Efectividad de una intervención en salud sexual a mujeres con síndrome genitourinario de la menopausia en la mejora de su calidad de vidaensayo clínico multicéntrico. Estudio exime

Zusammenfassung

Background: Genitourinary Syndrome of Menopause (GSM) is a common condition that increases by four the risk of having a sexual dysfunction, and that affects the quality of life of women who suffer it. Women with an active sexual life have fewer symptoms associated with GSM. Objective: to evaluate the effectiveness of an individualized intervention in sexual health conducted in the midwife consultation to improve the quality of life in women with GMS. Methods: multicentre randomized clinical trial with groups in parallel, controlled single-blind, with blind evaluation of the response variable, held in Madrid. Performed in women of 45 to 65 years old with GSM attending to the midwife consultation. N= 250 (125 women in each group). The control group received the usual assistance, and the EXIMe group received in addition a complex intervention in sexual health, individualized, where techniques for expression, analysis, information and development of sexual health skills were used. Principal variable was the Main-Quality of life in menopause, and secondary were sociodemographic variables, sexual history, and variables related to the GSM. Analysis by intention-to-treat, before/after (1 and 6 months) the intervention. Results: an intrasubject difference of 2.79 points (p-value 0.004) was observed in the overall quality of life after six months. Significant differences were found in the pelvic floor muscle response. In the EXIMe group 98.3% of women had a sexual dysfunction, observing clinically relevant improvement differences mainly in women with dyspareunia (57.1%). Good adherence to the intervention (89.3%). Conclusions: this study increase the knowledge on the effectiveness of non-pharmacological interventions for the GSM.