Menopause Sex

 

As enjoyable as Sex before menopause may be, so can sex after. However, menopause-related hormonal and physical changes may call for some adaptation.

For some persons, estrogen and testosterone reductions may have an impact on their level of spontaneous arousal and physical sensitivity. Others may feel liberated by these changes while others may find them unsettling. Fortunately, there are methods to make it work for you if you want to have sex after menopause.

The reasons for menopausal changes in sexual function, how to handle them, and when to see your doctor will all be covered in this article.

Menopause's Hormonal Changes

People with ovaries produce less and less egg production as they become older. In addition, they have fewer ovarian follicles, which create hormones that assist in controlling the menstrual cycle and other reproductive processes. The body may make up for lost follicles early on in perimenopause. But with time, that becomes less likely. 

Intense estrogen fluctuations occur in the early stages of menopause. Many of the signs and symptoms of menopause, such as hot flashes and sleep issues, are brought on by these variations. Estrogen levels gradually decrease and stabilize at a lower level as menopause progresses and women enter postmenopause.

During and after menopause, testosterone levels also decrease. The reduction happens, nevertheless, more gradually than the changes in estrogen. Therefore, the effects of lower testosterone levels may not be as obvious.

Physical Menopausal Changes and Estrogen

The architecture of the reproductive system is impacted by the decline in estrogen that happens after menopause. People often report vaginal dryness issues, and may also develop vaginal and vulvar atrophy. Symptoms like pain during intercourse or discomfort while urinating may accompany these changes.

Treatable vaginal discomfort For individuals who are interested, vaginal moisturizers, lubricants, and vaginal estrogens may be beneficial.

Some urinary symptoms may be relieved by the same medications that treat vaginal problems. However, it is a good idea to speak with a doctor if you are having uncomfortable discomfort, particularly pain that interferes with sex or urinating.

What Menopause Does to Sexual Drive

A person's libido, often known as sex drive, may be impacted by a variety of variables. As a result, menopause has varying effects on different people's libidos.

Although aging-related changes in testosterone may impact a person's sex drive, research indicates that a decrease in libido isn't really that prevalent. In a study of 500 women in early and late menopause, 12% of the perimenopausal group and just 3% of the postmenopausal group reported a decrease in libido. 

Why are certain individuals more prone to a decline in libido? Changes in testosterone levels are only one. Other elements that have been linked to diminished sex desire during menopause include: 

Virilization dryness

Depression

living at home with children

Having more sex after menopause?

After menopause, not everyone has a decreased libido. Not much changes for some individuals. Others report that their sex desire increases after menopause. Which is more likely to impact you and what distinguishes the two?

Your body's alterations play a role in how your sex desire will change after menopause, but your environment also plays a significant role. It might be liberating to change some aspects of your lifestyle, such as not having kids at home or not having to worry about becoming pregnant or having periods. Additionally, that independence might be seductive.

After menopause, those who are generally less stressed and more active are less likely to have libido issues.

4 People who are not yet menopausal may likewise say that. The mind plays a large role in sex desire. After menopause, if your stress level decreases, your sex desire may increase.

How to Combat Vaginal Dryness

Vaginal dryness may be helped by menopausal hormone treatment. This often entails applying topical or local estrogen to the vaginal tissue to boost the quantity of estrogen there, which enhances blood flow and lubrication.

The benefit of local estrogen over estrogen tablets is that lesser dosages may be utilized to have the same effect, posing a decreased risk of side effects. Tablets, lotions, and rings are examples of local estrogen dosage forms.

With mild cases of vaginal dryness, over-the-counter vaginal moisturizers might be helpful. Two to three days a week is the recommended use. In addition to moisturizers, vaginal lubricants are utilized during intercourse.

Hormones, on the other hand, work well for extreme dryness.

There are additional drugs available for those who cannot take estrogens, such as those with cancer that is sensitive to the hormone or those who are at high risk of blood clots. 6 These comprise:

Osphena (ospemifene) is a selective estrogen receptor modulator that was authorized for use in 2013 to treat vaginal atrophy. The distribution is systematic.

Depending on the symptoms that need to be relieved, prasterone (dehydroepiandrosterone) may be administered orally or vaginally.

After menopause, how to handle vaginal dryness

Is Coconut Oil Safe to Use as Lubricant?

Both in culinary and personal care, coconut oil has a variety of purposes. Its excellent moisturizing properties are one of them. It transforms from a solid to a liquid when applied to the skin, leaving the skin feeling smooth and smelling good. People also use coconut oil on their tattoos and hair.

An excellent sexual lubricant, nevertheless, is coconut oil. The response is a resounding "it depends." When using latex condoms or other barriers, coconut oil shouldn't be utilized as a lubricant. Since it is an oil, there is a chance that it may corrode the condom and raise the chance of breaking.

There is surprisingly little medical research on the topic, despite comments in the popular news regarding the use of coconut oil for vaginal lubrication. Several research suggests that coconut oil is regularly used as a lubricant for intercourse in some regions of the globe.

It could assist in addressing vaginal dryness, according to 2020 research.

Some research suggests that it is safe for vaginal flora (bacteria and yeast normally found in the vagina).

Taking Care of Vaginal Pain

The same underlying issues that contribute to vaginal dryness also often cause genital pain. Vulvovaginal atrophy, a disease where the genital tissues become thinner and more vulnerable to harm, may be brought on by a lack of estrogen.

In addition, there are additional ailments that become more prevalent after menopause, such as uterine prolapse. Additionally, they could make the vagina feel uncomfortable or full.

A good technique to deal with vaginal pain is using topical estrogens and vaginal moisturizers.

Some persons may benefit from using plant-based estrogen formulations as a therapy.

Enhancing intimacy

Over the course of a person's lifetime, intimacy undergoes a significant transformation. It's often simpler to stir folks while they're younger. Connecting with a partner may be a simple delight, while having sexy thoughts may be a constant.

As individuals age, these tasks could become more challenging. Even while maintaining sexual activity keeps the necessary bodily parts functioning, as one gets older, it might feel impossible or difficult to do so.

People who are used to having their body lubricant act as a signal to their brains that they are aroused may need to practice doing things the other way around.

The mind is a major source of sexual desire. Thinking erotic ideas might help to improve intimacy. How do sexy ideas come to you? For others, it entails having fantasies about a romantic interest. Others read sensual literature or romantic books to achieve this. Others like to watch romance movies or explicit content.

Discovering what works for you is the secret. You can then figure out how to activate your mind and offer your body a chance to follow.

There are many more ways to be personal and sexual for those whose bodies do not like intercourse despite their minds' willingness. The same or even higher feelings of pleasure and connection may be attained via oral sex, dancing, erotic massage, and other types of stimulation.

Communication is crucial once you are aware of what is happening in your body and mind. If your spouse is regular, you may need to come up with fresh methods to discover and appreciate one another. For so, frank and honest discussion about what is and is not pleasurable is necessary.

When to Consult a Doctor

It's normal for a person's perception of their body to alter as they go through menopause. There are several indications, nevertheless, that you should see your physician. These comprise:

uncontrollable vaginal bleeding

After-sex bleeding

Pain during having sex or urinating

any symptoms that make it challenging for you to live your life

If you're having trouble living your life, even relatively minor symptoms could be worth discussing with a doctor. Your libido and sex life may benefit from choices to help you sleep better and feel better.

If symptoms continue even after estrogen medication, they should be evaluated for other possible reasons, such as pelvic floor dysfunction, vulvodynia (chronic pain of the vulva), or other causes of bladder discomfort.

Consider seeing a therapist if you're having a hard time adjusting to the psychological changes of menopause. If you struggle with how to rekindle your sex life after menopause, a qualified sex therapist may be very beneficial.

Medications

The most popular kind of treatment for menopausal symptoms, particularly those that interfere with sexual activity, is estrogen therapy. Symptom relief by local estrogens may be quite effective. 5 In comparison to estrogen tablets or systemic medications, they also have less negative effects.

To lower the risk of uterine cancer, however, progesterone and estrogen may be required for those who still have uteruses.

Antidepressants may help those who are suffering mood changes brought on by menopause. Other menopause-related symptoms like hot flashes and night sweats may also be efficiently treated by certain antidepressants. 

In certain cases, menopausal symptoms may be effectively treated using phytoestrogens, commonly known as plant estrogens.

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