Midlife challenges of Menopause
Sexual Dysfunction
Hormonal changes can significantly affect sexual health and comfort, as well as overall quality of life. These changes are common but can sometimes lead to challenges such as low libido, vaginal dryness, and difficulty with arousal and orgasm.
We hear things like this all the time:
"I don't hate sex, but I don't care if it ever happens again. It makes me sad to realize that that part of my life might be over."
Sapphire’s mission is to understand the sources of your discomfort - the mental and physical barriers that are preventing you from experiencing the pleasure and connectiveness you experienced when you were younger. Using a bio-psycho-social approach, we will work together to determine the factors that are impacting your sexual health so that we can revive it to prior levels, or even improve it! Many women in menopause report they’re having the best sex of their lives — and you can achieve this, too!
Studies indicate that sexual dysfunction affects up to 60% of postmenopausal women
Sexual Dysfunction Symptoms
Low Libido
Low libido, or a decreased interest in sexual activity, is common during menopause and perimenopause. This can result from declining levels of estrogen and testosterone, stress, fatigue, or emotional shifts related to aging and life transitions - in fact there are 27 different factors which could be causing low sexual desire - everything from medications to Hypoactive Sexual Desire Disorder, and anxiety from daily stressors to depression. The great news is that there are a multitude of treatment approaches and modalities to help you get your groove back!
“Menopause can feel like the dimming of a flame, where desire seems to fade—not because the spark is gone, but because the fuel has shifted.”
Vaginal Dryness
Vaginal dryness is a result of reduced estrogen levels, leading to thinning and drying of the vaginal tissues. This can cause discomfort, pain during intercourse (dyspareunia), and increased risk of infections, including vaginal and urinary tract infections; but this is often easily treatable!
Difficulty with Arousal and Orgasm
Changes in blood flow, nerve sensitivity, and hormone levels during menopause can make it harder to become aroused or achieve orgasm. Women may experience frustration or a sense of loss related to these challenges.
Tips for Improving Libido, Sexual Desire and Sexual Pleasure
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Hormone replacement therapy (HRT) can help improve estrogen and testosterone levels, potentially enhancing libido. Low-dose testosterone therapy may also be beneficial under the guidance of a healthcare provider. For localized issues like vaginal dryness, estrogen creams, rings, or tablets can restore comfort and improve sensation.
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Open communication with your partner about desires, fears, and needs can strengthen intimacy. Scheduling time for romantic activities or experimenting with new ways to connect emotionally can reignite passion.
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Over-the-counter lubricants and moisturizers can make sexual activity more pleasurable. Choosing water-based or silicone-based products reduces friction and alleviates discomfort. Vaginal dilators or pelvic floor therapy may also help improve muscle tone and flexibility, while tools like vibrators can help improve sensitivity.
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Regular exercise, particularly strength training and cardiovascular activities, improves circulation and energy levels, positively effecting sexual health. Eating a balanced diet rich in nutrients like zinc, omega-3 fatty acids, and antioxidants supports hormonal balance and overall well-being.
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Practices such as yoga, meditation, and mindfulness can reduce stress, which is a significant barrier to libido. Taking time for self-care, whether through massage, relaxation techniques, or hobbies, helps improve mood and create a sense of readiness for intimacy.
