“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:

“At midlife, your sex drive may be influenced by life’s pressures and responsibilities, such as caring for children and elderly parents while also working. You may also feel differently about your body at this age and might not want to be intimate as often as you used to”.3

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:

“To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including:

  • “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:

“Talk to your doctor if menopausal symptoms affect your daily life. For example, if:

  • 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:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
Topic Last Updated: 16 December 2025 – Topic Last Reviewed: 16 December 2025