Menopause and Female Libido
Female libido (sex drive) is one of the most distressing symptoms associated with menopause.
Decreased blood supply to the vagina can lead to vaginal dryness and thinning of the vaginal wall lining (atrophy). This can make sexual intercourse uncomfortable and even painful, hardly a recipe for sexual arousal. In addition, a body of a woman is producing less of the male sex hormone androgen, which is thought to be associated with desire.
Unfortunately there are no drugs that can specifically treat sexual libido problems associated with menopause. However, the following options may help:
- Water-based vaginal moisturizers can help relieve dryness during sexual intercourse.
- Tibolone is a synthetic steroid that is also a weak mimic of progestogen, estrogen, and androgen. It has effectively treated the symptoms of vaginal atrophy in some women.
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Estrogen Replacement
Estrogen replacement may also work. However, research has yielded conflicting results regarding its effectiveness. But estrogen can make intercourse less painful by treating vaginal dryness.
Doctors are also studying whether a combination of estrogen and the male hormones, called androgens, may be helpful in increasing sex drive in women.
Discussion Sexual Problems with Doctor
No doubt sexual problems can be difficult to discuss. However, you should talk to your doctor. Your doctor may refer you and your partner to a health professional who specializes in sexual dysfunction. The therapist may advise sexual counseling on an individual basis, with your partner or in a support group. This type of counseling can be very successful, even when it is done on a short-term basis.
During menopause, even if your sex drive isn’t what it once was, you should still take time for intimacy with your partner. Being intimate does not require having intercourse. Love and affection can be expressed in many ways. Enjoy your time together.
To improve your physical intimacy, you may want to try the following approaches:
- Educate yourself about your anatomy, sexual function, and the normal changes associated with aging, as well as sexual behaviors and responses. This may help you overcome your anxieties about sexual function and performance.
- Enhance stimulation through the use of erotic materials (videos or books), masturbation, and changes to sexual routines.
- Practice non-coital behaviors (physically stimulating activity that does not include intercourse), such as sensual massage. These activities can be used to promote comfort and increase communication between you and your partner.
- Use distraction techniques to increase relaxation and eliminate anxiety. These may include erotic or non-erotic fantasies, exercises with intercourse, music, videos, or television.
- You should minimize any pain you may be experiencing by using sexual positions that allow you to control the depth of penetration. You may also want to take a warm bath before intercourse to help you relax. Use vaginal lubricants to help reduce pain caused by friction.
Health Tips
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