Impact of an Exercise Protocol on Sexuality and Quality of Life of Climacteric Women

Main Article Content

Maria Teresa Pace do Amaral
Tânia Terezinha Scudeller
Marcella Carvalho Franco dos Santos
Natalia Vidal Guidorzi
Miriam Raquel Diniz Zanetti


Introduction: Climacteric is a period of transition between the reproductive and non-reproductive phases of the woman, due to hypoestrogenism. Some symptoms such as vasomotor and urogenital disorders and sexual dysfunctions are characteristics of this period that can interfere negatively in women´s quality of life. However, specific exercises can positively influence the improvement of these conditions. Objective: To verify the impact of a physiotherapist supervised exercise protocol on menopausal symptoms, sexuality and quality of life of climacteric women. Methods: A descriptive study with physiotherapeutic intervention through a specific exercise protocol. Participated in the study 18 women attended to Instituto da Mulher e Gestante, in the city of Santos (SP). Results: The women underwent initial physiotherapeutic evaluation, answered the Sexuality Questionnaire Female Sexual Function Index, Kupperman Menopausal Index and SF-36 quality of life. They were then submitted to health education about climacteric period and also to a physiotherapist supervised exercise group, once a week, lasting 50 minutes, for 12 weeks. The same questionnaires were reapplied at the end of this period. Conclusion: The protocol of specific group exercises supervised by physiotherapist did not influence sexual function, but it was effective for better quality of life and decreased significantly climacteric symptomatology.


Download data is not yet available.

Article Details

How to Cite
Amaral, M. T. P. do, Scudeller, T. T., Santos, M. C. F. dos, Guidorzi, N. V., & Zanetti, M. R. D. (2020). Impact of an Exercise Protocol on Sexuality and Quality of Life of Climacteric Women. ABCS Health Sciences, 45, 1263.
Original Articles


1. Blümel JE, Chedraui P, Baron G, Belzares E, Bencosme A, Calle A, et al. A large multinational study of vasomotor symptom prevalence, duration, and impact on quality of life in middle-aged women.Menopause. 2011;18(7):778-85.

2. Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, et al. Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab. 2012;97(4):1159-68.

3. Takahashi TA, Johnson KM. Menopause. Med Clin North Am. 2015;99(3):521-34.

4. Pinto Neto AM, Valadares AL, Costa-Paiva L. Climacteric and sexuality. Rev Bras Ginecol Obstet. 2013;35(3):93-6.

5. Addis IB, Van Den Eeden SK, Wassel-Fyr CL, Vittinghoff E, Brown JS, Thom DH, et al. Sexual activity and function in middle-aged and older women. Obstet Gynecol. 2006;107(4):755-64.

6. Eickmever SM. Anatomy and physiology of the pelvic floor. Phys Med Rehabil Clin N Am. 2017;28(3):455-60.

7. Farrell AE. Genitourinary syndrome of menopause. Aust Fam Physician. 2017;46(7):481-4.

8. Nazarpour S, Simbar M, Tehrani FR, Majd HA. Effects of sex education and kegel exercises on the sexual function of postmenopausal women: a randomized clinical trial. J Sex Med. 2017;14(7):959-67.

9. Elavsky S. Physical activity, menopause, and quality of life: the role of affect and self-worth across time. Menopause. 2009;16(2):261-71.

10. Probo AMP, Soares SIN, Silva FV, Cabral LUP. Levels of climacteric symptoms in physically active and insufficiently active women. Rev Bras Ativ Fis Saúde.2016; 21(3):246-54.

11. Vélez-Toral M, Godoy-Izquierdo D, Guevara NML, Galván CT, Ballesteros AS, García JFG. Improvements in health-related quality of life, cardio-metabolic health and fitness in postmenopausal women after an exercise plus health promotion intervention: a randomized controlled trial. JPhys Act Health. 2017;14(5):336-43.

12. Bo K, Hagen RH, Kvarstein B, Jorgensen J, Larsen S, Burgio KL. Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effect of two different degrees of pelvic floor muscle exercises. Neurouol Urodyn. 1990;9: 489-502.

13. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Manual de atenção à mulher climatérica: menopausa. Brasília: Ministério da Saúde, 2008.

14. Fernandes CE, Pinho Neto LSJ, Gebara ECO, Andrade PJ. I Diretriz Brasileira sobre Prevenção de Doenças Cardiovasculares em Mulheres Climatéricas e a Influência da Terapia de Reposição Hormonal (TRH) da Sociedade Brasileira de Cardiologia (SBC) e da Associação Brasileira do Climatério (SOBRAC). Arq Bras Cardiol. 2008;91(1 supl.1):1-23.

15. Santos JL, Leão APF, Gardenghi G. Sexual dysfunction in climacteric. Reprod Clim. 2016;31(2):86-92.

16. Franco MM, Driusso P, Bo K, Abreu DCC, Lara LAS, Silva ACJSR, et al. Relationship between pelvic floor muscle strength and sexual dysfunction in postmenopausal women: a cross-sectional study. Int Urogynecol J. 2017;28(6):931-6.

17. Javadivala Z, Kousha A, Allahverdipour H, Jafarabadi MA, Tallebian H. Modeling the relationship between physical activity and quality of life in menopausal-aged women: a cross-sectional study. J Res Health Sci. 2013;13(2):168-75.

18. Kim MJ, Cho J, Ahn Y, Yim G, Park HY. Association between physical activity and menopausal symptoms in perimenopausal women.BMC Womens Health. 2014;14:122.

19. Dabrowska J, Dabrowska-Galas M, Kowska MR, Michalski AB. Twelve-week exercise training and the quality of life in menopausal women: clinical trial. Prz Menopauzalny. 2016;15(1):20-5.

20. Miranda JS, Ferreira MLSM, Corrente JE. Qualidade de vida em mulheres no climatério atendidas na Atenção Primária. Rev Bras Enferm. 2014;67(5):803-9.

21. Pedro AF, Ribeiro J, Soler ZASG, Bugdan AP. Qualidade de vida de mulheres com incontinência urinária. Rev Eletr Saúde Mental Álcool Drog. 2011;7(2):63-70.

22.Moilanen JM, Aalto AM, Raitanen J, Hemminki E, Aro AR, Luoto R. Physical activity and change in quality of life during menopause an 8 year follow-up study. Health Qual Life Outcomes. 2012;10:8.

23. Tairova OS, De Lorenzi DRS. Influência do exercício físico na qualidade de vida de mulheres na pós-menopausa: um estudo caso-controle. Rev Bras Geriatr Gerontol. 2011;14(1):135-45.

24. Mendonza N, Tereza C, Cano A, Godoy D, Hita-Contreras F, Lapokta M, et al. Benefits of physical exercise in postmenopausal women. Maturitas. 2016;93:83-8.

25. Killingback C, Tsofliou F, Clark C. Older people’s adherence to community-based group exercise programmes: a multiple-case study. BMC Public Health. 2017;17:115.

26. Abreu DB. A experiência com grupos: da reflexão à análise. Rev SPAGESP. 2001; 2(2):27-30.

27. Batra A, Coxe S, Page TF, Melchior M, Palmer RC. Evaluating the factors associated with the completion of a community-Based Group Exercise Program Among Older Women. J Aging Phys Act.2016;24(4):649-58.

28. Paula GR, Souza BN, Santos LF, Barbosa MA, Brasil VV, Oliveira LMAC. Qualidade de vida para avaliação de grupos de promoção da saúde. Rev Bras Enferm. 2016;69(2):242-9.

29. Andrade RL, Bo K, Antônio FI, Driusso P, Mateus-Vasconcelos ECL, Ramos S, et al. An education program about pelvic floor muscles improved women´s knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial. J Physiother. 2018;64(2):91-6.