女性绝经期后性欲普遍下降,这反映在婚内性交频率的下降和性交中高潮频率的减少。性欲低下发生率在40岁时约为20%,到54岁时约为50%,到绝经9年时可达70%。影响性欲低下的一个显著因素是性交疼痛,在绝经为1～3年的妇女中,其发生率可达40%。绝经后妇女因性问题而求治的人数增加可达20%,这些症状都是与阴道萎缩和性交不适或疼痛有关的。一、与绝经期性问题相关的因素 (一)先前存在的问题在因绝经期性问题前来求治的妇女中,至少有1/5的妇女声称她们在绝经之前就存在性问题,有的问题已持续20年之久。 (二)阴道分泌不足几乎有20%的妇女主诉平时阴道分泌显著减少,60%的妇女主诉性交时阴道干燥。研究表明绝经妇女阴道的分泌物只 Sexual decline in women after menopause generally reflects the decline in the frequency of marital intercourse and the reduction in the frequency of orgasm in intercourse. The prevalence of hypovolemia is about 20% at age 40, about 50% by age 54, and 70% by nine years at menopause. A significant factor affecting low sexuality is sexual intercourse pain, which can occur in up to 40% of women who have been in menopause for 1-3 years. Menopause increases the number of women seeking treatment for sexual problems by as much as 20%, all of which are associated with vaginal atrophy and sexual discomfort or pain. I. Factors Related to Menopause (I) Pre-Existing Problems At least one in five women who seek medical treatment for menopausal problems claim that they have sexual problems before the menopause. Some problems Has lasted 20 years. (B) lack of vaginal secretion Almost 20% of women complain about the usual vaginal secretion was significantly reduced, 60% of women complained of vaginal dry sex. Studies have shown that vaginal secretions of menopausal women only