Today, data support the notion that as women age, their sexual problems may increase. However, the role of menopause in this remains unclear.
An American study followed 3,302 women aged 42-52 who were in menopause for about a year to determine changes in their sexual function due to menopause.
During menopause, a decrease in sexual desire and an increase in the incidence of pain during sexual intercourse were found. The transition to menopause had no significant effect on the frequency of sexual contact, arousal ability, and physical and emotional partner satisfaction.
Among the measured menopausal symptoms (vaginal dryness, hot flashes, and night sweats), vaginal dryness had the strongest effect on sexual function. It was associated with more pain during intercourse, less arousal, as well as less physical and emotional satisfaction from the partner.
The researchers also assessed the impact of other factors, such as general health, mental health, and relationships, on the sexual functioning of these women. The results showed that these factors had a greater effect on sexual function than menopause alone.
For example, poor mental health exacerbated the effect of menopause on sexual function. Menopausal women experiencing symptoms of depression or anxiety had a significant decrease in desire, frequency of sexual contact, physical pleasure, and emotional satisfaction from their partner compared to women who, despite being in menopause, maintained good mental health. The effect of general health problems and relationship problems was similar.
The results of this study emphasize the importance of conducting a comprehensive assessment of a woman’s needs and problems when seeking a solution to a sexual problem. After all, sexuality is an integral part of every person’s personality and life.
Reference: Avis NE, Brockwell S, Randolph JF, Jr. et al. (2009) Longitudinal changes in sexual functioning as women transition through menopause: results from the Study of Women’s Health Across the Nation. Menopause 16:442-452.
