Menopause and Sex

Menopause is the end of the reproductive cycle not the end of a woman's sex life. A recent survey of 1001 women found a majority of women ages 50-65 say their sexual desire and interest in sex is just as robust or has increased since before menopause. Menopausal women surveyed cite:

• greater overall balance in life (77%)
• less child rearing responsibilities (61%)
• decreased risk of pregnancy (52%)

as key reasons for maintaining their sexual energies.

Declining hormone levels cause physical changes including:

• hot flashes
• night sweat
• insomnia
• bladder and urinary tract problems
• mood changes and general irritability

Talk to your physician about any physical difficulties you may be having related to menopause that may impair your sexual activity. Many of these difficulties can be improved with medical therapy, such as hormone replacement therapy (HRT), vaginal lubricants, aids for incontinence, or making changes to existing medication regimens.

For some women, these changes may translate into a decrease in self-esteem and eventually a loss in desire for sex.

Whatever the biological problem, your attitude will be the most important determinant of how well you and your partner cope. A healthy lifestyle that includes:

• regular exercise
• regular sleep
• eating a balanced diet

can boost confidence and improve sexual desire.