Sex in menopause: most frequent problems, answers from the gynecologist

Loss of desire, intensity of pleasure, pain or dryness are the most frequently asked questions about love after age 50. In menopause, sex can and must continue: for this reason we answer your doubts directly and precisely with the help of the doctor.

The answers to these questions are provided by our gynecologists and doctors

Decreased desire in menopause: “Help, I no longer want”

If you feel you have some difficulty related to desire, know that it can be normal , both for physiological issues due to reduced hormone production in menopause and for psychological and emotional issues, attributable to the different perception that you may have of your body and some discomfort or intimate discomfort that could be a corollary of menopause.

The intimate life, however, is a fundamental component of psycho-physical well-being and it is also for this reason that you must not give it up.

You owe it to yourself, because it would not be right to give up love in years that are still central to your life as a woman, but also to the couple because, as can be expected, the lack of desire can also alter the relationship between two .

To all this must be added two other considerations: love also plays an important role in increasing one’s self-esteem (precisely the one that in this period the “dancer” mood could put a strain on) and to keep oneself young .

If you want more specific answers, read also:

  • Guide to menopause
  • All about the decline in desire: what determines it, how to overcome it
  • Sharing discomfort with your partner to stop saying “no”

Let’s try, then, to answer the questions about the most frequent problems of sexuality in menopause .

With this premise: only the gynecologist , from whom it is desirable to be followed throughout this delicate period, can help you solve the small or large problems that make it difficult for you to have a satisfying intimate life.

There is a lot that can be done to recover the smile under the sheets and, consequently, inner well-being.

Why can orgasms be shorter or less intense in menopause?

Is the pleasure not the same anymore? Does it last less or do you seem to feel it less intensely? Also in this case the direct “affected” are the hormones , which your body produces less and less going towards the end of the fertile age.

In addition to a biochemical reason, there is also a physical component : in menopause, your genital system also changes .

An important role is played by the pelvic floor muscles that can be responsible for less intense pleasure (read here how to tone them with ad hoc exercises ). When they become weaker , they are also an obstacle to those rhythmic contractions of the vaginal, uterine and anal muscles that trigger, together with other neuro-vascular (but also mental) stimuli, the sensory-motor reflex that goes under the name of orgasm.

Is it normal to feel dryness and pain during intercourse in menopause?

It is not just a question of arousal or desire : the lubrication of the vaginal walls depends on a hormonal component.

Not surprisingly, vaginal dryness is a very common disorder in menopause and is a contributing cause of the decrease in desire and pain during intercourse .

Less hydrated, the mucous membranes are also less elastic and for this reason they could suffer more the mechanical trauma of rubbing during intercourse: inflammation and burning, in more advanced cases even bleeding, could make love so painful that it becomes impossible ( dyspareunia ).

That being the case, have you thought about closing the question here? Nothing could be more wrong: the gynecologist will explain that, contrary to what you believe, avoiding intimacy with your partner the situation will not improve, on the contrary. Intercourse is useful precisely for increasing the hydration and flexibility of the vaginal walls (but also the toning of the pelvic floor).

For all these reasons, do not hesitate to contact the specialist . You could also be accompanied by your partner : the meeting with the gynecologist will represent a moment of union for the couple and the presence of your partner could help you to have an interview as sincere and free of embarrassment as possible with the doctor .


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