Exploring the Impact of Menopause on Sexuality

In "Doing It," a column by sex educator Dr. Varuna Srinivasan, the focus shifts to how menopause affects individuals' sex lives. This month, the column features stories from people who have navigated the changes brought on by menopause, offering a blend of personal experiences and expert advice.

Diverse Experiences of Menopause

Sarah's Story: Rediscovery Amid Challenges

• Sarah, 52, is using menopause as a period of self-reinvention, including coming out as bisexual and pursuing a master's degree.

• She faces menopause-related challenges like low sex drive and physical discomfort, common among many experiencing menopause.

Understanding Menopause

• Typically occurring between ages 40 and 58, menopause is accompanied by over 33 symptoms, including hormonal fluctuations leading to physical changes affecting sex life.

Expert Perspective

• Dr. LaReesa Ferdinand, an ob-gyn specializing in hormones and menopause, notes that 40-50% of women report a loss of libido during menopause.

• The decrease in libido is attributed to both hormonal changes and psychosocial factors like stress, divorce, or caretaking roles.

Varied Libido Changes

Eaton's Experience: Enhanced Pleasure

• Eaton, 69, experienced no decline in libido. For them, menopause heightened sexual pleasure significantly.

Tina's Adjustment: A New Balance

• Tina, 33, undergoing artificial menopause due to endometriosis treatment, found her sex drive aligning more closely with her partner's, requiring more lubrication but no change in orgasm frequency.

Mental Health and Menopause

Alle's Journey: Surgical Menopause

• Alle, a novelist, opted for surgical menopause (hysterectomy) to manage severe perimenopausal depression, leading to improved mental health and romantic life.

Rethinking Sex and Pleasure

Expanding the Definition of Sex

• The column suggests exploring different forms of intimacy and pleasure, beyond traditional notions of sex.

• This includes non-penetrative acts and the use of aids like lubricants and sex toys for enhanced comfort and pleasure.

Advocating for Self-Care

• Dr. Ferdinand recommends products like vitamin E-rich lube and encourages individuals to be self-aware and proactive in managing menopause symptoms.

• The column emphasizes the importance of advocating for oneself and seeking appropriate medical and emotional support.

Conclusion

"Doing It" presents a rich tapestry of menopause experiences, challenging stereotypes and advocating for a personalized approach to sex and intimacy. It underscores the importance of understanding and adapting to one's changing body, seeking support, and redefining pleasure during menopause.