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Attitudes and perceptions towards vulvar and vaginal atrophy in Italian post-menopausal women: Evidence from the European REVIVE survey.
Maturitas. 2016 Sep; 91:74-80.M

Abstract

OBJECTIVES

To achieve a deeper understanding of the attitudes and perceptions of Italian post-menopausal women (PMW) regarding vulvo-vaginal atrophy (VVA).

STUDY DESIGN

As part of the EU REVIVE study, an online survey was conducted in four European countries; the Italian arm comprised 1000 participants from representative regions of Italy.

MAIN OUTCOME MEASURES

The perceptions, experiences and needs of Italian PMW in relation to sexual and vaginal health.

RESULTS

The most frequent VVA symptom was vaginal dryness (78%). Usually, the severity of symptoms was similar to or worse than when they first appeared. This was particularly true for dyspareunia, the most bothersome symptom (76%). VVA symptoms had a significant impact on Italian participants' ability to achieve pleasurable relations (74%) and spontaneity (70%). Although 75% of participants were still sexually active, their sex drive had been reduced by a third because of VVA. Women expected that doctors would start a discussion of menopausal symptoms and sexual health, but this was rarely the case (11%). Most women had been treated with a vaginal over-the-counter (OTC) product. Women who had discussed their condition with a physician were more likely (68%) to be under treatment for VVA than those who had not (36%). Low compliance was associated with symptom improvement (23%), not having annoying symptoms (22%), and the impossibility if restoring the vagina to normal (14%). Common reasons for treatment dissatisfaction were related to route of administration or discomfort. Lack of efficacy and fear of a hormone effect were perceived as the main limitations for OTC and local estrogen products, respectively.

CONCLUSIONS

Despite the commonness of VVA and its significant impact on quality of life, the condition remains underdiagnosed in Italy. Discussion of symptoms with doctors influences the diagnosis, and patients' satisfaction with available treatments is not high.

Authors+Show Affiliations

Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS S. Matteo Foundation, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy. Electronic address: renappi@tin.it.Shionogi Italy, Rome, Italy.Department of Obstetrics and Gynaecology, University of Torino School of Medicine, Ospedale Mauriziano Umberto I, Torino, Italy.Department of Obstetrics and Gynecology, University of Modena, Modena, Italy.Department of Neurosciences and Reproductive Sciences, University of Naples Federico II, Naples, Italy.Obstetrics and Gynecology Unit, Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy.Department of Obstetrics and Gynaecology, University of Cagliari, University Hospital of Cagliari, Cagliari, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27451324

Citation

Nappi, Rossella E., et al. "Attitudes and Perceptions Towards Vulvar and Vaginal Atrophy in Italian Post-menopausal Women: Evidence From the European REVIVE Survey." Maturitas, vol. 91, 2016, pp. 74-80.
Nappi RE, Particco M, Biglia N, et al. Attitudes and perceptions towards vulvar and vaginal atrophy in Italian post-menopausal women: Evidence from the European REVIVE survey. Maturitas. 2016;91:74-80.
Nappi, R. E., Particco, M., Biglia, N., Cagnacci, A., Di Carlo, C., Luisi, S., & Paoletti, A. M. (2016). Attitudes and perceptions towards vulvar and vaginal atrophy in Italian post-menopausal women: Evidence from the European REVIVE survey. Maturitas, 91, 74-80. https://doi.org/10.1016/j.maturitas.2016.06.009
Nappi RE, et al. Attitudes and Perceptions Towards Vulvar and Vaginal Atrophy in Italian Post-menopausal Women: Evidence From the European REVIVE Survey. Maturitas. 2016;91:74-80. PubMed PMID: 27451324.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Attitudes and perceptions towards vulvar and vaginal atrophy in Italian post-menopausal women: Evidence from the European REVIVE survey. AU - Nappi,Rossella E, AU - Particco,Martire, AU - Biglia,Nicoletta, AU - Cagnacci,Angelo, AU - Di Carlo,Costantino, AU - Luisi,Stefano, AU - Paoletti,Anna Maria, Y1 - 2016/06/11/ PY - 2016/04/05/received PY - 2016/05/31/revised PY - 2016/06/09/accepted PY - 2016/7/25/entrez PY - 2016/7/28/pubmed PY - 2017/4/26/medline KW - Dyspareunia KW - Post-menopausal women KW - REVIVE survey KW - Sexual relationships KW - Vaginal dryness KW - Vulvar and vaginal atrophy SP - 74 EP - 80 JF - Maturitas JO - Maturitas VL - 91 N2 - OBJECTIVES: To achieve a deeper understanding of the attitudes and perceptions of Italian post-menopausal women (PMW) regarding vulvo-vaginal atrophy (VVA). STUDY DESIGN: As part of the EU REVIVE study, an online survey was conducted in four European countries; the Italian arm comprised 1000 participants from representative regions of Italy. MAIN OUTCOME MEASURES: The perceptions, experiences and needs of Italian PMW in relation to sexual and vaginal health. RESULTS: The most frequent VVA symptom was vaginal dryness (78%). Usually, the severity of symptoms was similar to or worse than when they first appeared. This was particularly true for dyspareunia, the most bothersome symptom (76%). VVA symptoms had a significant impact on Italian participants' ability to achieve pleasurable relations (74%) and spontaneity (70%). Although 75% of participants were still sexually active, their sex drive had been reduced by a third because of VVA. Women expected that doctors would start a discussion of menopausal symptoms and sexual health, but this was rarely the case (11%). Most women had been treated with a vaginal over-the-counter (OTC) product. Women who had discussed their condition with a physician were more likely (68%) to be under treatment for VVA than those who had not (36%). Low compliance was associated with symptom improvement (23%), not having annoying symptoms (22%), and the impossibility if restoring the vagina to normal (14%). Common reasons for treatment dissatisfaction were related to route of administration or discomfort. Lack of efficacy and fear of a hormone effect were perceived as the main limitations for OTC and local estrogen products, respectively. CONCLUSIONS: Despite the commonness of VVA and its significant impact on quality of life, the condition remains underdiagnosed in Italy. Discussion of symptoms with doctors influences the diagnosis, and patients' satisfaction with available treatments is not high. SN - 1873-4111 UR - https://www.unboundmedicine.com/medline/citation/27451324/Attitudes_and_perceptions_towards_vulvar_and_vaginal_atrophy_in_Italian_post_menopausal_women:_Evidence_from_the_European_REVIVE_survey_ DB - PRIME DP - Unbound Medicine ER -