on the effect of menopause on women\u2019s libido in a computer-literate population. Menopause Int 2009;15:8\u201312","journal-title":"Menopause Int"},{"key":"e_1_3_4_26_1","first-page":"351","article-title":"A prospective population-based study of menopausal symptoms.","volume":"96","author":"Dennerstein L","year":"2000","unstructured":"Dennerstein L, Dudley EC, Hopper JL, Guthrie JR, Burger HG. A prospective population-based study of menopausal symptoms. Obstet Gynecol 2000;96:351\u20138","journal-title":"Obstet Gynecol"},{"key":"e_1_3_4_27_1","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1097\/01.GME.0000151656.92317.A9","article-title":"Correlates of sexual function among multi-ethnic middle-aged women: results from the Study of Women\u2019s Health Across the Nation (SWAN).","volume":"12","author":"Avis NE","year":"2005","unstructured":"Avis NE, Zhao X, Johannes CB, Ory M, Brockwell S, Greendale GA. Correlates of sexual function among multi-ethnic middle-aged women: results from the Study of Women\u2019s Health Across the Nation (SWAN). Menopause 2005;12:385\u201398","journal-title":"Menopause"},{"key":"e_1_3_4_28_1","volume-title":"Vulvovaginal atrophy (VVA) negatively impacts sexual function, psychosocial well-being, and partner relationships","author":"Simon J","year":"2007","unstructured":"Simon J, Komi J. Vulvovaginal atrophy (VVA) negatively impacts sexual function, psychosocial well-being, and partner relationships. In Proceedings of the North American Menopause Society (NAMS). Dallas, TX, USA; 2007"},{"key":"e_1_3_4_29_1","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1111\/j.1743-6109.2012.02702.x","article-title":"What we don\u2019t talk about when we don\u2019t talk about sex: results of a national survey of U.S. obstetrician\/gynecologists.","volume":"9","author":"Sobecki JN","year":"2012","unstructured":"Sobecki JN, Curlin FA, Rasinski KA, Lindau ST. What we don\u2019t talk about when we don\u2019t talk about sex: results of a national survey of U.S. obstetrician\/gynecologists. J Sex Med 2012;9:1285\u201394","journal-title":"J Sex Med"},{"key":"e_1_3_4_30_1","first-page":"425","article-title":"Brief sexual inquiry in gynecologic practice.","volume":"73","author":"Bachmann GA","year":"1989","unstructured":"Bachmann GA, Leiblum SR, Grill J. Brief sexual inquiry in gynecologic practice. Obstet Gynecol 1989;73:425\u20137","journal-title":"Obstet Gynecol"},{"key":"e_1_3_4_31_1","first-page":"105","article-title":"Treating dyspareunia caused by vaginal atrophy: a review of treatment options using vaginal estrogen therapy.","volume":"1","author":"Kingsberg S","year":"2010","unstructured":"Kingsberg S, Kellogg S, Krychman M. Treating dyspareunia caused by vaginal atrophy: a review of treatment options using vaginal estrogen therapy. Int J Womens Health 2010;1:105\u201311","journal-title":"Int J Womens Health"},{"key":"e_1_3_4_32_1","doi-asserted-by":"crossref","first-page":"302","DOI":"10.3109\/13697137.2011.570590","article-title":"Updated IMS recommendations on postmenopausal hormone therapy and preventive strategies for midlife health.","volume":"14","author":"Sturdee DW","year":"2011","unstructured":"Sturdee DW, Pines A, International Menopause Society Writing Group. Updated IMS recommendations on postmenopausal hormone therapy and preventive strategies for midlife health. Climacteric 2011;14:302\u201320","journal-title":"Climacteric"},{"key":"e_1_3_4_33_1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.maturitas.2012.06.009","article-title":"EMAS clinical guide: low-dose vaginal estrogens for postmenopausal vaginal atrophy.","volume":"73","author":"Rees M","year":"2012","unstructured":"Rees M, P\u00e9rez-L\u00f3pez FR, Ceasu I, et\u00a0al. EMAS clinical guide: low-dose vaginal estrogens for postmenopausal vaginal atrophy. Maturitas 2012;73:171\u20134","journal-title":"Maturitas"},{"key":"e_1_3_4_34_1","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1097\/gme.0b013e3181d0f6b9","article-title":"Estrogen and progestogen use in postmenopausal women: 2010 position statement of The North American Menopause Society.","volume":"17","author":"North American Menopause Society.","year":"2010","unstructured":"North American Menopause Society. Estrogen and progestogen use in postmenopausal women: 2010 position statement of The North American Menopause Society. Menopause 2010;17:242\u201355","journal-title":"Menopause"}],"updated-by":[{"DOI":"10.3109\/13697137.2016.1139299","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2016,1,13]],"date-time":"2016-01-13T00:00:00Z","timestamp":1452643200000}}],"container-title":["Climacteric"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.tandfonline.com\/doi\/pdf\/10.3109\/13697137.2015.1107039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T07:30:48Z","timestamp":1760945448000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.tandfonline.com\/doi\/full\/10.3109\/13697137.2015.1107039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,19]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,3,3]]}},"alternative-id":["10.3109\/13697137.2015.1107039"],"URL":"https:\/\/doi.org\/10.3109\/13697137.2015.1107039","relation":{},"ISSN":["1369-7137","1473-0804"],"issn-type":[{"value":"1369-7137","type":"print"},{"value":"1473-0804","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,19]]},"assertion":[{"value":"The publishing and review policy for this title is described in its Aims & Scope.","order":1,"name":"peerreview_statement","label":"Peer Review Statement"},{"value":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=icmt20","URL":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=icmt20","order":2,"name":"aims_and_scope_url","label":"Aim & Scope"},{"value":"2015-07-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-10-07","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-10-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-11-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}