If sexual desire lessens during menopause, the cause may be physical - lower oestrogen levels sometimes cause physical changes in the sexual organs, making sex uncomfortable. Tissue of the vaginal wall may become drier, thinner and less elastic.

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Loss of vaginal lubrication may occur, resulting in soreness during and after sexual intercourse. Some doctors estimate that at least half of all women over 60 have some degree of vaginal dryness.

Tips

To relieve vaginal dryness, short-acting, water-based vaginal lubricants such as K-Y jelly can be used immediately before sexual intercourse. Petroleum-based products such as Vaseline should be avoided.

It may also help to take a warm bath before intercourse. Regular sexual activity can help to improve natural lubrication and keep the vagina moist and toned.

Some women have decreased sexual desire because of changes in self-perception and lifestyle stresses. Counselling and support groups can provide a useful approach for coping with this, as well as with physical and emotional symptoms.

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