Inquérito sobre o conhecimento e aceitação da «síndrome geniturinária da menopausa» pelos ginecologistas portugueses

• Autor(a) principal: Vieira-Baptista,Pedro
• Data de Publicação: 2017
• Outros Autores: Tavares,Sara, Lima-Silva,Joana, Neves,Ana Raquel, Geraldes,Fernanda, Águas,Fernanda
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302017000200005
• topic: Genitourinary syndrome of menopause; Menopause; Vaginal atrophy; Survey; Portugal

Overview and Aims: The concept of "genitourinary syndrome of menopause" (GUSM), created in 2013, is widely used, despite the lack of studies and validation. This survey intended to evaluate the knowledge, agreement and concerns of Portuguese gynaecologists about it. Study design, population and methods: An online survey was sent to Portuguese gynaecologists (all the members of the Portuguese Society of Gynaecology, personal contacts and specific groups in social networks). Results: Out of 118 completed surveys, 66.1% belonged to specialists and 43.9% to residents. It was reported by 83.9% that they were acquainted with the GUSM, without differences between specialists and residents (85.0% vs. 83.3%, p=1.000). Most (66.7%) use "vaginal atrophy" or "atrophic vaginitis" in their daily practice; GUSM is used by 6.1% and 27.3% use both denominations. Considering "0" to be total disagreement and "10" total agreement, the justifications for the creation of this syndrome were rated as follows: "vaginitis implies infection or inflammation, which is not always the case" 8.1±2.57; "urinary signs and symptoms tend to be overlooked" 6.4±2.96; "atrophy has a negative connotation" 4.7±3.46 and "vagina is not generally a well-accepted term by women and the media" 3.4±3.41. It was considered by 37.9% that it may lead to sub-diagnosis/no diagnosis of sexual dysfunction; of vulvar pathology by 32.6% and of urinary tract pathology by 23.7%. Globally, 77.8% agree with the concept of GUSM, without differences between specialists and residents (80.0% vs. 73.5%, p=0.459); 75.4% consider that they will use it in the future (residents 57.9% vs. specialists 83.3%, p=0.053). Conclusion: Most Portuguese gynaecologists are aware of the concept of GUSM, and intend to use it the future, despite not fully agreeing with the assumptions that led to its creation.