Often uncomfortable to talk about, but highly relevant
As estrogen levels decline in perimenopause and menopause, the vaginal lining becomes thinner and less lubricated, which leads to dryness, irritation, and discomfort during daily life or sexual activity.
Tissue thinning and lack of natural lubrication can increase friction and sensitivity, making penetrative sex painful — a condition often linked with vulvovaginal atrophy.
Hormonal changes and factors like lowered lubrication, altered sensation, or emotional stress can lessen sexual arousal and make it harder to become physically ready for sex.
Weakening of the pelvic floor muscles and changes in estrogen support can reduce bladder control, causing leakage with coughing, sneezing, exercise, or sudden urgency.
Loss of muscle tone in the pelvic floor — the muscles supporting the bladder, uterus, and rectum — contributes to incontinence, reduced sexual sensation, and pelvic discomfort.
Sexual and pelvic health changes — such as pain, reduced desire, or incontinence — can strain intimate relationships by affecting physical intimacy, emotional connection, and mutual satisfaction during sex.
Because topics like incontinence or sexual discomfort are sensitive and socially stigmatized, many women feel embarrassed, reluctant, or ashamed to raise these issues with partners or clinicians, which can delay support and create additional stress.
Persistent pelvic health and sexual function problems can reduce overall wellbeing, interfering with everyday comfort, confidence, self-image, and enjoyment of life — especially if left unaddressed.
Our evidence-based articles and resources will explore these important topics to support your informed decision-making:
Pelvic floor therapy info
Medical vs non-medical treatments
Intimacy after menopause
Access our evidence-based articles and resources on sexual & reproductive health to support your informed health decisions.
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