<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942023000800030</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Algunas consideraciones sobre la sexualidad de la mujer en el periodo perimenopausico]]></article-title>
<article-title xml:lang="en"><![CDATA[Some considerations on women's sexuality in the perimenopausal period]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Martínez]]></surname>
<given-names><![CDATA[Ronelsys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pimienta-Concepción]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alarcón-Vela]]></surname>
<given-names><![CDATA[Ariel Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Regional Autónoma de Los Andes  ]]></institution>
<addr-line><![CDATA[Ambato ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000800030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000800030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000800030&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la esfera sexual en el ser humano tiene una notable relevancia, pudiendo ser afectado por procesos fisiológicos como la aparición de la menopausia.  Objetivo:  caracterizar la sexualidad de la mujer en etapa perimenopausica.  Métodos:  se realizó una revisión de la literatura en las bases de datos Scopus, PubMed/MedLine y SciELO sobre la sexualidad durante el periodo de climaterio y menopausia. Para la búsqueda de información se empleó una fórmula de búsqueda mediante la combinación de términos.  Resultados: la fisiología de las hormonas femeninas se modifica al paso de los años, así como la repercusión de estos cambios hormonales y las manifestaciones clínicas tanto en el aparato reproductor femenino como a nivel sistémico. Es necesario hacer énfasis en los cambios de estilo de vida y en la individualización de las pacientes para iniciar un tratamiento hormonal teniendo en cuenta beneficios, riesgos y contraindicaciones de los tratamientos .  Conclusiones: la sexualidad es un proceso inherente a la vida, así como la menopausia, que es un proceso fisiológico que modifican el ciclo de repuesta sexual. La menopausia no marca necesariamente el cese de la vida sexual. Los hábitos de vida saludable y la protección contra las infecciones de transmisión sexual junto a una sólida orientación, son elementos imprescindibles para lograr una sexualidad sana durante la menopausia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the sexual sphere in the human being has a remarkable relevance, and can be affected by physiological processes such as the onset of menopause.  Objective:  to characterize the sexuality of women in perimenopausal stage.  Methods:  a review of the literature on sexuality during the climacteric and menopausal period was carried out in the Scopus, PubMed/MedLine and SciELO databases. A search formula using a combination of terms was used to search for information.  Results:  the physiology of female hormones changes over the years, as well as the repercussion of these hormonal changes and the clinical manifestations both in the female reproductive system and at a systemic level. It is necessary to emphasize lifestyle changes and individualization of patients to initiate hormonal treatment, taking into account the benefits, risks and contraindications of the treatments.  Conclusions:  sexuality is a process inherent to life, as well as menopause, which is a physiological process that modifies the sexual response cycle. Menopause does not necessarily mark the cessation of sexual life. Healthy lifestyle habits and protection against sexually transmitted infections, together with a solid orientation, are essential elements to achieve a healthy sexuality during menopause.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[CLIMATÉRIO]]></kwd>
<kwd lng="es"><![CDATA[MENOPAUSIA]]></kwd>
<kwd lng="es"><![CDATA[SEXUALIDAD]]></kwd>
<kwd lng="es"><![CDATA[ESTILO DE VIDA]]></kwd>
<kwd lng="en"><![CDATA[CLIMACTERIC]]></kwd>
<kwd lng="en"><![CDATA[MENOPAUSE]]></kwd>
<kwd lng="en"><![CDATA[SEXUALITY]]></kwd>
<kwd lng="en"><![CDATA[LIFE STYLE]]></kwd>
</kwd-group>
</article-meta>
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