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Sex and Menopause: What to Expect

Sex and Menopause: What to Expect

Menopause is a natural phase marking the end of menstrual cycles, but it also brings changes that can impact your sex life and fertility. Understanding these changes can help you maintain intimacy and address concerns about fertility.

How Does Menopause Affect Sex?

Declining estrogen levels during menopause can lead to:

  • Vaginal dryness and thinning, which may cause discomfort or pain during intercourse
  • Reduced libido or changes in sexual desire
  • Difficulty achieving orgasm for some women
  • Increased risk of urinary tract infections that can affect comfort

Fortunately, there are effective treatments available—like vaginal moisturizers, lubricants, and hormone therapies—that can improve vaginal health and enhance sexual well-being.

Am I Infertile After Menopause?

Yes. After menopause—defined as 12 consecutive months without a menstrual period—the ovaries stop releasing eggs, making natural pregnancy impossible. Menopause marks the natural end of fertility.

If you are experiencing perimenopause symptoms and still menstruating irregularly, pregnancy is still possible, so contraception should be considered if pregnancy is not desired.

Maintaining a Healthy Sex Life After Menopause

Open communication with your partner and healthcare provider is key. Our OBGYN team offers tailored treatments and counseling to support your sexual health and overall well-being before, during, and after menopause.

Learn more about how our OB-GYN practice and services can support you at our Boulder, Longmont, and Louisville locations.

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