How Menopause Affects Sexual Health

Falling oestrogen levels can lead to vaginal dryness, thinning of vaginal tissue, and reduced elasticity, which may make intercourse uncomfortable. Fluctuating hormones can also impact libido, arousal, and mood, affecting intimacy and self-esteem.

Common Concerns

• Vaginal Dryness & Discomfort: Reduced natural lubrication can cause pain during sex.
• Lower Libido: Hormonal shifts, stress, and fatigue may reduce desire.
• Emotional Wellbeing: Anxiety, body image changes, and mood swings can influence intimacy.
• Urinary Symptoms: Increased frequency, urgency, or discomfort due to changes in pelvic tissues.

Strategies for Sexual Wellness

• Lubricants & Moisturisers: Vaginal lubricants and long-acting moisturisers can ease dryness and discomfort.
• Local Oestrogen Therapy: Vaginal oestrogen creams, tablets, or rings can restore tissue health and elasticity.
• Pelvic Floor Exercises: Strengthening the pelvic floor can improve circulation, bladder control, and sexual function.
• Open Communication: Honest conversations with partners can reduce anxiety and strengthen intimacy.
• Professional Support: Speaking with a menopause specialist, gynaecologist, or sex therapist can provide tailored solutions.

Holistic Approaches

Beyond medical treatments, lifestyle choices play a role in sexual wellness. Regular exercise, stress reduction practices, and good nutrition all contribute to better energy, mood, and confidence in relationships.

Trusted Resources

• Jean Hailes – Sex & Menopause
• U.S. Office on Women’s Health – Menopause & Sexual Health
• NHS – Menopause and Sex

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