Declining estrogen levels during perimenopause can affect sexual intercourse in several ways:

Vaginal Dryness

Estrogen helps maintain the natural lubrication of the vagina. As estrogen levels decline, the vaginal tissues may become drier and less elastic. This can lead to discomfort, pain, or a sense of friction during intercourse.

Thinning of the Vaginal Tissues

Estrogen also plays a role in maintaining the thickness and elasticity of the vaginal tissues. As estrogen levels decrease, the vaginal walls may become thinner and more fragile. This can make intercourse uncomfortable and increase the risk of vaginal tearing or irritation.

Decreased Sensitivity

Estrogen helps maintain the sensitivity of the genital area. With lower estrogen levels, some women may experience a decrease in sensitivity, making it more difficult to achieve arousal or experience pleasurable sensations during intercourse.

Changes in Libido

Hormonal fluctuations during perimenopause can also affect sexual desire or libido. Some women may experience a decrease in sexual desire, while others may experience fluctuations in their desire levels. These changes can impact the frequency and enjoyment of sexual activity.

It is important to note that not all women will experience these changes, and the severity can vary.

Options To Help Treat Symptoms

1. Lubricants and Moisturizers
Using water-based lubricants or vaginal moisturizers can help alleviate vaginal dryness and enhance comfort during intercourse. These products can provide temporary relief and make sexual activity more pleasurable.

2. Hormone Replacement Therapy (HRT):
In some cases, healthcare professionals may recommend hormone replacement therapy, which involves taking estrogen or a combination of estrogen and progesterone to alleviate perimenopausal symptoms. This can help address vaginal dryness and improve sexual function. However, HRT is not suitable for everyone, and it is important to discuss the potential risks and benefits with a healthcare provider.

3. Communication and Intimacy:
Open communication with a partner about any changes or discomfort can be beneficial. Exploring different sexual activities, focusing on intimacy, and taking time for arousal and foreplay can help enhance sexual pleasure and maintain a satisfying sex life.

4. Pelvic Floor Exercises:
Strengthening the pelvic floor muscles through exercises like Kegels can help improve vaginal tone and increase blood flow to the area. This can enhance sexual sensation and improve overall sexual function.

5. Seek Professional Help:
If sexual discomfort or changes in libido significantly impact quality of life, it is advisable to seek guidance from a healthcare professional who specializes in menopause or sexual health. They can provide personalized advice and recommend appropriate treatments or therapies.

It is important to remember that every woman’s experience is unique, and what works for one person may not work for another. It’s essential to explore different strategies and find what works best for individual needs and preferences.

Explore Better Hormone Health

ReVital offers free consultations where you can speak to one of our clinicians about ReVital’s Bioidentical Hormone Replacement Therapy. At ReVital, we can conduct simple blood tests to evaluate the levels of these hormones in your system and prescribe supplements or therapies to treat and control the majority of hormonal imbalances. Remember, every woman’s experience is unique, so it’s important to consult with your primary healthcare professional for guidance and support throughout your personal health journey.