Tuesday, February 24, 2009

Normal sexual changes in women

After menopause, estrogen and androgen levels drop, causing physical changes. You may find that:

  • It can take longer to become sexually excited.
  • Your skin may be more sensitive and easily irritated when caressed.
  • Intercourse may be painful because of thinning vaginal walls (regular sex often helps prevent this from becoming severe). If a water-based lubricant (such as Astroglide or Replens) isn't enough, talk to your doctor about vaginal estrogen cream, which reverses thinning and sensitivity. For more information, see the topic Menopause and Perimenopause.
  • You are less interested in sex.

If you have noticed sexual changes that don't seem to be linked to normal aging, talk to your doctor. There are a number of medicines that can cause sexual problems, as well as health conditions that can cause sexual problems.

Adjusting to age-related sexual changes

With a little experimentation and patience, you can adjust to sexual changes and satisfy your sexual and intimacy needs. If you think your sexual interest might be affected by a medicine or health problem, work with your doctor to correct or treat it. Talk with your partner about any misgivings you might have so you can handle them together.

With your partner, take your time to set a relaxed mood and engage in foreplay. Use a lubricant if vaginal dryness or irritation is a barrier to enjoying sex. If you drink alcohol, remember that a small amount may relax you and increase your responsiveness, but too much alcohol is not likely to be helpful.

Sexually transmitted diseases (STDs) are a risk no matter what age you are. Unless you and your partner have recently been tested or you are 100% sure that you both have been monogamous for many years without infection, make sure that you practice safe sex to prevent STDs.

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