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Menopausal changes and sex life

Author:
A. R. Genazzani
Gynaecologist - Project Coordinator
Last Review: 21/02/2003

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After menopause, many women have increased sexual desire because they no longer worry about unintended pregnancy. On the other hand, about one-third lose some of their sex drive.
Sexual desire is often diminished during symptoms of perimenopause, but it is often restored when these conditions subside.
Vaginal dryness and the thinning of genital tissue can lead to discomfort during sexual intercourse and masturbation. Over-the-counter, water- soluble vaginal lubricants may be helpful. Estrogen replacement creams restore the tissues and are available by prescription.
Menopause is nature's original contraceptive. But wait a full year after what seems to be the last period before giving up contraceptives. Menstruation may be very sporadic for some time toward the end of perimenopause.
Using the Pill during perimenopause may mask menopause because periodic bleeding will continue. Women who use the Pill can have their hormone levels checked to find out if menopause has been reached.
Remember: Menopause is no protection against sexually transmitted infections.
Male or female condoms are always necessary during sexual intercourse if you or your sex partner have more than one partner.

KEGEL exercices for better muscle tone Kegel exercises help firm up the vaginal canal, control urine flow, and enhance orgasm. Tighten and relax the muscles you use to stop urination.
Do at least five Kegels in a row several times a day:
  • Tighten a little Ñ count five.
  • Tighten a little more Ñ count five.
  • As hard as possible Ñ count five.
  • Relax in reverse steps, counting five at each step.
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Last Update: 21/02/2003