“Sexual difficulties can be life-long or recently acquired,
but they are a common presentation at the menopause.
They may also be situational (limited to certain types of…”.1
Umbrella
What may the Sexual Health and Menopause Umbrella include?
Depending on the Source (DotS) this Umbrella may include:
- Menopause and Sexual Health
- Sexual Health and Menopause
- Sexual Well-Being and Menopause
- Urogenital Problems
Menopause, Aging, Other Factors
Is there an association between sexual health, menopause and other factors?
In Menopause and Sexuality the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov note:
“In the years around menopause, you may experience changes in your sex life. Some women say they enjoy sex more. Other women find that they think about sex less often or don’t enjoy it as much. Low hormone levels after menopause cause vaginal tissues to be thinner or drier. There are treatments to help your symptoms”.2
In Looking After Yourself Around the Time of Menopause: What You Can Do About Low Libido At Menopause the (Australian) Jean Hailes for Women’s Health (JH) explain:
The JH also note:
“It’s common for some menopausal symptoms to affect your sex drive”.4
Sexual Difficulties
Is there an association between sexual difficulties and menopause?
In Sexual Difficulties In the Menopause the Australasian Menopause Society note:
“Sexual difficulties can be life-long or recently acquired, but they are a common presentation at the menopause. They may also be situational (limited to certain types of stimulation, situations, or partners) or generalized”.5
Sexual Disorders
What is it important to note about sexual disorders and menopause?
In Sexual Health the Menopause Society note:
“The question of being troubled is key when it comes to any potential sexual disorder, since the issue is not the sexual “problem” or condition itself but whether it is bothersome or troubling to the person or partners involved. For instance, if both partners in a couple are content to live without an active sex life, then a condition such as vaginal dryness or erectile difficulty does not really represent sexual dysfunction. Similarly, a woman who notices some decline in sexual desire over time may not be troubled by it if she is not in a relationship. However, if she meets a partner with high libido, she may start to see her low sex drive as a problem”.6
Over-the-Counter Treatment Options
What are some over-the-counter treatment options for vaginal dryness?
In Vaginal Atrophy: Diagnosis & Treatment – Treatment the (United States) Mayo Clinic elaborate on:
- “Vaginal moisturizers. Try a vaginal moisturizer (K-Y Liquibeads, Replens, Sliquid, others) to restore some moisture to your vaginal area. You may have to apply the moisturizer every few days. The effects of a moisturizer generally last a bit longer than those of a lubricant
- Water-based lubricants. These lubricants (Astroglide, K-Y Jelly, Sliquid, others) are applied just before sexual activity and can reduce discomfort during intercourse. Choose products that don’t contain glycerin or warming properties because women who are sensitive to these substances may experience irritation. Avoid petroleum jelly or other petroleum-based products for lubrication if you’re also using condoms, because petroleum can break down latex condoms on contact”.7
Hormone Therapy
Is hormone therapy a suitable treatment for vaginal dryness?
On page three in the Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause, first published online 10 June 2022, one of the recommendations is:
- “Low-dose and ultra-low dose vaginal oestrogen preparations can be taken by perimenopausal and menopausal women experiencing genitourinary symptoms and continued for as long as required. All vaginal oestrogen preparations have been shown to be effective in this context and there is no requirement to combine vaginal oestrogens with systemic progestogen treatment for endometrial protection, as low-dose and ultra-low dose vaginal oestrogen preparations do not result in significant systemic absorption or endometrial hyperplasia”.8
Testosterone Therapy
Is testosterone therapy a suitable treatment for low libido?
In Menopause and Sex Fact Sheet: Testosterone Therapy the JH elaborate on:
“Some women become very distressed about their loss of sexual desire. This condition is called hypoactive sexual desire disorder (HSDD). For women with HSDD, testosterone therapy may help. Testosterone for women is available as a cream in Australia. It’s important to use this treatment under the close supervision of your doctor”.9
Is there a video/podcast about Testosterone Therapy for Postmenopausal Women?
Your Country may have a video/podcast similar to the British Menopause Society’s (BMS) BMS TV: Testosterone Explained or the JH’s Libido and Testosterone Therapy – Podcast.
Partners
What can partners be mindful of about sex and menopause?
In Information for Partners: Sex and Menopause the JH elaborate on:
“It’s common for women to have lower sex drive (libido) around the time of menopause. This may be due to changing hormone levels, low mood, fatigue and vaginal dryness (which can cause pain during sex)”.10
Where may partners may find more information about sexual health and menopause?
Partners may find more information about sex and menopause in Information for Partners: Sex and Menopause.
Sexual Activity
Is there an association between sexual activity and menopause?
In Sexual Health: Frequently Asked Questions – What Changes Should I Expect After Menopause? the Menopause Society explain:
“Regular vaginal sexual activity is important for vaginal health after menopause because it stimulates blood flow, helps keep your vaginal muscles toned, and maintains your vagina’s length and stretchiness”.11
Health Care Provider
What if I would like help with my sexual health and menopause?
If you would like help with your sexual health and menopause, it may be in your best interest to choose to talk to your health care provider about this.
In How Sex Changes After Menopause: Don’t Give Up on Sex During Menopause the (United States) Cleveland Clinic encourages us to seek help, elaborating on:
“If nothing seems to help and you’re bothered by your sexual (dys)function, talk to your doctor — and try not to feel embarrassed. These are common concerns, and your healthcare providers are there to help”.12
In Menopause and Sex Fact Sheet: When To See Your Doctor the JH include:
- You have vaginal symptoms
- You have painful sex
- You are experiencing strong emotions, anxiety or depression
- You are distressed about your loss of sexual desire”.13
Health Topics A-Z
Where may I find Health Topics A-Z related to Sexual Health and Menopause?
In Health Topics A-Z you may find:
Links
Where may I find Links related to Sexual Health and Menopause?
Your Country may have Links similar to:
Links
This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.New or Updated
- 371 – Women’s Sexual Health: Desire, Arousal, and Orgasms, Navigating Perimenopause, and More [03 November 2025]
- FDA Approves Expanded Use of Flibanserin for Hypoactive Sexual Desire Disorder In Women [15 December 2025]
- FDA Direct: Removing Black Box Warnings for HRT (Part 1/2) [10 November 2025]
- How Vaginal Hormones Can Transform the Health of Women [24 November 2025]
- Is Testosterone Just for Men? The Science of Women’s Hormones & Health | Susan Davis | EP #379 [26 August 2025]
- Why Men Need To Understand The Menopause & Women’s Hormones | Dr Louise Newson [09 December 2025]
- 11 Ways To Help Yourself To A Better Sex Life
- 371 – Women’s Sexual Health: Desire, Arousal, and Orgasms, Navigating Perimenopause, and More [03 November 2025]
- A Three-Part Conversation With Dr. Pepper Schwartz on Female Sexual Difficulties
- About the Vulva and Vagina
- Anatomy of the Vagina
- Birth Control Options: Things To Consider
- Caredownthere.com.au
- Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Health Care Visit
- Deciding About Hormone Therapy Use
- Don’t Believe the Hype. Menopausal Women Don’t All Need To Check – or Increase – Their Testosterone Levels
- Douching
- Enjoying Your Sex Life
- Expert Tips To Boost Your Libido
- FAQs: Disorders of the Vulva: Common Causes of Vulvar Pain, Burning, and Itching
- FAQs: Vulvovaginal Health
- FAQs: When Sex Is Painful
- FAQs: Your Sexual Health
- FDA Approves Expanded Use of Flibanserin for Hypoactive Sexual Desire Disorder In Women
- FDA Direct: Removing Black Box Warnings for HRT (Part 1/2)
- FDA Expert Panel on Menopause and Hormone Replacement Therapy for Women
- Find A Menopause Practitioner [United States and Other]
- Find A Practitioner [Australasian Menopause Society i.e. Australia and New Zealand]
- Find Your Nearest BMS Menopause Specialist [British Menopause Society]
- Genitourinary Syndrome of Menopause
- Genitourinary Syndrome of Menopause
- HRT Types and Doses | Dr Louise Newson
- How Menopause Affects Sexuality
- How To Talk To Your Doctor About Painful Sex

- How Vaginal Hormones Can Transform the Health of Women
- Hypoactive Sexual Desire Disorder HSDD—Open the Door to Discussion
- Information for Partners
- International Society for Sexual Medicine: Sexual Health Topics
- International Society for the Study of Vulvovaginal Diseases: Patient Handouts
- International Society for the Study of Women’s Sexual Health: Find A Provider
- Is It Too Late To Start HRT?
- Is Testosterone Just for Men? The Science of Women’s Hormones & Health | Susan Davis | EP #379
- Is There A Medicine Like Viagra for Women?
- Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause
- Largest Study of Its Kind Explores Sexual Dysfunction In Women At Midlife
- Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Sexual Wellbeing, Intimacy and Menopause [+ Video: Menopause Is the End of Your Sex Life]
- Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Supporting Someone Through the Menopause [+ Video: Men Don’t Need To Know About Menopause]
- Loss of Libido
- Lubricant Alternatives: What To Use and What To Avoid
- Looking After Yourself Around the Time of Menopause: What You can Do About Low Libido and Menopause
- Low Sex Drive In Women
- Mayo Clinic Minute: Menopause and Sexual Health [+ Video]
- Menopause

- Menopause Checklist Podcast: Episode 6: Hello Lubricant!

- Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider

- Menopause Ruining Your Sex Life?
- Menopause and Sex Fact Sheet

- Menopause and Sexual Function
- Menopause and Sexuality
- Mayo Clinic Minute: Menopause and Sexual Health [+ Video Courtesy: Mayo Clinic News Network]
- Navigating Menopause Care Resource Guide

- Navigating Menopause Together: How Partners Can Help
- Navigating Menopause: Honest Answers To All Your Questions [+ Video: What To Expect in Menopause]
- Pain Down There? 9 Reasons Your Vagina Hurts
- Painful Vaginal Sex (Dyspareunia)
- Pelvic Floor Health | Dr Louise Newson LIVE
- Perimenopause and Menopause Checklist: Translated Checklists
- Perimenopause and Menopause Symptom Checklist

- Prosayla Supported By ISSWSH [International Society for the Study of Women’s Sexual Health]
- Safer Sex and Sexually Transmitted Infections (STIs)
- Sex and Sexual Health
- Sex, Hormones and the Menopause With Dr Kelly Casperson | The Dr Louise Newson Podcast
- Sex, Relationships and Menopause | Dr Louise Newson
- Sexual Difficulties In the Menopause
- Sexual Health
- Sexual Health
- Sexual Health and Wellbeing and the Menopause: An EMAS Clinical Guide
- Sexual Health for Lesbian and Bisexual Women
- Sexual Health: Expert Answers – Is There An Equivalent of Viagra for Women?
- Sexual Problems and Menopause
- Sexually Transmitted Infections, All You Need To Know – Podcast
- Testosterone for Women
- The Vulva & Vagina Explained: Sex Ed #2
- Thriving Through Midlife for the Aging Female: Menopause, Sexual Health and Wellness
- Top Menopause Questions Answered: Hormones, Bones, Sex & Sleep
- Understanding the Sexual Concerns of Older Women Presenting for Care To Women’s Health Clinics: A Cross-Sectional Study
- Urogenital Problems
- Vaginal Atrophy
- Vaginal Dryness After Menopause: How To Treat It? I’m postmenopausal and often have vaginal dryness, which makes intercourse painful. Is there anything I can do about it?
- Vaginal Dryness Alternative Treatments
- Vaginal Laser Therapy for GSM/VVA: Where We Stand Now – A Review By the EUGA Working Group on Laser
- Vaginal and Vulval Pain: Know the Different Causes and When To Seek Help
- Vaginismus
- Vulvovaginal Atrophy
- Webinars: Sexual Dysfunctions, Update on Gynae Cancers and Management
- Webinars: The Burn, the Itch, the Pain, the Urge: GSM In Women
- What Are the Health Needs of Women With Female Genital Mutilation Going Through Menopause?
- What Happens To Your Vagina As You Age?
- What Is Vaginismus and How To Manage It
- What Is the Difference Between Vagifem and Estring?
- What Types of Vaginal Oestrogens Are There?
- Which Vaginal Moisturiser Should You Use?
- Why Are You Bleeding After Sex
- Why Men Need To Understand The Menopause & Women’s Hormones | Dr Louise Newson [09 December 2025]
- Why You Do Not Ever Need To Douche
- Women’s Sexual Health: Talking About Your Sexual Needs
Sources
Where may I find the Sources quoted?
You may find the Sources quoted at:
Sources
- Sexual Difficulties In the Menopause. Content Created March 2021. Australasian Menopause Society https://hub.menopause.org.au/Play?pId=2973f6d2-1cb9-4533-aafb-2cafb3a12b1a Accessed: 16 December 2025
- Menopause and Sexual Health. Page Last Updated: 12 March 2025. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://womenshealth.gov/menopause/menopause-and-sexuality Accessed: 16 December 2025
- Looking After Yourself Around the Time of Menopause: What You Can Do About Low Libido At Menopause. Last Updated: 30 September 2025 | Last Reviewed: 19 March 2025. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/sex Accessed: 16 December 2025
- Looking After Yourself Around the Time of Menopause: What You Can Do About Low Libido At Menopause. Last Updated: 30 September 2025 | Last Reviewed: 19 March 2025. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/sex Accessed: 16 December 2025
- Sexual Difficulties In the Menopause. 16 March 2021. Australasian Menopause Society https://hub.menopause.org.au/Play?pId=2973f6d2-1cb9-4533-aafb-2cafb3a12b1a Accessed: 16 December 2025
- Menopause and Sexual Health. Page Last Updated: 12 March 2025. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://womenshealth.gov/menopause/menopause-and-sexuality Accessed: 16 December 2025
- Vaginal Atrophy: Diagnosis & Treatment – Treatment. 17 September 2021. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294 Accessed: 16 December 2025
- Hamoda, H, Mukherjee, A, Morris, E, Baldeweg, S. E., Jayasena, C. N., Briggs, P, Moger, S. Joint Position Statement By the British Menopause Society, Royal College of Obstetricians and Gynaecologists and Society for Endocrinology on Best Practice Recommendations for the Care of Women Experiencing the Menopause. First Published Online 10 June 2022:3-4. https://journals.sagepub.com/doi/full/10.1177/20533691221104879 Accessed: 16 December 2025
- Menopause and Sex Fact Sheet: Testosterone Therapy. Updated: May 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/sex Accessed: 16 December 2025
- Information for Partners: Sex and Menopause. Last Updated: 19 May 2025 | Last Reviewed: 25 April 2025. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/information-for-partners Accessed: 16 December 2025
- Sexual Health: Frequently Asked Questions – What Changes Should I Expect After Menopause? Menopause Society https://menopause.org/patient-education/menopause-topics/sexual-health Accessed: 16 December 2025
- How Sex Changes After Menopause: Don’t Give Up on Sex During Menopause. 16 May 2022. Cleveland Clinic https://health.clevelandclinic.org/sex-and-menopause/ Accessed: 16 December 2025
- Menopause and Sex Fact Sheet: When To See Your Doctor. Updated: May 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/menopause/sex Accessed: 16 December 2025

