Private Gynecology Clinic Research Articles

Investigating the impact of Cognitive Processing Therapy (CPT) on Post-Traumatic Stress Disorder (PTSD), depression, and anxiety symptoms in female victims of domestic violence.

This study aimed to investigate the effects of CPT on PTSD, depression, and anxiety symptoms in female victims of domestic violence. A two-arm randomized clinical trial was conducted in Bandar-Abbas involving 62 female victims of domestic violence referred from private gynecology and obstetrics clinics. Initial screening for domestic violence was based on the World Health Organization violence questionnaire. Participants were randomly assigned to either a control group (n=32) or an intervention group (n=28) for a study duration of six months in 2022. Twelve group CPT sessions were conducted. The domestic violence questionnaire, Beck's Depression Inventory, Beck's Anxiety Inventory, and the Impact of Event Scale-Revised were completed in three time points: pre-test, post-test, and follow-up. There was a statistically significant difference in the mean scores of depression, PTSD, and domestic violence (P less than .001) between the two groups; however, no significant difference was found in anxiety scores (P greater than .050). CPT is recommended for female victims of domestic violence to reduce symptoms of depression, PTSD, and domestic violence.

The "most bothersome symptom" construct: A qualitative study of Australians living with endometriosis.

"Improvement in the most bothersome symptom" was recently selected as a core outcome for endometriosis intervention trials. This study aimed to explore the applicability of the construct of "symptom bother" in representing the lived experiences of people with endometriosis. Semi-structured interviews were conducted to understand the meaning of "symptom bother" and related constructs. Eighteen interviews were conducted: 14 among people with a surgical diagnosis of endometriosis who were recruited from the community, and four with people who were recruited from a private gynecology clinic who had either a confirmed diagnosis or a high suspicion of the disease. All interviews were audio recorded, transcribed verbatim, and analyzed thematically. Three primary themes were identified: (1) endometriosis symptoms and priorities vary with time and context, (2) endometriosis symptoms impair normal daily functioning, (3) endometriosis symptoms are more than just a "bother." The concept of "bother" to describe endometriosis symptoms did not resonate with most participants. Whilst "bother" was familiar language, it did not encompass the broader implications of living with endometriosis. Participants felt "bother" implied emotional distress, lacking a full understanding of the consequences of the disease. Instead, "symptom impact" was endorsed, allowing participants to quantify and objectively assess their symptoms, free from negative connotations. This was the first qualitative study to explore "symptom bother" among people living with endometriosis. Instead of "bother," "impact" was widely endorsed as a suitable construct. This term more appropriately captured the broad ways in which endometriosis symptoms impair daily functioning.

Comprehensive Assessment of Knowledge, Attitudes, and Practices, alongside Predictive Factors, Affecting Optimal Management of Gestational Diabetes in Pregnant Women across Multicenter Sites in Lebanon

Gestational diabetes mellitus (GDM) is a growing public health concern at a global level. Educating pregnant women is critical if we are to control this disease and prevent its adverse consequences. This cross-sectional study aimed to assess the knowledge, attitude, and practice of Lebanese pregnant women with regards to GDM and identify predictors of good practice. A total of 187 pregnant women with a mean age of 27 years were recruited from private gynecology clinics in different regions of Lebanon. A well-structured questionnaire was used to collect data relating to knowledge, attitude, and practice scores. Analysis revealed poor knowledge, good attitude, and average practice levels with regards to GDM among the participants. Based on our findings, it was observed that pregnant women who were in their first trimester exhibited greater adherence to practices when compared to those who were in their third trimester. Age was inversely associated with the practice of pregnant women, whereas the presence of comorbidities reduced the probability of attaining adequate practical scores. Our findings highlight the need for institutionalizing therapeutic education practices, particularly group education, to equip pregnant women with appropriate management skills, attitudes, and practices to prevent GDM.

FİBROİDLERİN DOPPLER ULTRASONOGRAFİ VE MANYETİK REZONANS GÖRÜNTÜLEMESİNİN KARŞILAŞTIRILMASI

OBJECTIVE: This study aimed to compare Doppler ultrasonography (USG) and magnetic resonance imaging (MRI) in the evaluation of various characteristics of myomas, including size and growth.MATERIAL AND METHODS: This descriptive study was conducted on female patients admitted to a private gynecology clinic in Turkey. Doppler USG and MRI measurements of the patients were performed and the following indices were calculated: Diastolic average ratio (DAR), Systolic/diastolic ratio (SDR), End-diastolic velocity (EDV), Peak systolic velocity (PSV), Acceleration time (AT), Time-averaged mean velocity (Tmean), Impedance index (LML), Acceleration index (AI), Diastolic/systolic ratio (DSR), Resistivity index (RI), Pulsatility index (PI), Time-averaged maximum velocity (TAMX). These indices were evaluated in the whole study group and also among those older than 49 years.RESULTS: Doppler USG and MRI results of PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indexes and tumor size change averages were found to be similar in both the study group and women older than 49 years. It was found that there were strong positive correlations between Doppler USG and MRI measurements of PSV, EDV, TAMX, Tort, PI, RI, SDR, AT, AI, DSR, LML, DAR indices and tumor size change among the women in the study group.CONCLUSIONS: The results found in the research revealed that Doppler USG is as convenient as MRI in the diagnosis of myomas.

INTERRELATIONSHIP OF AMH WITH CLINICAL, HORMONAL AND SONOGRAPHIC PARAMETERS IN PATIENTS WITH POLYCYSTIC OVARIAN DISEASE

INTRODUCTION: Polycystic ovary syndrome (PCOS) is a frequently encountered problem in reproductive endocrinology, affecting approximately 6% of women of reproductive age. anti-mullerian hormone (AMH) also known as Mullerian inhibiting, substance is produced by granulosa cells of the preantral and small antral ovarian follicles in women and reect the ovarian reserve. Women with PCOS will often have a high number of antral follicles and, as a result, an equally high level of AMH in their blood. it has an inhibitory inuence on the actions of FSH and positively correlated with LH. Various studies demonstrated that oligo/anovulatory women with PCOS have signicantly higher serum concentrations of AMH. MATERIAL AND METHOD: This is a retro respective study of 54 PCOS patients from rst January 2019 to 13 April 2021 at a private gynaecology clinic in district Shivpuri. Data were collected from the medical records of the patients including age, height, weight, waist circumference, BP and modied Ferriman gallway score for hirsutism, Biochemical and hormonal values like LH, FSH, LH/FSH ratio, TSH, Prolactin and AMH, and lipid prole values were also obtained from the records. Abdominal or Vaginal ultrasound was used to assess the ovarian volume antral follicular count. RESULTS: In our study, the age of patients ranges from 20-39 years and a majority of the patients were in the age group of 21-30 years 75.28%) The Mean age of PCOS patients was 23.89. In our study, the mean cycle length of patients was 54.08 and it ranged from 28-190 days. The mean 2 BMI 25.8kg/m2 and modied FG score were 8.1. On ultrasound mean antral follicle count was 26.2 and the mean ovarian volume was 9.4 cm . In hormonal studies mean LH was 11.5, mean FSH was 3.4 and AMH was 4.34 and Testosterone was 2.1. In bio-chemical parameters increased Cholesterol, triglycerides, LDL, VLDL level and decreased HDL level were found in 31.48% of patients and with increased AMH. CONCLUSION: In our study, we found increased AMH concentration in correlation with increased cycle length in cases of oligomenorrhea, clinical hyperandrogenism, increased LH, increased AFC and increased ovarian volume. Our study concluded that AMH levels as an adjunct to existing Rotterdam criteria for diagnosis of PCOS had good diagnostic potential.

The Development of a New Understanding of Symptom Cluster During Pregnancy Using the Mediation Model

Background: Fatigue, depression and sleep disturbance are regarded as a symptom cluster associated with pregnancy. The mediation effect of sleep disturbance on the relationship between depression on fatigue is still unclear. Objective: To assess the mediation effect of sleep disturbance on the established relationship between depression and fatigue among pregnant women. Methods: This study used a cross-sectional design. Pregnant women (n = 130) at a private gynecology and obstetrics outpatient clinic in Amman, Jordan. Participants were recruited to complete the Brief Fatigue Inventory, the Insomnia Severity Index, and the Zung depression scale, in addition to the demographic questionnaire. The mediation effect was examined through a Hierarchal Multiple Regression model. Results: A total of 130 pregnant women participated (mean of ages= 27.3). Of those, 41.5% were in the first trimester, while the rest were in their second and the third trimesters (27.7%, and 30.8%, respectively). Regression analysis indicated that about 23% of the variation of fatigue was explained by depression. Nonetheless, 47% of the variance of fatigue was explained by depression after identifying the mediation effect of sleep disturbance. Conclusion: The mediation role of sleep disturbance between depression and fatigue added a new approach to the assessment and prognosis of fatigue during pregnancy.

Using My Health Record in a private obstetrics and gynaecology clinic.

Using My Health Record in a private obstetrics and gynaecology clinic.

Clinical features, socio-demographic profile and ultrasound findings in women with endometriosis symptoms

AIMS: To describe clinical and socio-demographic features, as well as transvaginal ultrasound results, of women with endometriosis symptoms.METHODS: A prospective cross-sectional study included patients who had at least one of the following symptoms: dyspareunia, dysmenorrhea, chronic pelvic pain, infertility, and urinary or bowel cyclic symptoms. The sample comprised women treated in a private gynecology clinic located in a small city in southern Brazil, from March to November 2016. All the participants, after signed an informed consent, were subjected to clinical anamnesis, transvaginal ultrasound with bowel preparation, and examination for the CA-125 antigen serum level. Association between two qualitative variables was assessed through Pearson's Chi-Square or Fisher's exact tests. Mean values of quantitative variables were compared through the two-tailed Student's t-test for independent samples. Significance level was set as p<0.05.RESULTS: A total of 85 women, aged 18-49 years, participated in the study. Most were married (75.3%), with children (51.8%), showed no family history of endometriosis (89.4%), had no knowledge about endometriosis (77.6%) and completed high school (43.5%). Ultrasound findings suggested endometriosis in 25 (29.4%) women. Dysmenorrhea was the most prevalent symptom (88.2%), followed by dyspareunia (61.2%). In comparison to those without ultrasound signs, the patients whose ultrasound findings suggested endometriosis had an older age (37.16±6.83 years vs. 30.37±6.80 years, p<0.001) and a longer duration of symptoms (9.06±6.49 years vs. 5.27±4.79 years, p=0.004). In addition, they presented higher mean serum CA-125 antigen levels (50.07±54.05 U/mL vs. 17.71±14.09 U/mL, p=0.011). Endometriosis-compatible lesions were mainly found in the ovaries (60%) and in the rectosigmoid region (52%). The disease was confirmed in the nine cases that were subjected to videolaparoscopy.CONCLUSIONS: Transvaginal ultrasound confirmed endometriosis in about one third of symptomatic patients, who were older, had symptoms for a longer time, and had higher serum CA-125 antigen levels in comparison to those without endometriosis diagnosis based on transvaginal ultrasound. Ovaries and rectosigmoid region were the sites with the highest frequency of ultrasound signs of endometriosis.

Prevalence Trichomoniasis and Candidiasis For Symptomatic Pregnant and Non Pregnant Women in Iraq

The prevalence of Trichomonas vaginalis (TV) and Candida albicans (CA) has been determined in 182 symptomatic married women (70 pregnant and 112 non pregnant) randomly selected from private gynecology clinics in Baghdad city. The relationship between infection and some risk factors was assessed.
 Data were collected by questionnaire and vaginal swabs were examined microscopically. Of the 182 women the pregnant 4 infected with TV and19 with CA while non-pregnant 2 infected with TV and 14 with CA.
 The age group between (20-29years) represents the highest frequency of infection with the two microorganisms. Abortion number and monthly family income were statistically non significant with high infection rates.

Pattern of Body Mass Index and Common Health Problems in Women of Reproductive Age Group in a Private Clinic in Kathmandu

High Body Mass Index is one of the risk factors for many chronic diseases and adverse health outcomes. It is associated with an increased risk of coronary heart disease, ischemic stroke, high blood pressure and type 2 diabetes mellitus. It also have many adverse effect on reproductive health of the women like sub fertility, polycystic ovarian disease, menstrual abnormality etc. The purpose of this study is to find Basal Metabolic Rate and the diseases pattern of reproductive age woman in Nepal. This is a descriptive study of women of reproductive age (15 to 49 years) attending a private gynaecology clinic in Kathmandu Valley from October 2016 to June 2017. Six hundred and eight women of current reproductive age group participated in this study. Women's particulars and complaints were noted down. Detailed history was taken. Height, weight and blood pressure were recorded and general examination was done. BMI was calculated as BMI is weight in kilogram divided by height in meter square, and it was interpreted as per WHO guidelines. Out of the total 608 participants, 243 (40%) were overweight, 96 (15.8%) were obese. Regarding the common health problems, 154 (25.3%) have sub fertility and 199 (32%) had genitourinary infection. Similarly, 90 (14.8%) had menstrual problems. Prevalence of overweight and obesity has risen significantly comparing to the study done decade ago in same setting. Similarly, sub fertility rate has also risen whereas the prevalence of genitourinary infections has decreased.

The knowledge and attitudes of midwives regarding legal and religious commandments on induced abortion and their relationship with some demographic characteristics

Background:Induced abortion is an important medical issue. Knowledge and attitude of midwives regarding legal and religious commandments on induced abortion can be useful in confronting this issue. The aim of this study was to assess the knowledge and attitudes of midwives of Isfahan regarding these rules and to find their relationship with demographic characteristics.Materials and Methods:This was a cross-sectional, descriptive, and analytical study. The study participants consisted of 189 midwives working in hospitals, health centers, private gynecology clinics, and university. Random quota sampling method was used. Data were collected using a researcher-made questionnaire. Data were analyzed using mean, frequency distribution tables, Pearson correlation, and Spearman's coefficient. For all tests, an error of less than 0.05 was considered.Results:The majority of the participants had extremely low to moderate (73%) knowledge about the subject of the study. Their attitudes toward effective implementation of these rules were mostly extremely weak to moderate (68.72%). No correlation was observed between knowledge, age, work experience, and education. However, there was a relationship between the level of knowledge about these rules and the location of service. There was no significant correlation between attitude and demographic characteristics.Conclusion:Due to less knowledge of the midwives and their low attitude score in this regard, training them, improving their attitude toward these issues, and effective implementation of these laws are necessary. Therefore, by identifying the factors affecting the formation of attitudes and the level of knowledge, more constructive proceedings can be taken to promote them.

“A challenge” – healthcare professionals' experiences when meeting women with symptoms that might indicate endometriosis

ObjectiveThe aim of the study was to identify and describe the experiences of healthcare professionals when meeting women with symptoms that might indicate endometriosis. MethodsSemi-structured interviews were conducted with 10 gynecologists, six general practitioners and nine midwives working at one university hospital, one central hospital, one private gynecology clinic and five healthcare centers in south-east Sweden. The interviews were recorded and transcribed verbatim and analyzed using qualitative conventional content analysis. ResultsThree clusters were identified: the corroborating encounter, the normal variation of menstruation cycles, and the suspicion of endometriosis. The healthcare professionals tried to make a corroborating encounter by acknowledging the woman, taking time to listen, and giving an explanation for the problems. Healthcare professionals had different ways to determine what was normal as regards menstrual pain, ovulation pain and dyspareunia. They also needed to have the competence to act and react when the symptoms indicated endometriosis. ConclusionsMeeting women with symptoms that might indicate endometriosis is challenging and demands a certain level of competence from healthcare professionals. Sometimes the symptoms are camouflaged as “normal” menstruation pain, making it hard to satisfy the needs of this patient group.

A possible link between dysmenorrhoea and the development of chronic pelvic pain.

Anecdotally, severe dysmenorrhoea can pre-date the development of chronic pelvic pain (CPP). This study describes the timeline for the transition from dysmenorrhoea to CPP in a cohort of new patients attending a private gynaecology clinic. In 16.4% of cases, transition occurred within one year, and within 12 years in over 50%. Our study suggests clinicians need to observe women with severe dysmenorrhoea for signs of chronic pain. Further research is needed into the transition from dysmenorrhoea to CPP, and effective early interventions.

Predictive factors of health-related quality of life in patients with polycystic ovary syndrome: a structural equation modeling approach

To determine association between health-related quality of life (HRQOL) and psychosexual variables in patients with polycystic ovary syndrome (PCOS). Cross-sectional study. Two private gynecology clinics. A sample of 300 women with PCOS were entered into the study and were subdivided into three groups: hyperandrogenism (HA) and PCO morphology; menstrual dysfunction and PCO morphology; menstrual dysfunction and HA and/or PCO morphology. Then each patient completed the following questionnaires: the Hospital Anxiety and Depression Scale, the Body Image Concern Inventory, the Rosenberg Self-Esteem Scale, the Short-Form Health Survey, and the Female Sexual Function Index. None. Both direct and indirect relationships among clinical symptoms, psychologic status, self-esteem, body image, and sexual function as independent predictors of HRQOL were examined with the use of structural equation modeling analysis. The clinical variables and psychologic distress had the strongest indirect relationships with HRQOL in the HA phenotype. The highest effect of PCOS symptoms on HRQOL impairment in patients with menstrual irregularities along with HA and patients with menstrual irregularities along with polycystic ovaries was exerted by clinical variables, poor perception of self-worth, negative body image, and sexual dysfunction. In patients with various phenotypes of PCOS, the effects of mediating variables on HRQOL are different. In patients with PCOS, the findings suggest that mediating factors, especially psychologic distress, self-esteem, body image, and sexual function, play an important role and should be taken into consideration and adequately treated if present.

Psychometric properties of the Iranian version of modified polycystic ovary syndrome health-related quality-of-life questionnaire

Can the modified polycystic ovary syndrome health-related quality-of-life questionnaire (MPCOSQ) be validated in Iranian patients with polycystic ovary syndrome (PCOS) to provide an instrument for future outcome studies in these patients? We show initial reliability and validity of the Iranian version of the MPCOSQ as a specific instrument to measure health-related quality of life (QOL) in patients with PCOS in Iran. The prevalence of PCOS in Iran is relatively high and studying QOL in these patients is important. The PCOSQ has previously been translated and validated in Iran but no studies had examined the psychometric properties of the MPCOSQ in Iran. This was a cross-sectional study. After linguistic validation of the Iranian version of MPCOSQ, an expert panel evaluated the items by assessing the content validity index (CVI) and content validity ratio (CVR). Then a semi-structured interview was conducted to assess face validity. Consequently, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to indicate the scale constructs (n = 200). In addition, reliability analyses including internal consistency and test-retest analysis were carried out. This study was carried out on women with PCOS (n = 200) who attended two private gynecology clinics in Kashan, Iran. Patients were eligible if they met each of the following criteria: 15-40 years of age; married; not having non-classic adrenal hyperplasia, thyroid dysfunction and hyperprolactinemia; Iranian; not having problems in speaking or listening; having two of the following Rotterdam diagnostic criteria: (i) polycystic ovaries visualized on ultrasound scan (presence of 12 follicles or more in one or both ovaries and/or increased ovarian volume >10 ml), (ii) clinical signs of hyperandrogenism (the hirsutism score based on the Ferriman-Gallwey score >7 or obvious acne) and/or an elevated plasma testosterone (normal range testosterone <2 nmol/l), (iii) having an interval between menstrual periods >35 days and/or amenorrhea as the absence of vaginal bleeding for at least 6 months, i.e. 199 days. CVI and CVR scores for MPCOSQ were 0.96 and 0.92, respectively. A six-factor solution (emotional disturbance, weight, infertility, acne, menstrual difficulties and hirsutism) emerged as a result of an EFA and explained 0.64% of the variance observed. The result of the EFA supported the item 'late menstrual period' being placed in the menstrual rather than the emotional subscale. The results of the CFA for six-factor model for MPCOSQ indicated an acceptable fit for the proposed model. Additional analyses indicated satisfactory results for internal consistency (Cronbach's alpha ranging from 0.76 to 0.92) and intraclass correlation coefficients (ranging from 0.71 to 0.92). Moving 'late menstrual period' from the emotional to the menstrual subscale significantly improved the reliability coefficient for both subscales. Study of patients with PCOS attending two private gynecology clinics may limit generalization of the findings to the entire population with PCOS. All patients in this study were married for cultural reasons in Iran. Therefore, the results of the present study have to be interpreted with some caution. The Iranian version of the MPCOSQ will fill an important gap in measuring the QOL in patients with PCOS in the research and community settings in Iran.

Orifice-Assisted Small-Incision Surgery: Case Series in Benign and Oncologic Gynecology

This case series describes the feasibility of orifice-assisted small-incision surgery (OASIS), a novel technique that may incorporate benefits of single-incision and natural-orifice surgery while minimizing issues such as instrument crowding and interaction of optical access with operative instrumentation. In our multiple-site series, we included patients from a large academic medical center in the northeastern United States and a private gynecology clinic in India. Between the 2 centers, a total of 14 patients (5 with benign disease and 9 with oncologic disease) underwent the following procedures: OASIS total laparoscopic hysterectomy, laparoscopic supracervical hysterectomy, laparoscopic myomectomy, or laparoscopic radical hysterectomy with pelvic lymph node dissection. The initial 14 cases were safely completed. Oncologic clearance was consistent with specialty norms. Operating time ranged from 60 to 150 minutes, and estimated blood loss ranged from 10 to 500 mL. Detailed procedure descriptions and videos are provided. Based on preliminary case series experience, OASIS seems to be a safe and feasible addition to the advanced minimally invasive surgeons’ armamentarium for both benign and oncologic cases.

Hysteroscopic Office Myomectomy Evaluation (HOME)

Compare safety and effectiveness of a new tissue removal system used by community gynecologists in office and hospital settings. Prospective, randomized, comparative site of treatment study. Eight outpatient private gynecology clinics and hospitals. 41 (100% AUB) patients undergoing hysteroscopic resection of intrauterine fibroids and/or polyps ≤ 3 cm. Mean patient age was 42 years. 34% were nulliparous; 51% had a previous vaginal delivery. The mean pre-treatment Uterine Fibroid Symptom Quality of Life (UFS-QOL, 5 level ordered response, 1 = Not at All to 5 = A Very Great Deal) symptom score was 30. Fibroid/polyp removal using the MyoSure™ Tissue Removal System (6.25 mm diameter hysteroscope and 3.0 mm diameter morcellator) and sterile saline for uterine distension. Women were randomized to undergo treatment in an office setting using a cervical block (61%) or hospital setting using IV sedation (39%). In these 41 women, a total of 23 fibroids (mean diameter 1.9 cm) and 29 polyps (mean diameter 1.4 cm) were removed. There was no difference in clinical outcomes between office and hospital-based treatments. Mean percent pathology removed was 98% per hysteroscopic evaluation. Mean resection time was 3.2 minutes. The cervical block was effective in 100% of office cases with a mean pain score of 2.1 (11-level ordered responses, No Pain = 0 and Worst = 10). Mean physician satisfaction with the device was 4.6 (5-level ordered responses, Very Dissatisfied to Very Satisfied). Of those 24 women that completed 90 day follow up, mean UFS-QOL score was 18, reflecting a 12 point improvement over baseline (p<.0001). There were no SAEs reported throughout 90 day follow-up. The MyoSure™ Tissue Removal System is well tolerated by women and can safely and effectively remove intrauterine fibroids and polyps ≤ 3cm in both office and hospital settings.

Hormone replacement therapy: post‐menopausal sex life and attitudes towards sex

AbstractBackground: Menopause is a natural phase of life, but it can bring about physical problems for women. It seems that hormone replacement therapy (HRT) can be helpful in preventing problems at this stage of life. Patient and physician attitudes regarding menopause and HRT may affect decisions about the use of HRT. This study was conducted to determine attitudes about the importance of sex in menopausal women and examine the relationship between HRT and sex life after menopause.Methods: This is a comparative study that was done in the year 2000. The questionnaire used had two main parts. One hundred and fifty‐four women receiving HRT were chosen from private gynecology clinics north of Tehran city and 130 women who were not receiving HRT were chosen from the neighborhood of the HRT group. The sex lives and attitudes towards sex of the women before and after menopause were then compared, and the results were tabulated in 55 tables. Descriptive and inferential statistical methods were used.Results: The average age in the HRT group was 53 years and that in the non‐HRT group was 56 years. There was a significant difference in the average age between the two groups (P &lt; 0.001). The average number of years post‐menopause was 3.9 in the HRT group and 5.9 in the non‐HRT group. In the HRT group, 91.9% of the women used the hormone as prescribed by their physician. In this group, 85.7% of the women were of the opinion that sex was important, but this proportion in the non‐HRT group was 25.4%. There was a significant difference between the HRT and non‐HRT groups (P &lt; 0.001). Compared to the attitudes before menopause, the attitudes about the importance of sex in 56.5% of the HRT group and 19.2% of the non‐HRT group did not change after menopause. Women receiving HRT fared better in all aspects of their sex life, including libido, sexual activity, sexual satisfaction, sexual pleasure, frequency of orgasms and sexual importance at the time of the study. There were significant differences between the HRT and non‐HRT groups (P &lt; 0.001). With respect to sexual pleasure, 6.5% of the HRT group and 4.6% of the non‐HRT group experienced greater pleasure; 68.5% of the HRT group and 11.5% of the non‐HRT group experienced no change; and 83.8% of the non‐HRT group experienced less pleasure. There was a significant difference between the two groups with respect to the change in sexual pleasure (P &lt; 0.001).Conclusion: Although the importance of sex decreased for elderly women in both the HRT group and non‐HRT group, HRT affected their attitudes about the importance of sex. There was a significant difference between the HRT group and non‐HRT group in this area (P &lt; 0.001). The importance of sex in the HRT group did not change much after menopause, compared to the non‐HRT group. There was a significant difference between the two groups (P &lt; 0.001). There were fewer changes in all aspects of sex life after menopause for those in the HRT group compared to those in the non‐HRT group. In the month before the interview, 30.5% of the HRT group and 10.8% of the non‐HRT group had experienced complete sexual satisfaction. The difference was significant between the two groups (P &lt; 0.001). On the basis of the importance of sex during post‐menopausal life, counseling on the benefits of HRT might be recommended.