Impact on Relationships and Intimacy

Menopause can lead to physical and emotional changes that affect relationships. The fluctuating hormones can result in mood swings, irritability, or feelings of anxiety or sadness. These emotional changes, coupled with physical symptoms like hot flashes, sleep disturbances, and vaginal dryness, can impact intimacy.

Couples may notice changes in their sexual relationship, including a reduced desire for sex or discomfort during intercourse. Open and honest communication with your partner is key to maintaining intimacy and addressing these changes together. Sharing feelings, discussing concerns, and seeking mutual understanding can help strengthen the relationship during this phase of life.

Sexual Health and Menopause

As oestrogen levels decline during menopause, many women experience vaginal dryness, which can lead to discomfort or pain during intercourse. This is a common symptom, but there are several solutions available to help manage it.

• Lubricants and Moisturisers: Water-based lubricants can help ease discomfort during sex. Vaginal moisturisers used regularly can also improve vaginal moisture levels, making sex more comfortable.
• Hormonal Treatments: Local oestrogen treatments, such as creams, rings, or tablets, can help restore vaginal moisture and elasticity, reducing discomfort during intercourse.

While these treatments are often effective, it’s important to consult with a healthcare provider to find the best solution for your individual needs.

Managing Libido During Menopause

A decreased interest in sex or a lower libido is another common symptom during menopause. Hormonal changes, coupled with factors such as stress, fatigue, and emotional fluctuations, can contribute to a reduced sex drive. However, there are ways to address this:

• Talk to Your Partner: Understanding that these changes are a natural part of life can help partners navigate this phase with empathy. Open dialogue about desires, concerns, and expectations can help improve intimacy and connection.
• Exercise and Self-Care: Regular physical activity, maintaining a healthy diet, and practising relaxation techniques like yoga or meditation can improve mood and energy levels, which may, in turn, help with libido.
• Counselling or Therapy: For some, emotional or psychological challenges, such as anxiety or depression, may affect sexual desire. Seeking support from a therapist or counsellor can be helpful in addressing these concerns.

Contraception and Menopause

As you approach menopause, it’s important to continue using contraception until you’ve gone through a full year without a period (in the UK, this is typically at the age of 51 or older). Even if menopause is nearing, pregnancy is still possible until menstruation stops completely.

Contraceptive options during menopause may include:

• Contraceptive Pill: Some women may continue using the combined contraceptive pill or progestogen-only pill during perimenopause, especially if periods are irregular. This can also help manage symptoms such as hot flashes.
• Contraceptive Injections or Implants: These options are effective for longer-term contraception and can help manage menstrual irregularities.
• IUD (Intrauterine Device): An IUD is a highly effective form of contraception that can also help reduce menstrual bleeding. In some cases, it can be used for long-term contraception during perimenopause.
• Barrier Methods: Condoms, diaphragms, or cervical caps may still be used to prevent pregnancy, especially if hormonal contraception isn’t an option.

Once you have gone through a year without a period, you may no longer need contraception for pregnancy prevention. However, it is important to continue to protect against sexually transmitted infections (STIs). If you are unsure about your contraception options, it’s best to consult a healthcare professional who can provide guidance based on your health and personal needs.