💗Effects of Menopause on Sex Life

In her book "Woman on Fire", gynecologist Sheila de Liz describes menopause as a phase of profound changes that can influence the female sexual life in various ways — physically, emotionally, and in relationships.

Hormonal Changes

• Decrease in essential hormones: The natural decline of estrogen, progesterone, and testosterone during menopause can lead to reduced libido, less sexual pleasure, and decreased blood flow to the genitals.

• Vaginal dryness: Due to lower estrogen, vaginal lubrication decreases, which can cause dryness, itching, or even pain during sex.

• Symptoms are treatable: De Liz emphasizes that these changes should not be accepted as just “fate.” Local or systemic hormonal treatments (preferably bioidentical) can improve both lubrication and desire.

Psychological and Emotional Effects

• Mood swings, stress, and insecurity can affect sexual interest and self-image.

• A new stage in life: De Liz also sees menopause as an opportunity to focus on your own wishes and needs. Many women gain new self-confidence during this time and learn to talk openly about their desires.

• Less fear of unwanted pregnancy can lead to newfound sexual freedom.

Partnership and Communication

• These changes can impact the relationship. Open communication, mutual understanding, and sharing uncertainties or new needs play a central role.

• Sheila de Liz recommends staying in conversation with your partner and finding solutions together, such as using lubricants or adapting your sex life to new preferences.

Practical Recommendations

• Seek medical advice: For issues such as dryness or low libido, de Liz recommends early evaluation and, if necessary, modern hormone therapy.

• Your own needs matter: She encourages women not to simply accept limitations, but to become proactive and give their sexuality space in this stage of life.

  
  

Many women even experience “the best sex after 40” because they know themselves better and experience more pleasure.

Sheila de Liz describes menopause’s impact on female sexuality as multifaceted: there are symptoms, but also opportunities for growth.

With knowledge, openness, and (if needed) medical help, women can reinvent and enjoy their sex life, gaining self-determination in the process.