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Ke hele a makua nā wahine, makemake lākou i ka liʻiliʻi o ka moekolohe a he mea ia a nā mea āpau e 'ʻike' ai me ka ʻike ʻole i ka ʻepekema kūpono ma hope o ia. Ua mālama ʻia nā ʻano noiʻi like ʻole e ʻimi ana i ka hopena o ka makahiki ma nā pilikia moekolohe ma nā wahine a ua ʻōlelo ʻia e pili ana i ka nui o nā wahine e kū ana i ka wahine haʻahaʻa. ^[1] .

ʻO ka hoʻohaʻahaʻa haʻahaʻa haʻahaʻa i nā wahine ʻaʻole ia he hanana laha ʻole ma mua o 40 kenetene o nā wahine e kū i ka pilikia me nā kumu like ʻole e pili ana iā ia. Wahi a kahi noiʻi i mālama ʻia i ka makahiki a me ke olakino moekolohe i nā wahine, ua kuhikuhi ʻia ka hōʻemi ʻana o ka wahine me ka makahiki a me ka helu o nā wahine e leʻaleʻa ana i ka moekolohe ma hope o ka menopause.

ʻO ka nalo ʻana o ka makemake moekolohe, kapa ʻia he lāʻau lapaʻau e like me ka maʻi hōʻeuʻeu hypoactive (HSDD), ʻike pinepine ʻia i nā wahine ma luna o ka makahiki 45, ka makahiki i hiki ai ka hapa nui o nā wahine i ka menopause. ^[elua] .

'Nui a hewahewa nā kumu e lohi ai ka hoʻokamakama wahine no ka wā makua. ʻO ia, ke pau ka hana ʻana o nā ovaries i ka hana ʻana i ka estrogen, ʻoi aku ka lahilahi o ka uhi ʻana o ka ʻōpū a me ka hopena o ka liʻiliʻi o ka hele ʻana o ka liʻiliʻi, ke kani o ka mākala, a me ka lubrication - a ʻo ia ka mea e hopena ai i ka hoʻonāukiuki i ka manawa.

Hoʻoiho ka Menopause i ka haʻahaʻa haʻahaʻa i nā wahine

Wahi a kahi noiʻi i paʻi ʻia i loko o 'Menopause: The Journal of the North American Menopause Society', nā pilikia pili i ka menopause e like me ka moekolohe ʻeha a me ka hemo ʻana o ka wahine i ka wahine. ^{[3] [4]} .

Ua noʻonoʻo ʻia ke aʻo ʻana, nā kumu e like me ka uila, ka hiamoe o ka hiamoe, ka maloʻo a me ka moekolohe e hōʻiliʻili i ka maopopo o ka hopena o ka menopause a me ka hoʻohaʻahaʻa haʻahaʻa i nā wahine.

Ua kuhikuhi ʻia ke aʻo ʻana, ʻokoʻa nā kumu i hōʻike ʻia aʻe nei, nā hopohopo o ke kino, ke koʻikoʻi, ka hilinaʻi iā ʻoe iho a me ka makemake i ʻike ʻia, nā loli o ke ʻano a me nā pilikia pili - hāʻawi nā hopena ʻaoʻao o ka menopause i ka hōʻemi ʻana i ka hoʻokamakama kolohe i ka wahine ma mua o ka makahiki. o 45 ^[5] .

'I ka wā o ka hoʻololi ʻana o ka menopause, hiki i ka wahine ke hopena i ka hopena o ke kino o ka hoʻohaʻahaʻa ʻana i nā pae estrogen e like me ka sweats i ka pō, nā wela wela a me ka maloʻo liʻiliʻi e hoʻoliʻiliʻi i ka hoʻonāukiuki a me ka hoʻokele. ʻO ka hoʻoliʻiliʻi testosterone pili makahiki (ʻaʻole pili pono i ka menopause) hiki ke hōʻemi i ka makemake moekolohe i nā wahine ma mua o 45 mau makahiki, i ʻōlelo ʻo Dr Darshan Jayanth.

ʻAʻole ia he kino wale - noʻonoʻo a noʻonoʻo nui pū kekahi.

ʻAʻole like me ka hana erectile i nā kāne, lilo ka makemake o ka wahine i ka wahine ma muli o nā kumu like ʻole (kahi hui o nā manaʻo a me ke kino), ʻaʻole hiki ke mālama ʻia me ka hoʻohana ʻana i nā lāʻau. ^{[4] [6]} .

'ʻO ka moekolohe wahine e hoʻonui ʻia a nui a paʻakikī', i ʻōlelo ʻo Sheryl Kingsberg, he psychologist moekolohe. ^[7] .

Ua hoʻokūpaʻa nā noiʻi i ka hana nui a ka menopause, kahi e loaʻa ai ka wahine i nā loli psychological e hāʻawi ai i ka hana kolohe. Wahi a kahi noiʻi ma Endocrinology & Metabolism Clinics o ʻAmelika Hema, hoʻonui ka hana kolohe i nā wahine me ka makahiki a hōʻike nui ʻia i nā wahine menopausal.

No laila, ʻo nā mea physiological e like me ka maloʻo a me nā loli i ka pae estrogen e hoʻohuli ʻaʻole wale i nā hoʻololi o ke kino i ka wahine akā i nā loli i ka naʻau. Hiki i kēia mau mea (a i ʻole hoʻololi paha) ke hoʻonāukiuki i ka wahine e noʻonoʻo i kāna haʻahaʻa kalaiwa hoʻoipoipo ke hana nei i nā pilikia i loko o kāna pilina me kāna hoa, kahi e hiki ai ke hoʻonui i ke kūlana ^{[8] [1]} .

Ke kiʻi nei i ka makemake i nā wahine!

ʻO ka hoʻohaʻahaʻa haʻahaʻa a me ka hoʻoliʻiliʻi ʻana i ka makemake moekolohe me nā makahiki i nā wahine ʻaʻole ia kahi mea e ola mau ai kekahi. ʻAʻole pono ka mea e ʻae i ka nele i ka makemake moekolohe ʻoiai aia kekahi mau ʻano like ʻole e like me nā therapies a me nā ʻōlelo aʻoaʻo e hiki ke kōkua i ka hoʻomaikaʻi ʻana i ke kūlana a loaʻa hou ka ʻiʻini pūnana. ^[9] .

ʻO kekahi o nā ana e kōkua ana ^[10]

• sex therapy a pilina pili paha,
• ke hoʻololi nei i nā lāʻau a hoʻololi paha i ka lāʻau (inā loaʻa ʻole ka makemake i ka moekolohe e nā lāʻau).
• ke kuhikuhi ʻana i nā kūlana olakino.
• me ka hoʻohana ʻana i nā oestrogens liʻiliʻi, a
• lāʻau lapaʻau testosterone.

1. [1]Bachmann, G. A., Leiblum, S. R., Sandler, B., Ainsley, W., Narcessian, R., Shelden, R., & Hymans, H. N. (1985). Hoʻopili i ka makemake moekolohe i nā wahine ma hope o ka menopausal. Maturitas, 7 (3), 211-216.
2. [elua]Brotto, L. A. (2017). Nā hōʻailona e pili ana i nā hōʻike no ka makemake haʻahaʻa i ka wahine. Nā palena o neuroendocrinology, 45, 11-17.
3. [3]Simon, J. A., Kingsberg, S. A., Goldstein, I., Kim, N. N., Hakim, B., & Millheiser, L. (2019). Ka Lilo Kaumaha i nā Wahine e Lawe ana iā Flibanserin no ka Hypoactive Sex Desire Disorder (HSDD): ʻIke i nā Mīkini Hiki Nā loiloi lāʻau lapaʻau moekolohe.
4. [4]Goldstein, I., Kim, N. N., Clayton, A. H., DeRogatis, L. R., Giraldi, A., Parish, S. J., ... & Stahl, S. M. (2017, Ianuali). ʻO ka maʻi hōʻeuʻeu Hypoactive: ʻo International Society no ke aʻo ʻana i ka Health Sexual Health (ISSWSH) loiloi loea i ka ʻaha kūkā. Ma nā hana ʻoihana Mayo (Vol. 92, No. 1, pp. 114-128). ʻO Elsevier.
5. [5]McCabe, M. P., Sharlip, I. D., Atalla, E., Balon, R., Fisher, A. D., Laumann, E., ... & Segraves, R. T. (2016). Nā wehewehe ʻana o ka hana moekolohe ma nā wahine a me nā kāne: kahi ʻōlelo aelike mai ka ʻehā mau kūkā kamaʻilio honua ʻana e pili ana i ka lāʻau moekolohe 2015. Ka puke pai no ka lāʻau moekolohe, 13 (2), 135-143.
6. [6]Salvatore, S., Nappi, R. E., Parma, M., Chionna, R., Lagona, F., Zerbinati, N., ... & Leone Roberti Maggiore, U. (2015). Hana moekolohe ma hope o ka microablative haʻihaʻi CO2 laser i nā wahine me ka atrophy vulvovaginal. Kelepona, 18 (2), 219-225.
7. [7]Nā Wahine Ola. (n.d.). Ua kiʻi ʻia mai https://www.healthywomen.org/about-us/medical-expert/sheryl-kingsberg-phd
8. [8]Achilli, C., Pundir, J., Ramanathan, P., Sabatini, L., Hamoda, H., & Panay, N. (2017). Ka maikaʻi a me ka palekana o ka testosterone transdermal i nā wahine postmenopausal me ka maʻi huhū makemake hypoactive: kahi loiloi ʻōnaehana a me nā meta-analysis. Ka momona a me ka sterility, 107 (2), 475-482.
9. [9]Cappelletti, M., & Wallen, K. (2016). ʻO ka hoʻonui ʻana i ka makemake moekolohe wahine: ka hopena hoʻohālikelike o estrogens a me androgens. Nā Hormones a me ka Hana, 78, 178-193.
10. [10]Clayton, A. H., Goldstein, I., Kim, N. N., Althof, S. E., Faubion, S. S., Faught, B. M., ... & Davis, S. R. (2018, ʻApelila). ʻO ka International Society no ke aʻo ʻana i ke kaʻina olakino wahine e pili ana i ka mālama ʻana no ka mālama ʻana i ka maʻi makemake hypoactive i ka wahine. I ka Mayo Clinic Proceedings (Vol. 93, No. 4, pp. 467-487). ʻO Elsevier.

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