“We are always the same age inside.” – Gertrude Stein

A Guide to Sex and Intimacy during the Menopause and Beyond:

Let's take a look at the topic that often lingers in the shadows – menopause and sex.

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The Menopausal Journey Unveiled

On our menopausal journey, one thing is certain: it's a unique ride for each of us. What affects one woman might not affect another, and that's the beauty of our individual experiences. Today, we're shining a light on a subject that can sometimes make us feel a bit uneasy – our feelings about sex.

As we navigate this hormonal rollercoaster, keep in mind that how you feel about sex may change. It could be a decline in libido, or perhaps it takes an unexpected turn in the opposite direction. The only certainty is change, so let's explore this terrain together.

Understanding the Hormonal Dance

In the magical world of menopause, hormones are the maestros of change. Oestrogen and progesterone, our main characters, play a crucial role in orchestrating this symphony. As menopause unfolds, these hormonal shifts can impact various aspects of our lives, including sexual health.

Oestrogen:

has long been associated with maintaining the health of reproductive tissues. A decrease in oestrogen levels during menopause can lead to changes in the vaginal lining, contributing to dryness and discomfort.

Progesterone:

another key player, plays a role in mood regulation. Fluctuations can impact our overall well-being and potentially influence libido.

The Intriguing World of Libido

Picture this hormonal rollercoaster as a backstage pass to a grand performance. Libido takes centre stage, and the script may change. It's perfectly natural, and here's the key – it's okay to talk about it. If the way you feel about sex undergoes a transformation, know that you're not alone. It's a common part of the menopausal journey.

Libido Boosters: Unveiling the Options

Now, let's talk about the hero in the story of intimacy – libido. Testosterone, often considered the "male" hormone, is present in women too, albeit in smaller amounts. During menopause, the decline in oestrogen can lead to a decrease in testosterone, impacting libido.

Options to Improve Libido:

• Hormone Replacement Therapy (HRT): In some cases, HRT may be recommended to balance hormone levels, including testosterone.

• Lifestyle Changes: Regular exercise, a balanced diet, and stress management can contribute to overall well-being and positively influence libido.

Communication:

Openly discussing desires and concerns with your partner can strengthen emotional bonds, fostering a supportive environment.

Vaginal Atrophy: Demystifying the Unknown

As this hormonal symphony plays on, another character steps into the limelight – vaginal atrophy. It might sound intimidating, but let's break it down. Vaginal dryness, soreness, discomfort, and even itchiness can make an entrance. The good news? There are solutions to ease the discomfort and keep you feeling your best.

Depending on where you are in the world, solutions may vary, but possibilities include prescription pessaries, creams, and lotions available either over the counter or with a prescription. Lubricants also become your allies in this journey, but a word of advice – always do a spot test before trying something new. Our skin, like our experiences, can change, and it's wise to consider this.

Easing the Discomfort of Vaginal Atrophy

Let's turn our attention to the often-unspoken discomfort of vaginal atrophy. This condition, stemming from decreased oestrogen, can result in dryness, soreness, and discomfort. Here are some strategies to ease the discomfort:

Topical Oestrogen Therapy:

• Oestrogen creams or vaginal tablets may be prescribed to directly address the vaginal tissues' health.

Vaginal Moisturisers:

• Regular use of moisturisers designed for intimate use can help maintain vaginal moisture and reduce discomfort.

Personal Lubricants:

• Water-based or silicone-based lubricants can be invaluable during intimacy, providing additional moisture and reducing friction. Always do a spot test before liberally applying, your skin may have changed in sensitivity and reactions!

Hormone Replacement Therapy (HRT):

Systemic or local oestrogen therapy as part of HRT can contribute to alleviating symptoms of vaginal atrophy.

Hormones and Birth Control: A Consideration

Amidst this hormonal chaos, it's worth noting that, yes, birth control should still be on your radar. Menopause doesn't mean the end of the road for birth control, especially if you want to ensure that you have control over family planning. Just because you've entered the perimenopausal journey don't exclude the possibility of unexpected surprises, it has happened in the past and can happen again so be prepared, just in case.

Birth Control Considerations

Here are some considerations:

Traditional Birth Control Methods:

• Condoms, diaphragms, and other barrier methods remain viable options.

Hormonal Birth Control:

• Depending on individual health considerations, some women may continue using hormonal birth control methods like birth control pills.

Long-Acting Reversible Contraceptives (LARCs):

• Options such as intrauterine devices (IUDs) may be suitable for women looking for a longer-term contraceptive solution.

It's essential to have an open dialogue with healthcare professionals to find the right fit for individual needs and health circumstances.

Your Menopausal Journey, Your Choices

Throughout this menopausal journey, we've emphasised that it's uniquely personal. How it affects you won't necessarily mirror someone else's experience. Choices, including those around sex and intimacy, are yours to make. Whether it's exploring new aspects of your sexuality or maintaining the status quo, the key is to be true to yourself.

Finding Support in Community

In the midst of these changes, remember you're not alone. Connecting with others who are experiencing or have experienced similar situations can be immensely reassuring. Whether it's through medical professionals or supportive communities like ours, Menopause Midlife, and All The ****, talking about these changes can make you feel less like a lone explorer and more like a member of a global community.

In Closing: You're Not Alone

As we wrap up remember that this journey is a shared one. Whether it's changes in libido, the mysteries of vaginal atrophy, or the considerations around birth control, you're not alone. Your experiences, questions, and thoughts matter, and sharing them can bring a sense of unity and support.

How can Menopause Midlife and all the **** help you on your menopause transition?

Are you still flailing a little or want just a bit more help to get you back on your feet after the menopause transition has derailed you?

No problem! You did see the Morning Rituals for Menopause Mastery above, right? We worked super hard on the guid  and want to make sure you get the most out of your day.

At Menopause Midlife and all the ****, we pride ourselves on a completely understanding and supportive community.

That means you don't have to go through this sometimes debilitating lifestage on your own.. That's what we're here for.

Join our FREE Facebook group here. 

We can't wait to hear from you. 

If you prefer to watch the video

Why not check out other topics on menopause like this one:

How to Overcome the Impact of Menopause on Bone Health

Your Menopause Self-Mastery Checklist:

Here is a quick checklist for you to think about when taking back control and getting back on track during your menopause transition.

• Embrace self-care during menopause

• Develop resilience through menopause

• Goal-set to thrive through menopause

• Join a supportive community Menopause Midlife and all the ****

• Nurture healthy relationships during menopause

• Leverage emotional intelligence for menopause well-being

• Self-reflect and monitor personal growth throughout your menopausal transition.