Tips To Enjoy Sex After Menopause

Menopause, a natural phase in a woman’s life, often brings significant changes to her body and overall well-being. While it marks the cessation of menstruation, it also heralds the end of the ovaries’ production of estrogen, the primary female sex hormone. This hormonal shift can lead to various adjustments and challenges, as estrogen plays a pivotal role in numerous bodily functions, from maintaining bone health to stabilizing moods and regulating cholesterol levels.

However, one of the most profound and potentially distressing changes associated with menopause pertains to vaginal health. Estrogen’s influence extends to the vaginal lining, ensuring its elasticity and moisture. In the absence of estrogen, the vaginal tissue undergoes atrophy, leading to dryness and potential difficulties with arousal. Consequently, sexual intercourse may become painful and could result in tearing of the vaginal tissue.

Dr. Lisa M. Valle, an obstetrician-gynecologist and the medical director of Oasis Women’s Sexual Function Center in Santa Monica, California, sheds light on the challenges that women encounter. She frequently encounters women who have endured years of being told that pain during sex is an inevitable consequence of aging. Dr. Valle emphasizes that there are viable solutions and interventions available for those grappling with this issue, reaffirming that there is hope and help beyond the pain.

It is essential to acknowledge that not all women experience painful sex after menopause. Some report increased relaxation during intimacy, unburdened by concerns about pregnancy, and often benefiting from more leisurely time for themselves without the demands of young children.

However, for those who find post-menopausal sex uncomfortable or even agonizing, there is a wealth of information and strategies to explore. In this comprehensive guide, we delve into the intricacies of menopause and sex, and unveil six practical ways to foster comfort and pleasure in intimate relationships during this phase of life.

1. Find a Lubricant You Love

The discomfort stemming from vaginal dryness is entirely treatable, asserts Dr. Mary Jane Minkin, a clinical professor of obstetrics and gynecology at Yale School of Medicine. An accessible option involves using over-the-counter vaginal moisturizers designed for regular use, typically two to three times a week, rather than exclusively before sexual activity. A stroll through a local drugstore reveals a plethora of brands offering these products, catering to various preferences.

When the moment for intimacy arises, incorporating a water- or silicone-based lubricant designed for immediate use can provide an extra layer of assistance. The diversity of lubricants available on the market may astonish those who have not explored this realm previously. From natural and additive-free formulations to single-use packets ideal for on-the-go encounters, there is an array of options to suit individual tastes and preferences.

2. Embrace Increased Sexual Activity

Although it may initially appear counterintuitive, engaging in more frequent sexual activity can mitigate the thinning and irritation of vaginal tissues. Arousal prompts heightened blood circulation to the genital area, contributing to the maintenance of vaginal tissue health. Even without a partner, masturbation can fulfill this role, affording similar benefits.

3. Consider Prescription Creams

If over-the-counter remedies prove insufficient in addressing vaginal dryness, or if libido concerns persist, it is advisable to consult a healthcare provider. They can offer guidance on medical interventions that may alleviate these issues. One potential solution involves low-dose estrogen vaginal creams containing dehydroepiandrosterone (DHEA).

Cream application is not the sole therapeutic avenue. Vaginal tablets and rings, which are inserted into the vagina and absorbed through the skin, offer alternative treatment options. Moreover, the FDA has sanctioned Osphena, a hormone-free medication taken once daily, designed to enhance vaginal tissue thickness, thereby reducing the likelihood of pain and tearing. However, it is imperative to note that Osphena is not suitable for everyone, necessitating consultation with a healthcare provider to ascertain candidacy.

4. Inquire About Testosterone Replacement

Testosterone replacement, long used to rekindle waning libidos in men, can also contribute to enhancing female sex drives. However, not all healthcare providers may prescribe synthetic versions of this hormone, which women naturally produce in small quantities. Additionally, it is crucial to recognize that testosterone is not a universal panacea and may carry side effects, including acne and hair thinning. Dr. Minkin anticipates the development of innovative libido-enhancing remedies, asserting that newer options are continually emerging.

5. Engage in Open Communication

The physical changes wrought by menopause can extend to emotional and psychological domains, generating stress and anxiety surrounding intimacy. For individuals experiencing painful sex, discussing these concerns with their partner can alleviate emotional burdens and foster understanding. Partners can provide crucial emotional support during this transitional phase. For those who are single or require additional support outside their relationships, healthcare providers represent valuable resources. Dr. Minkin underscores the importance of establishing a rapport with a trusted gynecological healthcare provider, such as a doctor, nurse-midwife, or nurse practitioner, who can offer invaluable guidance and advice.

Furthermore, consulting a sex therapist can empower individuals to express their needs and desires more openly, while also reinforcing the notion that the changes experienced during menopause are entirely normal.

6. Embrace Sexual Experimentation

Menopause frequently brings an array of common symptoms, including hot flashes, altered bladder control, sleep disturbances, mood fluctuations, and vaginal changes. It is essential to acknowledge that these symptoms can diminish one’s self-esteem and potentially dampen the mood. Seeking guidance from a healthcare provider on how to manage these symptoms is essential. Addressing these concerns early is advisable, as some problems may escalate over time.

Understanding that nurturing libido and fostering arousal may demand additional effort is crucial. This may entail extended foreplay, exploring erotic materials, introducing sexual aids or toys into one’s routine, or simply focusing on relaxation. The role of estrogen in libido is worth acknowledging, as it contributes not only to the physical changes of menopause but also to decreased sexual desire.

In closing, it is vital to dispel the notion that menopause heralds the end of one’s sex life. Dr. Valle offers a reassuring perspective, sharing an anecdote of an 80-year-old woman who continues to maintain a fulfilling sexual relationship with her partner. Menopause signifies a different stage of life, yet it need not preclude a satisfying and rewarding sex life. With proactive measures, open communication, and support from healthcare providers and therapists, individuals can navigate the complexities of menopause and emerge with a vibrant and fulfilling intimate life.