Sexual Health and Menopause

Other symptoms that may occur during menopause affect a person’s sexual health, both physically and mentally . As oestrogen levels decline, many people experience physical symptoms such as vaginal dryness, and mental effects such as a decreased libido. By understanding these changes and implementing appropriate strategies, people in perimenopause and menopause can navigate these symptoms with confidence and continue to enjoy sexual wellness. It is important to know what these symptoms are and what evidence-based solutions there are to help maintain sexual wellness.

Understanding Sexual Health Changes During Menopause

Hormonal Shifts and Their Impacts

Menopause brings about significant changes in the body, primarily due to declining oestrogen levels. It is always important to know that no two people are alike in their menopause symptoms and journeys. There are a varying degree of symptoms and the severity thereof reported by women in their mid 40s and above. A study from Johns Hopkins University in the United States notes that this hormonal shift can affect sexuality in various ways, with some women experiencing a decrease in sexual desire while others may find their libido unchanged or even increased.

Vaginal Dryness

According to the British Menopause Society 25-30% of people in perimenopause or menopause experience vaginal dryness. This comes from a decrease in oestrogen levels which leads to a thinning of the vaginal walls. This can lead to overall discomfort and even pain during intercourse. In addition, vaginal dryness can lead to a reduction in sensitivity which in turn leads to a difficulty achieving orgasm and overall sexual wellness.It is important to know that these symptoms are completely normal and there are multiple solutions that can help. Whenever there are physical and mental changes occurring regarding sexual well-being, it is important to consult with your doctor.

Decreased Libido

As a person’s hormones fluctuate during this time there are other sexual wellness indications that can occur. Many people experience a reduction in sexual desire or libido. People commonly report not feeling sexually aroused or interested in having sex during this time. While this is not the case for everyone, it is more common than most people talk about. Recognizing these symptoms and knowing their causes can make it easier to understand why they are occurring and supporting a conversation with a sexual partner.

Mental Wellbeing

It’s crucial to recognize that sexual health during menopause isn’t solely about physical changes. Multiple studies have shown that psychological and relational factors play a significant role in overall sexual functioning. Physical changes combined with hormonal fluctuations it is necessary to be self-aware that this is a transitional phase and there is help available. Self-esteem, relationship satisfaction, and emotional support from partners can greatly influence a person’s sexual well-being during this phase in the fertility lifespan. During menopause many people also experience increases in stress and anxiety. These are also compounding factors to sexual arousal. Having a supportive group of friends, family and healthcare professionals is necessary to mitigate the menopause symptoms.
There are therapists who specialise in working with people during perimenopause and menopause and speaking with a healthcare professional is key to treating both physical and mental health.

Solutions for Sexual Health Symptoms

The most important part of improving your sexual wellness is understanding what is happening physically and mentally during this time in the fertility lifespan. In addition to knowing that these symptoms are completely normal, usually temporary, and having solutions can give you the empowerment to talk to sexual partners about what is happening. Letting them know what is going on physically can lead to better communication and understanding for your sexual wellness.

You should speak with your doctor or a registered medical professional for all treatments regarding your menopause symptoms. Everyone has a different medical history and set of circumstances that need to be considered for treatment options.

Over-the-counter solutions can also be effective for managing vaginal dryness and discomfort. In Ireland, water-based lubricants and vaginal moisturisers are readily available and can significantly improve comfort during sexual activity. While lubricants provide immediate relief, moisturisers offer longer-lasting hydration and may be used regularly as part of a vaginal care routine. In some instances, medications can help make vaginal tissue become less fragile. Contact your healthcare provider about these options.

By understanding the physical and emotional changes that occur during menopause, people can take proactive steps to maintain sexual wellbeing. Open communication with trusted friends, family, sexual partners and healthcare providers is essential. Hormone therapy, over-the-counter options, and lifestyle modifications can address common issues that affect sexual wellness. With the right knowledge and support, you can feel empowered when these symptoms present themselves and continue to enjoy fulfilling intimate relationships.