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November 8, 2009
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The Cleveland Clinic

Sex And Menopause

How Does Menopause Affect Your Sex Drive?

The loss of estrogen following menopause can lead to changes in a woman's sexual functioning. Menopausal women may notice that they are not as easily aroused, and may be less sensitive to touching and stroking -- which can result in decreased interest in sex.

In addition, lower levels of estrogen can cause a decrease in blood supply to the vagina. This decreased blood flow can affect vaginal lubrication, causing the vagina to be too dry for comfortable intercourse.

A lower estrogen level is not the only culprit behind a decreased libido; there are numerous other factors that may influence a woman's interest in sexual activity during menopause and after. These include:

Do All Menopausal Women Experience a Decrease in Sexual Desire?

No. In fact, some post-menopausal women report an increase in sexual satisfaction. This may be due to decreased anxiety associated with a fear of pregnancy. In addition, many post-menopausal women often have fewer child-rearing responsibilities, allowing them to relax and enjoy intimacy with their partners.

What Can I Do to Treat Vaginal Dryness?

Vaginal dryness can be treated with water-soluble lubricants such as Astroglide or K-Y Jelly. Do not use non-water soluble lubricants such as Vaseline because they can weaken latex (the material used to make condoms, which should continue to be used to avoid pregnancy until your doctor verifies you are not producing anymore eggs and to prevent contracting sexually transmitted diseases). Non-water soluble lubricants can also provide a medium for bacterial growth, particularly in a person whose immune system has been weakened by chemotherapy.



Next: How can I improve my sex drive? »

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Menopause and Sex

What is the most common cause of sex problems among couples?

While they can take many forms, sex problems are defined as any physical or emotional issue that prevents a couple from achieving a mutually satisfying intimate relationship. Among the most common for men include prostate problems, a decrease in the blood supply to the penis due to diabetes, heart disease or other health concerns, nerve damage to the spinal cord, or a decrease in the hormone testosterone. In women common problems include a lack of desire caused by a decrease in the hormone estrogen, thyroid disorders (which can also affect some men), and pain during intercourse caused by any number of vaginal problems, including a lack of lubrication.

Some couples also find that the use of certain drugs can also cause sexual problems. These include alcohol, nicotine, narcotics, stimulants, some blood pressure drugs, antihistamines, and certa...

Read the Sexual Health: FAQs About Sex and Relationships article »










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