Keeping It Sexy After Menopause
By Cristin Babcock, MD
Most women continue to have satisfying sexual relationships well after menopause. A few adjustments to their traditional sexual scripts may be required, however, due to the following common post-menopausal changes:
Most women continue to have satisfying sexual relationships well after menopause. A few adjustments to their traditional sexual scripts may be required, however, due to the following common post-menopausal changes:
- The loss of estrogen after menopause can create vaginal dryness and itching. Even women using estrogen pills or patches may experience these changes. Plain petroleum jelly (no fragrances or vitamins) applied on the vulva after showering will often relieve itching caused by dryness. Do not use regular hand lotion, since the additives will cause irritation and burning.
While decreased lubrication can make intercourse painful, low-dose estrogen creams and intravaginal tablets help make vaginal skin more elastic and lubricated. And because they have residual effects, these creams and tablets can be used for two to four weeks and then every couple of months as needed. These creams and tablets have negligible absorption rates, so they’re safe for women with a personal history of breast cancer. Estrogen creams and tablets are available by prescription only, so consult with your Women’s Care provider if you’re interested.
For women who prefer not to use estrogen creams and tablets, water-based personal lubricants like Astroglide, KY Personal Jelly and Replens are often helpful. - After age 50, men increasingly experience some level of impotence, and may begin to rely on their partners to take the initiative with extended foreplay and lovemaking.
- While post-menopausal women can maintain the same sexual appetite, her frequency of intercourse may decline because of pain or the unavailability of a sexually competent partner. However, continued sexual activity is important to maintain vaginal elasticity and comfort during intercourse. By increasing lubrication and maintaining open communication with a loving partner, older women can continue to experience fulfilling and satisfying lovemaking.
