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Can A Woman Enjoy Sex After Menopause

Lgbtqia+ And Sex During Menopause

How To Enjoy Sex After Menopause

A person born with ovaries will experience menopause, but the experience may vary, depending on their gender identity.

If the person undergoes surgery to remove the ovaries before midlife, the effects of menopause will start to appear soon after the procedure. Effects may be more abrupt and feel more severe than with natural menopause, as they will not develop gradually. Male hormone supplements may either reduce or complicate these effects.

Females in same-sex couples who experience menopause naturally at midlife may find that their partner can offer positive support regarding changing sexual emotions and activity. According to some research , however, same-sex couples may also find that stigma and societal pressures add to their stresses and make it harder to access support.

People who were assigned male at birth but have transitioned to female may use hormone therapy for life. As long as they continue treatment, menopause-type effects should be limited. Their libido is unlikely to change due to hormonal fluctuations, but age-related changes may still affect it.

Or You Might Find That Youre Not As Interested In Sex And Be Totally Fine With That

A lot of my patients who are many years past menopause report that their lives have changed in that way: The emphasis on and impact of sexual intercourse arent what they were before, says Pizarro. When talking through potential treatment options, many of his patients decide its not a big enough deal for them to pursue a medical solution to lowered libido. Its just not something that concerns them. Their life has transitioned to a point where theyre more focused on spending time with their partner or traveling, he explains.

Why Men Should Be Involved

Sexual symptoms are typically a problem for women because they cause a mismatch between her partners sexual needs and her own. For example, a woman who takes longer to orgasm after menopause may only be bothered if her partner experiences quicker orgasms as he ages. Menopausal sexual problems are a joint problem, most effectively treated by involving both partners. It helps when the male partners of menopausal women are educated about why the sexual symptoms of menopause arise and what might exacerbate them. Educated partners are in a better position to help menopausal women treat the symptoms and have a great sex life after menopause.

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Try Some Direct Stimulation

During the menopausal transition, blood flow to the vagina and clitoris decreases. If you usually need clitoral stimulation in order to orgasm, well, the resulting decrease in sensitivity can make orgasm more difficult to achieve.

More difficult doesnt mean impossible! It just may take a little longer or require a new approach.

Give these tips a try:

  • Touching. Start by touching, rubbing, or stroking your clit or asking your partner to. Lube, like we mentioned above, can make a difference by reducing friction and increasing your pleasure. If youre new to direct touching, our guide to clitoral stimulation offers plenty of ideas for you and your partner to consider.
  • Oral sex.Oral sex can be a great way to get things going. It stimulates your clit, for starters, but it also offers the added bonus of lubrication.
  • Vibrators.Using a vibrator regularly, during solo or partnered sex, may help boost sensitivity and wetness and make it easier to reach orgasm.

Myth: Menopause Ends Your Desire For Sex

Can A Woman Enjoy Sex After Menopause? (And How To ...

The facts: Many women do report decreased sexual desire with menopause and the perimenopausal period leading up to it. Some women, however, report an increased libido while others report no change in their desire for sex.

Because libido is a complicated issue thats both physical and psychological, these differences are likely due to several factors.

You may, for instance, find sex is the last thing on your mind when youre experiencing hot flashes that leave you drenched, mood swings that remind you of puberty, and unexplained weight gain that makes your pajamas tighter than they ought to be.

But many women breeze through perimenopause to menopause with few problems and simply dont experience the hot flashes, mood swings, and other symptoms that make sexual desire a distant memory for some.

The good news is, you dont have to accept loss of libido as a normal part of menopause. If your desire for sex is low , and youd like a change, we can help with treatment that may include home remedies, over-the-counter aids, and prescription medicine, when necessary.

We can also help you work through the emotional aspects of menopause and the aging process itself. Depending on your circumstance, we may refer you for counseling and/or prescribe antidepressants, which are also known to decrease the hot flashes associated with menopause.

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What Is Female Sexual Dysfunction

Female sexual dysfunction is more common than you might think. Several surveys show that approximately 43 percent of American women have some form of sexual dysfunction, from low desire to painful intercourse.

In postmenopausal women, several factors can contribute to a less-than-fulfilling sex life. Declining estrogen levels associated with menopause can lead to a decreased arousal. The testosterone so vital to the male libido is also present in women the gradual decline in testosterone levels from age 30 onward may affect the female libido. And vaginal dryness – common in post-menopausal women – can make intercourse painful, not to mention all the stresses of midlife.

Before medical school, I helped organize a support group of mothers with young children who met to discuss medical topics of interest to women. I chose the topic of menopause and that turned out to be the turning point in my life. At nearly 30 years of age, I returned to school to obtain a medical degree. In those years, women were not really included in making decisions regarding their health care the style then was for physicians to tell patients what to do. I saw entering the medical profession as a way to change healthcare to a more collaborative model.

A Short Guide To Sex After Menopause

While some women will go through menopause with little more than some slight inconvenience, others will find themselves with the classic menopausal symptoms. Yep think hot flashes, night sweats, and more. But what about sex after menopause?

Sex after menopause might be fantastic, it might be pretty similar to before, or it might be affected by all kinds of symptoms, such as bladder control issues, a loss of self-confidence, poor sleep, and stress or anxiety related to the transition. Everybody is different.


And if youre wondering do women enjoy sex after menopause? the answer will, of course, vary depending on who you ask. But with the right information about sex after menopause, we hope everyone will continue to enjoy a loving and intimate sex life.

So whatd good to know about having sex after menopause? Heres our quick guide.

In this article:

  • What happens to a woman sexually after menopause?
  • Why does sex hurt after menopause?
  • Does sex drive return after menopause?
  • Can a woman have an orgasm after menopause?
  • How do you pleasure a woman after menopause?
  • Sex after menopause tips

Also Check: What Causes Hot Flashes Besides Menopause

Why Is Sex Painful For Some Women After Menopause

When sex is painful after menopause, it’s usually because of dryness or vulvovaginal atrophy. Mild dryness that is only bothersome during intercourse can be treated with increased use of vaginal lubricants. More significant pain or dryness may require treatment with local estrogens or other medications.

Reclaiming Your Sex Life

How to have great sex after menopause

If youre upset by your waning sex life, there are some steps that we can take to restore your physical health, including hormone replacement therapies that can help your vaginal tissue with extra resources. We also offer the MonaLisa Touch®, an innovative laser therapy that can improve vaginal tissue health.

We also espouse a natural approach to the effects of menopause by encouraging you to explore your sexuality. Studies show that the more you engage in sexual activity, either on your own or with a partner, the more your body responds and boosts the health of your vagina.

Rest assured, were with you every step of the way, providing treatment and counseling as you go. If youd like to take charge of your sex life again after menopause, please call our Princeton, New Jersey, clinic at 609-246-5541 or schedule an appointment using our online booking tool.

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Getting Your Sex Life Back After Menopause

To address the issues listed above, there are a few treatment options to consider, including:

  • Estrogen treatment. Talk to your doctor about estrogen and hormone therapy, which can treat the main physical side effects of menopause. But do know the risks reports that theres a small risk the amped up estrogen can contribute to uterine cancer unless with the synthetic hormone progestin. But combining the two may then increase a woman’s risk of breast cancer, according to The American Cancer Society. Be sure to ask your doctor about these risks!
  • Vaginal dilators. No, no, not a scary metal contraption or anything close to a speculum . Vaginal dilators look a lot like plain old dildos, but theyre used throughout your day in non-sexual situations to gently ease your body back into penetration. This is especially helpful for vaginismus and painful sex because it builds vaginal muscles and shows your body its safe to have things inside you. is $50, but there are less expensive options too. Gradually increase the size as you work back toward penetrative sex.

It can be difficult to honor and love our bodies as we age. Especially with every magazine cover and advertisement hawking wrinkle creams, fad diets, and exercise trends. And yes, exercise can also make sex better but not all trends are effective: remember those weird vintage waist bands that vibrated back and forth?

Improving Your Sex Life

You dont have to settle for a less-satisfying sex life. Lifestyle changes and medical treatments can help improve your sexual health.

For some women, simple things like doing pelvic floor exercises and using vaginal moisturizers or lubricants can make a big difference. And allowing more time for foreplay may boost your ability to become aroused.

For stubborn menopause symptoms, treatment with hormone therapy or vaginal estrogen can help.

And if vaginal dryness, pain during sex, or urinary incontinence stand in the way of your sexual enjoyment, Alpenglow offers treatment with MonaLisa Touch, a minimally invasive laser procedure that regenerates vaginal tissue without the need for medications.

MonaLisa Touch is a safe, effective procedure that restores vaginal strength and flexibility by promoting the formation of new blood vessels and collagen, a protein that gives your vaginal tissue strength.

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Ask Your Doctor About Testosterone

Testosterone replacement has long been used as a solution for men with a waning libidoand it can help rev up your own sex drive as well. Still, not all doctors are OK with prescribing synthetic versions of this main male hormone . Testosterone is by no means a cure-all and can come with side effects like acne and thinning hair. Luckily, newer remedies to enhance libido are being worked on even as we speak, Dr. Minkin says.

Factors That Affect Desire

Can A Woman Enjoy Sex After Menopause? (And How To ...

Your estrogen takes a nosedive during menopause and the years leading up to it, called perimenopause. This change has a huge impact on your sexual function. It can lower desire and make it harder for you to become aroused. It can also make the vaginal canal less stretchy and you may experience dryness, which can cause intercourse to be painful. More than a third of women in perimenopause, or who are postmenopausal, report having sexual difficulties, from lack of interest in sex to trouble having an orgasm.

Additionally, with age youre more likely to experience health problems. Chronic illness and injuries can deplete your energy, cause physical pain and lower your body image all of which affect your sex drive.

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How Can I Treat Vaginal Dryness After Menopause

For vaginal dryness that causes mild discomfort during sex:

  • Use an over-the-counter, water-based vaginal lubricant when you have sex.

  • Try an over-the-counter vaginal moisturizer to help increase moisture. You may need to use it every few days.

For more severe vaginal dryness, your doctor might prescribe medicines that you put into your vagina to increase moisture and sensation. These may include:2

  • Vaginal estrogen creams

Defining The Problem Leads To Solving It

The definition of sexual dysfunction is any aspect of your sexual function that causes you concern and distress. Sexual dysfunction can happen at any age. The causes are likely to be different at different ages.

Many things can cause problems in your sex life:

  • Certain medicines
  • Diseases
  • Excessive alcohol use or vaginal infections
  • Depression
  • Antidepressant medications

It is common for both men and women to experience slower sexual response with aging. Fantasies and adding variety to the sexual repertoire can be helpful. Some people take advantage of the slower response in both men and women to enjoy the intimacy even more.

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Menopause Means You Can Be Spontaneous

You have no more periods . Think about that for a moment. No. More. Periods.

No more having to look at a calendar to figure out if you really want to go away that weekend. No more wondering if a trip to the beach will be a bad idea that day. No more having to be afraid youve leaked, youve forgotten a tampon, or you just plain feel icky.

And your calendar is likely not quite as hectic, either. You dont have to get up at the crack of dawn with little kids. You can sleep in more on weekendsand even engage in morning sex! You dont have to worry about kids climbing into bed with you in the middle of the night. Even if you have teens or young adults still living at home, theyre more likely to be independent, and youre more likely to have more uninterrupted time together.

You can take baths and showers together. You can snuggle in in the mornings. You can eat breakfast in your bathrobes. You can start being more sensual again, and more spontaenous, simply because more of your time is honestly your own!

Testosterone Treatment For Low Libido In Women Is Missing

Boost Your Sex Drive! | Menopause Treatment

About 30 percent or so of women in the United States report low libido or sex drive, and about 10 percent report being bothered or distressed by it, Brooke Faught, doctor of nursing practice and board-certified women’s healthcare nurse practitioner, who is clinical director of the Womens Institute for Sexual Health in Nashville, Tennessee. Dr. Faught presented on sexual health, libido, and testosterone at the NAMS 2020 conference.

Having a low sex drive isnt automatically a reason for treatment hypoactive sexual desire disorder is when women have a low libido and are bothered or distressed by it. If the patient isnt directly impacted or bothered by it and its not impacting their daily function, its not a true diagnosable condition, says Faught.

Even when they are bothered by a lack of desire, many women put up with it rather than seek treatment they think its a normal part of aging or something they should just deal with, she says.

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How Can I Improve My Sex Drive During And After Menopause

Estrogen replacement may work, but more research is needed. Estrogen can make sex less painful by treating vaginal dryness, though.

Doctors are also studying whether a combo of estrogen and male hormones called androgens may help boost sex drive in women.

Although sexual problems can be hard to discuss, talk to your doctor. There are options to consider, such as counseling. Your doctor may refer you and your partner to a health professional who specializes in sexual dysfunction. The therapist may advise sexual counseling on an individual basis, with your partner, or in a support group. This type of counseling can be very successful, even when it’s done on a short-term basis.

A sexual aid called Eros is available by prescription to treat women with disorders of sexual arousal. The device consists of a small suction cup, which is placed over the clitoris before sex, and a small, battery-operated vacuum pump. The gentle suction provided by the vacuum pump draws blood into the clitoris, increasing pressure on the clitoral nerve. This device increases lubrication, sensation, and even the number of orgasms in many women who have used it.

Menopause Means Youre Likely At A Mature Stage In Your Relationship

In our early years were often focused on other peoples satisfaction and happiness: especially our husbands and our kids. With menopause often comes a stage of life where kids dont need us in the same way anymore, and our relationship with our husbands has often gotten into the groove .

Chances are you can trust your husband. Youve worked out a lot of your problems. And that means that sex has a lot less emotional weight to it than it may have had at the beginning of the marriage when you were still figuring out libido differences or preferences or even getting over disappointments or betrayals.

Now you can rest assured that sex is the full expression of everything you are together. You can relax more. And relaxing means that you can be more yourself! You can actually be more passionate, because youre able to let your guard down and be more vulnerable.

That doesnt mean that you have to get freaky or try every weird thing under the sun. Simply that you can relax in everything your relationship is and let that play out in the bedroom in a much easier way. Sex isnt just about excitement . Its also about connection, closeness, even your history together.

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