Особенности сексуального поведения у женщин в период менопаузального перехода

The choice of contraception, and ensuring a decent quality of sexual life is one of the important tasks in the work of an obstetrician-gynecologist. The purpose of our work was to elucidate the characteristics of the sexual life of women in the late phase of the menopausal transition. 569 women aged 46-49 years were under observation, beginning with the late phase of the menopausal transition: the presence of manifestations of a climacteric syndrome in 485 women (85.2%), and the rest (84 women, 14.8%) - menopausal disorders were not detected; among all women, a survey was conducted on their sexual activity in the next 6 months; the necessity of contraception and its influence on the quality of sexual life was clarified. Among women who are in the late phase of menopausal transitions, the avoidance of sexual contact occurs in 61.4% of the respondents, which may be due to their existing menopausal disorders (in 90.1%), including the physical causes of renunciation of sexual (in 78.9%), and dyspareunia and dryness during sexual intercourse (in 36.2%), and (possibly in part) the absence of emotional contact with the sexual partner (41.6%). Significant contribution to the deviations in the sexual life of patients makes the presence of sexual disorders among their partners (in 38.5%). When choosing a method of contraception and means of correction of menopausal disorders, it is necessary to take into account their possible influence on the sexual sphere of women.