To the Editor.—
Technically, Semmens and Wagner (1982;248:445) are incorrect in stating that there has been no physiological study of the effects of menopause on female sexual (vaginal) function. Undoubtedly, the true physiological test of the vagina is its sexual function, and this aspect has indeed been studied.One major study into the effect of hysterectomy, oophorectomy, and estrogen therapy on libido evaluated the conditions of 85 women divided into seven groups, depending on the status of their ovarian function and the presence or absence of a uterus. While the most substantial finding of this study was the high incidence of decreased or absent libido in all groups of patients having undergone a hysterectomy, irrespective of whether the ovaries had been conserved or not, the lack of value of estrogen replacement therapy was also striking. This was a surprising finding in view of the proved mental tonic effect of exogenous
Utian WH. Vaginal Function in Postmenopausal Women. JAMA. 1983;249(2):194–195. doi:10.1001/jama.1983.03330260018020
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