What question did this study set out to answer?

This study aims to evaluate the prevalence and impact of genitourinary syndrome of menopause (GSM) on work ability among Chinese-speaking sex workers.

June 20, 2026Open Access

The genitourinary syndrome of menopause is associated with significant impact on work ability among Chinese-speaking sex workers: a cross-sectional survey

EJEva JonesUNSW Sydney AWArthur WongSydney Sexual Health Centre MMMaggie MaSydney Sexual Health Centre

Key Points

This study aims to evaluate the prevalence and impact of genitourinary syndrome of menopause (GSM) on work ability among Chinese-speaking sex workers.
Cross-sectional study conducted at the Sydney Sexual Health Centre
Participants completed an anonymous online survey in Simplified Chinese
Used various scales to measure GSM symptoms and personal wellbeing.
83.1% of participants reported experiencing GSM, with moderate to severe symptoms in 59.2%
Loss of libido (79.3%), lubrication (78.2%), and vaginal dryness (77.2%) were common symptoms
Higher GSM severity linked to lower job satisfaction (24.1% vs 63.3%; p=0.002) and reduced work ability (92.9% vs 64.3%; p=0.009).

Abstract

Objectives Midlife women in the sex industry may be uniquely impacted by the genitourinary syndrome of menopause (GSM) because of the nature of their work. However, there is little research in the area. This study investigates the prevalence and severity of GSM in a cohort of Chinese-speaking sex workers (SWs) and determines associations between symptom severity and impact on work and life. Study design This cross-sectional study was conducted at the Sydney Sexual Health Centre (SSHC) in New South Wales, Australia. Chinese-speaking female SWs aged ≥45 years were invited to participate on attendance at SSHC clinics. Participants completed an anonymous online survey translated into Simplified Chinese. Main outcome measures Measures included an abbreviated Personal Wellbeing Index; a modified Greene Climacteric Scale; and Domains A and B of the Genitourinary Syndrome of Menopause Symptoms and Vaginal Treatment Acceptability Questionnaire. Results The prevalence of GSM among peri- and post-menopausal participants was 83·1% ( n = 49/59). Over half of those with GSM reported moderate to severe symptoms ( n = 29/49; 59·2%). Loss of libido ( n = 42/53; 79·3%), loss of lubrication ( n = 43/55; 78·2%), and vaginal dryness ( n = 44/57; 77·2%) were most prevalent. Higher severity of GSM was significantly associated with lower job satisfaction (24·1% vs 63·3%; p = 0·002) and reduced ability to work (92·9% vs 64·3%; p = 0·009). Conclusion GSM is highly prevalent among Chinese-speaking female SWs attending SSHC. Reducing symptom severity may significantly improve the personal and professional lives of menopausal SWs. SW-specific services should be designed – in collaboration with peer-led organisations – to provide culturally competent and accessible GSM-related care.

Ask AI

Helpful

Bookmark

View Full Paper