The role of physical activity in menopause

The climacteric period is a time when women experience many unpleasant symptoms with different intensity. It has been reported that 85-89% of women experience climacteric symptoms resulting from hormonal fluctuations, which affect their quality of life, therefore this time can be difficult for women. During menopause sexual behaviours are modified because of low libido, decreased interest in sex and sexual desire, and vaginal dryness which cause discomfort during sexual intercourses. Despite the opinion about a decrease in sexual activity caused by a low level of estrogen during menopause, the results of different studies contradict this thesis. Etiopathogenesis and the intensity of sexual dysfunctions should be considered before choosing treatment in menopausal women, and undesirable effects of the therapy should never exceed its benefits. Individually tailored menopausal hormone therapy (MHT) is commonly used to ease menopausal symptoms in women with moderate or severe intensity of these symptoms. Natural methods such as making positive lifestyle changes, regular physical activity and healthy diet represent an alternative for menopausal women suffering from some climacteric syndromes. Physical activity is one of the major lifestyle-related determinant which directly or indirectly influences different life components. Promotion of the healthy lifestyle is essential in order to encourage women to give up bad habits, practice healthy eating and regular physical activity.