Formation of urogenital disorders in women at the stage of menopausal transition

Abstract

At the stage of the menopausal transition which is caused by hormonal and reproductive changes, a spectrum of genitourinary disorders is formed 3-5 years earlier than in the past.The objective: to evaluate the effectiveness of local use of suppositories with anti-inflammatory and regenerating effect, which contain tea tree oil, aloe extract and hyaluronic acid, to eliminate the manifestations of vulvovaginal atrophy in women at the stage of the menopausal transition.Materials and methods. A gynecological, urological, sexological examination of 56 women aged 44 to 46 years at the final stage of the menopausal transition with complaints of burning in the vagina and vagina, lubrication disorders, dyspareunia and discomfort during urination was carried out.Results. Among the examined women, a high degree of vulvovaginal atrophy was found in 4 (7,1 %) patients, manifested degree – in 8 (14,3 %), moderate degree – in 34 (60,7 %), light degree – 10 (17,9 %). In 12 (21,4 %) women with high and manifest degrees of vulvovaginal atrophy, as well as in 24 (42,8 %) with moderate atrophy, dyspareunia was formed on the background of lubrication disorders, which made the sexual intercourse difficult and impossible.Bad mood of patients, dissatisfaction with themselves negatively affected relations with their partners, forming sexual disharmony. Patients with moderate and weak degrees of vulvovaginal atrophy (44 persons – 78,6 %) also noted a decreased sexual desire and arousal, difficulties in reaching orgasm and obtaining pleasure.Conclusions. The conducted studies demonstrated that the leveling of manifestations of vulvovaginal atrophy in 42 (75,0 %) women at the stage of the menopausal transition using suppositories containing tea tree essential oil, aloe vera, hyaluronic acid with delicate regenerative, restorative, anti-inflammatory effects due to the combination of action of tea tree oil, aloe extract, and hyaluronic acid, helps to improve lubrication, eliminate dyspareunia, restore sexual relations – in 48 (85,7%) couples, improve the quality of life and self-assessment of all patients.