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October 7, 2025Open Access

Genitourinary syndrome of menopause in Chinese-speaking sex workers attending an urban Australian sexual health clinic: a quality improvement project

YZYing ZhouGuiyang College of Traditional Chinese Medicine AWArthur WongNew South Wales Department of Health MMMaggie MaNew South Wales Department of Health

Key Points

Painful sex due to vaginal dryness was reported by 31 Chinese-speaking sex workers, impacting their quality of life.
Sixteen participants showed symptoms of oestrogen deficiency, suggesting significant menopausal health concerns.
Screening involved a modified Greene Climacteric Scale in an urban sexual health clinic with 46 participants aged 45 and older.
Healthcare services must be culturally sensitive and accessible to address the specific needs of commercial sex workers.

Abstract

This Letter reports on perimenopausal and menopausal symptoms among Chinese-speaking commercial sex workers (CSWs) attending Sydney Sexual Health Centre. Forty-six CSWs aged ≥45 years were screened using a modified Greene Climacteric Scale. Sixteen showed symptoms of oestrogen deficiency, and 31 reported vaginal dryness causing painful sex. Given the physical demands of sex work, these symptoms may impact quality of life and ability to work. Findings highlight the need for culturally sensitive, accessible healthcare services to address the menopausal health concerns of CSWs and reduce barriers to care.

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