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Menopause & Sex

We know that physiological changes occur in women after menopause, which can sometimes affect their sexual activity and desire. These changes may occur in the vaginal walls, arousal, orgasm, lubrication, and sex drive. This can make sex less enjoyable and comfortable.

1.    Vaginal Dryness

About 20% of women after menopause have problem with vaginal dryness. This is the most common problem in menopausal women. This is because their vaginal walls may have become thinner and less flexible after menopause. This will result in itching, burning, and bleeding during sexual intercourse. Most over the counter water based lubricants may help with vaginal dryness. Vitamin E or any moisturizer can also help. However, if lubricants and moisturizer are not enough, then, vaginal estrogen cream or tables may be helpful. If the condition persists, you should consult your GPs.

2.    Stimulation and Orgasm

It takes more time and stimulation to become aroused for some women. Many women find that having sexual intercourse or masturbating regularly can help increase sexual responsiveness and pleasure. These activities help to support the muscles in the uterus, vagina and bladder to stay in shape and increase lubrication. Exercising by contracting the pelvic muscle near the vagina can also help strengthen the vaginal muscles.

4.    Sexual Desire

Most women find that they feel temporary or long-term loss of sexual interest during or after menopause. This loss in sexual desire may have affected by the following causes:

1.    Stress
2.    Fatigue
3.    Illness
4.    Mental or psychological issues
5.    Hormonal changes
6.    Medication side effects
7.    Relationship issues
8.    Discomfort from the physical changes of menopause

Relationship problems can be caused by ongoing difficulties in the relationship. These difficulties may or may not be worsen by changes at menopause. If this is the case, considering seeing a sexual therapist may be helpful (refer to www.relationships.com.au or www.relationshiphelponline.com.au)

If the problem is caused by hormonal changes, estrogen may help. These changes normally affect physical levels, such as vaginal dryness and pain during sexual intercourse. There is no recorded of direct relationship between estrogen levels and desire to have sex. One study published in the journal of Menopause in September/Octorber 2000, found no direct relationship between declining estrogen levels and desire to have sex. The research found, however, that hormonal levels, health, and social changes associated with aging, and the mental and emotional effects of being recently menopausal probably work together to create changes in a woman’s sexual desire.

5.    Increased Intimacy

Sexual relationships after menopause can be positive if you are able to adapt to the changes, Increased focus on sensuality, intimacy, and communication can improve your sexual relationship. There are many ways of expressing your love beside sexual intercourse:

1.    Hugging, cuddling, and kissing
2.    Touching, stroking, massaging and sensual baths
3.    Manual stimulation