Sex and the menopause

Physical problems
Lack of oestrogen can cause thinning of the vaginal wall and reduced lubrication. This can cause intercourse to be uncomfortable or even painful. Water-soluble lubricating gels can help with this problem.

Also helpful are Kegel, or pelvic floor, exercises that can firm up the vaginal wall, control urine flow and enhance orgasm. These exercises involve tightening and relaxing the muscles used to control urine flow. They are also recommended for post-natal exercises.

Does HRT help?
The good news is that taking HRT can in almost all cases restore your sex drive and get rid of the physical discomfort. This can take several weeks to happen. Some women, especially those who have had their ovaries removed surgically, will need treatment with testosterone as well as oestrogen.

What else can I do to help myself?
It is important to realise that what you are experiencing is a natural life event. Share your thoughts and anxieties with your partner, a good friend or a health professional. Improve your self-confidence by taking the time to pamper yourself. Don't underestimate the rejuvenating effects of a good haircut, change of hair colour or a relaxing facial. Make sure your diet is healthy and take regular exercise - you will reap the benefits.