Dr. Sharon Malone: Is There Sex After Menopause?

3 minute read

By: Sharon D. Malone, MD|Last updated: June 7, 2022

Not in the mood? You’re not alone. But, there’s good news. Sex after menopause definitely exists. It just might not be as you’ve always remembered it. That may be due to a lack of desire, a lack of ability, or sometimes, both. For many women, starting in perimenopause, as their estrogen levels start to wane, they start to experience vaginal dryness, decreasing sensation and a general lack of arousal that may lead to weakened or absent orgasm. 

Sexual desire is cyclical. Painful sex leads to decreased desire, and descreased desire leads to decreased arousal. See how it works? 

This sounds dim, but there are actions you can take, and you can break this cycle. 

What Can I Do?

There are solutions to battle painful sex, a lower sex drive and vaginal dryness. Menopausal hormone treatment might be the best place to start. Topical estradiol cream  works wonders on vaginal symptoms of menopause. It’s easy to use, it’s safe to use, and it’s incredibly effective–80% of women see improvement within 4-12 weeks. Worth it.

Unlike Sex at 20, Sex at 50 Requires Some Effort

It goes without saying, but I’ll say it anyway: a dry vagina with decreased sensation is a not part of a recipe for great sex. And while hormones are to blame for some of that, some of it is also situational. Putting the effort in means both relieving the discomfort that might come with the menopausal experience and improving your sexual environment. 

Simply put, you’ve got to make it a priority. Make a sex date with your partner. Be creative. Role play. Try weekend getaways. And don’t make sex the last thing you do. And for goodness sake, buy yourself a good vibrator. 

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