Menopause and sex

A lot of women who come to see me are beginning or are well into menopause. This can be an added challenge for women who haven’t have much – or any – sex in a long time. The comment “I feel like I’m a virgin again” and similar words are very common and not a bad analogy really, because there are certainly some similarities.

The main one is probably uncertainty about having sex and worry that it might be painful or at least uncomfortable. The main issue though for post menopausal women is generally less natural lubrication. Thankfully that is easily remedied. I personally like and use Sylk personal lubricant, it lasts well, doesn’t become sticky, and with the addition of some water can become slippery again.

If you want next level “slipperiness” though silicon based lube may be right for you. Silicon lubes wont dry out like water based lubricants, they don’t become sticky, and they are unlikely to cause any upset to vaginal flora (and risk causing thrush as some water based lubes can).

The thing to remember with any lube though is that you should use plenty of it and top it up regularly. It is a hassle to do and can break the rhythm of sex, but it’s better than running out and ending up sore. Condoms also really suck up lube too, more so than unprotected sex, so that’s another good reason to use copious lube.

Along with less lubrication, menopause may mean less skin elasticity and a greater vulnerability to small tears and abrasions during sex. Here again plenty of lube can help, along with a little awareness from a sex partner that it can be an issue.

Menopause and the hormonal changes it results from may also change a woman’s arousal response and affect how and how easily she can achieve orgasm. So if you are coming back to sex post menopause you might find perhaps that “things have changed”. In my experience this is not usually a problem and with a little practice you will be able to get back to a place where you can achieve orgasm the way you want to.

Perhaps the main thing to know though about menopause is that while your body may change it absolutely should not stop you having and enjoying sex! Of course if you do have issues then consulting a doctor is a good idea.

John

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