In the years during and after menopause, you may experience changes in your sexual life. Some women say they enjoy sex more, while others find they don’t enjoy it as much.

What’s responsible for these changes? How can you have a better sex life after menopause?

Changes in sexuality at this time of life have several possible causes, including:

• Decreased hormones can make vaginal tissues drier and thinner, which can make sex uncomfortable.

• Decreased hormones may reduce sex drive.

• Night sweats can disturb a woman’s sleep and make her too tired for sex.

• Emotional changes can make a woman feel too stressed for sex.

It’s important to remember that a lack of interest in sex is not necessarily something that requires treatment. However, if sexual changes are bothersome, don’t be hesitant about getting the help you need.

An online survey of more than 1,000 women aged 35 and older found that nearly six out of 10 reported vaginal changes including dryness, pain, discomfort or “tightness” during sex, as they approached or passed menopause.

Medical Conditions Associated With Menopause

Dyspareunia. The medical term for painful sex, this is defined as persistent or recurrent genital pain that occurs just before, during or after intercourse. This is one of the main reasons that between 25 and 45 percent of postmenopausal women find sex painful. Painful intercourse can occur for a variety of reasons — ranging from structural problems to psychological concerns, and many women experience painful intercourse at some point in their lives.

Vulvovaginal Atrophy. The thinning and inflammation of the vaginal walls due to a decline in estrogen. Vaginal atrophy occurs most often after menopause, but it can also develop during breastfeeding or at any other time your body’s estrogen production declines. Estrogen is to your genital area what moisturizer is to your face – critical for keeping everything lubricated and healthy. Less estrogen can result in the genital tissue becoming dry and less acidic, increasing your risk of infection. It can also take longer to get lubricated for sex, even when you’re in the mood.

Over time, estrogen deficiency can lead to more significant changes in the entire urinary/genital area, including reduced blood flow to the vagina. This can affect the vagina’s ability to secrete lubricant, to expand and contract and to grow new cells. Eventually, blood flow to the vulva and vagina diminishes, and tissue in this area can atrophy, or shrink, as cells die off and aren’t replaced. The result: soreness, burning after sex, pain during intercourse, and, sometimes, post-sex bleeding.

Simple Steps To Take

The following ideas may help with sexual issues you face at this time:

• Get medical problems treated. Your overall health can affect your sexual health. For example, you need healthy arteries to supply blood to your vagina.

• Exercise. Physical activity can increase your energy, lift your mood, and improve your body image — all of which can help with sexual interest.

• Quit smoking. Cigarette smoking can reduce both the blood flow to the vagina and the effects of estrogen, which are important to sexual health.

• Give your body time. Allow time to become aroused during sex, since moisture from being aroused protects tissues. Also, avoid sex if you have any vaginal irritation.

How To Improve Sex After Menopause  was originally published on

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