Sexual frustration at menopause is a common experience for many women. During this time, it's normal to face changes that can affect your intimate life, but the truth is, there are ways to address these challenges and maintain a more pleasurable life. Let's review why this frustration occurs and some tips for overcoming it. 

Factors influencing sexual frustration during menopause 

During menopause, oestrogen levels decrease causing major physical changes, mainly in the intimate areas. Vaginal dryness appears and may be accompanied by pain or itching in the area and sensitivity to touch. This lack of vaginal wetness can make sexual intercourse uncomfortable or painful, decreasing interest in intimacy.⁽¹⁾  

Hormonal variations can also reduce sexual desire. The decrease in libido is often greater if you also have a chronic condition such as heart or thyroid disease.^(1,2) 

Emotional and psychological factors associated with sexual frustration 

In addition to physical factors, you may experience mood fluctuations at this stage. Anxiety, depression and even decreased self-esteem are also common. Some women may find it more difficult to accept the changes at this stage, which affects their self-confidence.^(2,3)  

These emotional and psychological factors can contribute to sexual frustration at menopause. Indirectly, this can end up affecting your willingness to be intimate.  

Importance of partner support at this stage 

Another little talked-about cause of menopause are problems with your partner. Unresolved conflicts or arguments over your diminishing sex drive can create distance in the relationship. In addition, fear of rejection, performance anxiety or concerns about your new body image can make avoiding intimacy seem easier than dealing with these emotions.⁽⁴⁾   

Thus, sharing sexual frustration and having your partner's support is essential. Open communication about your feelings can strengthen the relationship and help both of you adjust to these changes. Together, you can explore new forms of intimacy that are comfortable and pleasurable for both of you.⁽⁴⁾ 

Solutions for improving sexual frustration at menopause 

Hormone replacement therapy (HRT) may be an option for some women. It helps to balance hormone levels and can improve sexual desire.^(3,2,1)  

While to combat vaginal dryness, consider regular use of vaginal moisturisers containing oestrogen. It may also be helpful to use lubricants during intercourse. These products can improve vaginal lubrication and make intimacy more comfortable and pleasurable.⁽³⁾ 

Dealing with anxiety, sadness or low self-esteem may be helped by attending counselling with a professional. Talking to family members or groups of women who are going through what you are going through is also comforting.⁽³⁾  

Natural alternatives to improve your sexuality 

In addition to medication and psychological therapy, there are natural habits and alternatives that will help combat sexual frustration and improve pleasure. Some of them are: ^(4,5) 

Ways to strengthen intimate connection and improve sexual frustration 

Exploring new forms of intimacy with your partner or alone can be beneficial. This may include:⁽⁴⁾ 

When is it necessary to visit a specialist? 

If sexual frustration is significantly affecting your quality of life, it is advisable to see a health professional. Also, if you experience unusual symptoms such as postcoital bleeding or postcoital dysphoria. Remember that your doctor can offer treatment options and support to manage these challenges effectively.  

Consider, menopause is a natural stage of life, and while it can bring challenges, there are many ways to maintain a healthy and satisfying sex life. With the right support and open communication, you can overcome menopausal sexual frustration and enjoy fulfilling intimacy. 

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