Abstract: In recent decades, life expectancy has increased, resulting in more women living into their menopausal years and it presents numerous physiological and psychological changes, including a decline in libido.
The aim of the study is exploring literature to identify type and duration of exercise that can improve sexual libido in menopausal women.
We conducted a systematic literature review, the articles selected was published between 2014 and 2024 using PRISMA checklist, database search was executed using search engines of notable digital libraries such as PubMed, Embase, World of Science, Cochrane Library, Scopus, and Google Scholar. The keyword search identified 684 articles, inclusion criteria and article abstract 15 relevant articles taken for our study.
Types of exercises reviewed are categorised in themes:
Mind-body exercise: Yoga for 45 minutes daily or75 minutes twice a week for 12 weeks had improved desire and enhanced intimacy.
General Exercise: Only walking had similar sexual function scores to non-exercisers, no impact on desire, arousal, lubrication, orgasm, or satisfaction. Intense, increase exercise and resistance exercise decreases sexual activity and reduces sexual desire.
Daily activities: Physically active women making activity ?5 days/week for ?30 minutes/session have better desire, arousal, lubrication, orgasm, satisfaction, and less discomfort in contrast with sedentary women.
Pelvic floor muscle training: Showed controversy, some studies showed notable improvements with 2-4 times a week for 30-55 minutes each session of 30 contractions while others notify no significant improvement.
Dancing: Significant and long-lasting improvement, 60 minutes twice a week for 16 weeks will do.
Non-physical activity-related: Sex education, lubricant gel and self-centralised health education led to a significant enhancement in sexual function.
General education of menopausal women about the importance of intermit life after menopause and exploration of sexual dysfunction in health care for menopausal women in a transparent, clear way. Advice menopausal women with loss or reduced libido for yoga, dancing, and pelvic floor exercise; educate her about diet, sexual life, use of lubricants and practising active lifestyle to boost their sexual libido and function, which can help to provide stable intimate relationship, self-confidence, and mutual care without the need for medications that may be associated with vast side effects.
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