The Menopause and Sex

Discomfort during sex
In the years following the menopause the body produces much less of the female hormone (oestrogen). The lack of oestrogen tends to alter the tissues in and around the vagina. You may find that the vagina feels smaller and tighter. Less lubrication is produced from glands around the vagina. As a result of both these changes, it may be uncomfortable or even painful when you have sex. Ways this can be helped include:

• Lubricants. You can buy KY Jelly or similar lubricants from pharmacies. These help if you apply to the vagina before sex.
• Hormone creams which contain oestrogen. There are a various creams and pessaries which may be prescribed by your doctor. These are usually prescribed for courses which last a few months. They replace the oestrogen in the vaginal tissues which often eases the problem.
• Hormone Replacement Therapy (HRT). This is more general hormone treatment that some women take after the menopause. After several months of use the tissues around the vagina often return to a state similar to before the menopause. However, long-term use of HRT is not generally advised unless symptoms are troublesome and the above treatments have not helped.

Reduced sex drive (Libido)
Many women say that they just don't feel like sex as often as they used to. A few women don't want to have sex at all. This may cause friction with your partner. Appetite for sex does reduce over the years, but may be made worse by depression or other problems of the menopause. These include: hot flushes, dry vagina, psychological problems, family problems, etc.

These are often temporary and being able to talk things through with an understanding partner is often all that is required. However, if symptoms of the menopause or of depression persist then it may be best to discuss this with a doctor. Both can usually be treated.

© EMIS and PIP 2004   Updated: March 2004   Review Date: March 2005   CHIQ Accredited   PRODIGY Validated