During menopause, also known as the transition period, women undergo a change in their hormone levels where hormone production from the ovaries decreases, leading to the cessation of menstruation. Menopause occurs sometime in the 50s and lasts for varying lengths of time, usually several years.
The physical and psychological discomforts during menopause are many and are experienced differently. Some barely notice that they are in menopause while others have many symptoms. The physical and psychological discomforts are sweating, hot flashes, dry mucous membranes, urinary tract problems, sleep problems, fatigue, depression, mood swings, a sense of loss and increased vulnerability.
Menopause also affects a woman’s sexuality in several ways.
Vaginal discomfort such as dryness, burning, irritation, itching and pain during sex. Half of all women experience vaginal discomfort in connection with menopause.
Urinary tract problems such as urinary urgency and repeated urinary tract infections which affect sexuality as intercourse can contribute to urinary tract infection. Urine leakage caused by the urinary tract becoming less elastic due to lower estrogen levels which makes it harder for the muscles to close the urethra.
Changed desire . For some, sexual desire becomes greater during menopause. This may be due to several factors, such as self-esteem becoming better for many with increasing age. Security in oneself, one’s body and in the relationship affects and focus can be placed on pleasure and well-being. There is often more time for one’s own relaxation and for one’s partner. For many, desire instead decreases, which is likely caused by the major physical changes and symptoms such as sleep problems, fatigue, depression, feeling vulnerable and unmotivated, mood swings and pelvic discomfort.
Thoughts and feelings . The changing hormone levels where estrogen, along with norepinephrine and dopamine, decrease cause many women to feel tearful and generally unmotivated. The aging of the body can lead to feelings such as anger and shame.
Orgasms are often shorter with fewer muscle contractions, which can also lead to painful orgasms.
Arousal. It may be more difficult to become aroused and lubrication may be delayed or absent. Return from arousal to a non-aroused state is quicker.
For the vast majority of people, sexuality changes in some way during menopause. Adjustments in sexual practice, taking care of your body, and communicating with your partner become important ingredients for continuing to feel as good as possible about your sexuality.
Hormone medications can relieve menopausal symptoms, but they do not have to be the first choice. Healthy lifestyle habits can reduce well-being and symptoms. Physical activity, avoiding nicotine and alcohol, good eating habits, relaxation exercises, and pelvic floor exercises can relieve symptoms to some extent.
How can we help you!
Many people find it difficult to talk about sex as it is a private topic that is not usually discussed. Sexuality can also bring up negative feelings such as guilt and shame for some, which makes it even more difficult to talk about their sexuality.
Our sexologists have many years of experience in conversations and counseling about sexuality. Our experience is your security!
During the first conversation, the sexologist will ask you questions to gain an understanding of the problems you are experiencing and how they affect you. The sexologist will listen carefully and empathetically to what you share and ask follow-up questions to gain a deeper understanding of your experiences, feelings and problems. Together you will discuss possible explanations for the sexual problems and where the sexologist will give you advice and tools. The sexologist may also suggest more counseling sessions.
You don’t need to prepare for your digital visit.