Exercise and Sexuality in Women With Menopausal Symptoms: A Systematic Review and Meta‐Analyses of Randomized Controlled Trials

AIMS: This systematic review and meta-analysis study aim to assess the impact of different exercise modalities interventions in postmenopausal women on sexuality and the severity of menopausal symptoms. METHODS: The preparation of this systematic review and meta-analysis rigorously adhered to the PRISMA 2020. This systematic review of the literature was conducted between May and June 2023, utilizing four electronic databases: PubMed, Cochrane Library, Web of Science and ULAKBİM. Articles were screened using MeSH-based keywords. Randomized Controlled Trials conducted within the last decade were included in the screening. Data analysis was performed using the Review Manager computer program. RESULTS: The analysis encompassed eight studies involving 1127 postmenopausal women. According to the results of the pooled random-effects model, applied to women after 12 weeks of exercise, the data were significant, indicating a positive impact on sexuality (MD: 0.86, 95% CI: 0.72 to 1.01, Z = 11.47, p < 0.00001). Concerning the psychological symptoms of menopause, the data were also found to be significant, with improvements observed after 12 weeks of exercise in women (MD: 0.25, 95% CI: 0.02 to 0.49, Z = 2.15, p = 0.03). CONCLUSION: This study provides evidence that a 12-week exercise regimen administered during the postmenopausal period positively influences postmenopausal women's sexuality and ameliorates psychological menopausal symptoms. However, it does not appear to have an effect on vasomotor menopausal symptoms. PROSPERO NUMBER: CRD42023427991.