Week 6: Post-Menopausal and Sexuality Issues in the Maturing and Ol


Ageism and gender bias can affect to whom and how we ask about sexual health, sexual activity, and concerning symptoms. Depending on your own level of comfort and cultural norms this can be a tough conversation for some providers but this is an important topic. As this week’s required NAMS videos discussed, women are wanting us to ask about sexual concerns. This week we also reviewed sexually transmitted diseases and the effects of ageism on the time to diagnosis so it is necessary to ask these questions and provide good education for all patients. You will not know any needs unless you ask.

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1. Review the required NAMS videos. What was the most surprising statement or topic that you heard in the videos? Explain why this was surprising to you.
(The most surprising thing I’ve learned from watching the NAMS videos is that many health care providers do not view sexual dysfunctions as real conditions and is the reason why it is rarely discussed during visits and that 1 and 10 woman makes the criteria for sexual dysfunction)

2. What is the definition of GSM ? What body systems are involved? How does GSM affect a woman’s quality of life?
(The body systems that are involved are vulva, vagina, and lower urinary tract and includes genital symptoms, such as dryness, burning, and irritation)

3. Review one aspect of treatment that Dr Shapiro recommends for GSM and include an EBP journal article or guideline recommendation in addition to referencing the video in your response.
Treatments consist of trying nonpharmacological therapies for three months, and if no improvements, then pharmacological therapies can be incorporated. The treatment goal is to relieve the symptoms. Moisturizers and lubricants can be used first; then low dose vaginal estrogen therapy can be initiated.
Dr. Shapiro recommends Prasterone, which is not estrogen base and does not have a black box warning.

Sexuality and the older adult
4. What is your level of comfort in taking a complete sexual history? Is this comfort level different for male or female patients? If so, why?
(I would say that there is a difference regarding questioning a male vs. female about his or her sexual history and I feel it may be just as uncomfortable for the patients. It could be that I haven’t been practicing as a student nurse practitioner all that long and it may be more comfortable with the more experience I have. Aside from discussing sexual history with the more experience I obtain, there still may always be some level of discomfort. For me, it is easier to discuss sexual history with older patients then it is with younger patients)

5. How will this week’s information impact the way you will interact with your mature and elderly clients in the future?
(This week will impact my interaction with mature and elderly clients in a positive manner. Through learning more information about menopause and treatments to help alleviate symptoms of menopause, I will be able to focus on treatment plans to help my patients, thus thinking less about the uncomfortableness)

Paper is supported with appropriate, scholarly sources
Sources are published within the last 5 years ; AND
Reference list is provided and in-text citations match
Cite every action step, no part of the plan is common knowledge. You must cite exactly where you found the evidence to support the plan

***** I have attached the sources to sources that needs to be used and also provided link for the NAMS videos so you can watch then as well.

NAMS videos – North American Menopause Society

1. 2017: Tips for Taking a Sexual History https://www.youtube.com/watch?time_continue=58&v=4wfq9Lgic_w&feature=emb_logo

2. 2016: Dr Shifren discusses GSM Credits: Provided as courtesy of The North American Menopause Society https://www.youtube.com/watch?v=hrzTdhO4pso&feature=emb_logo

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