Why a Woman’s Sex Life Declines After Menopause (Hint: Sometimes It’s Her Partner)

The latest study, printed within the medical journal Menopause, is predicated on surveys of greater than 24,000 ladies collaborating in an ovarian most cancers screening examine in Britain. The ladies, aged 50 to 74, answered multiple-choice well being questionnaires about their intercourse lives at first of the examine. But the survey information are distinctive as a result of about 4,500 of the ladies additionally left written feedback, giving researchers a trove of recent insights about ladies’s intercourse lives.

Over all, 78 p.c of the ladies surveyed stated they’d an intimate accomplice, however fewer than half the ladies (49.2 p.c) stated they’d lively intercourse lives. The ladies’s written solutions about why they stopped having intercourse revealed the ache and unhappiness behind the chances.

The important cause was dropping a accomplice to demise or divorce, which was cited by 37 p.c of the ladies. (Women who weren’t having intercourse cited a number of causes for the decline, which is why the chances exceed 100.)

‘‘I’ve been a widow for 17 years. My husband was my childhood sweetheart, there’ll by no means be anybody else.’’ (Age 72)

Some ladies stated life was too sophisticated to find time for intercourse — eight p.c stated their accomplice was too drained for intercourse, and 9 p.c of girls stated they had been additionally too drained for intercourse.

“I really feel my function in life at current is to convey up my 12-year-old son; relationships come second.” (Age 50)

“Caring for older dad and mom at present. Lack of power and worrying about them causes a discount in sexual exercise.” (Age 53)

“Husband busy with work. I’m busy with two youngsters. Both collapse into mattress on the finish of the day.” (Age 50)

A husband with severe well being points was one other frequent theme. About one in 4 ladies (23 p.c) stated the dearth of intercourse was due to their accomplice’s bodily issues, and 11 p.c of girls blamed their very own bodily issues.

“He doesn’t keep erection robust sufficient for penetration (after prostate surgical procedure and diabetes). My sexual exercise is restricted by what my husband’s well being is.” (Age 59)

“My husband had a stroke which left him paralyzed. Sexual relations are too tough. I stay with him as a caregiver and companion.” (Age 52)

“My husband has had a coronary heart assault — his remedy leaves unintended effects, which makes intercourse very tough, which has saddened us.” (Age 62)

Others cited psychological well being and dependancy points as the explanation for lack of intercourse.

“He drinks roughly 1 to 1.5 bottles of whiskey a day. Sex is a couple of times a yr.” (Age 56)

“My husband suffers from anxiousness and despair and this has an impact on our relationship and my sleeping.” (Age 53)

“I take an antidepressant which blunts want for intercourse.” (Age 59)

About 30 p.c of girls stated their intercourse lives had halted as a result of they’d “no curiosity.”

“Have misplaced all curiosity and really feel responsible, and that makes me keep away from any point out of it in any respect.” (Age 53)

“Several signs of the menopause have affected my want for intercourse, which I discover disappointing as a result of I want I had the identical want as I had in recent times.” (Age 58)

“I discover it uncomfortable and typically painful. I exploit vaginal gels however doesn’t assist a lot, so don’t have intercourse these final months.” (Age 54)

“I like my accomplice very a lot, this downside upsets me. However if I didn’t have a accomplice (for intercourse) I wouldn’t miss it — it’s very onerous to want one thing you don’t need. I really feel unhappy after I consider how we was once. He may be very understanding.” (Age 54)

And 21 p.c of girls stated their companions had misplaced curiosity in intercourse.

“Only [have sex] twice a yr perhaps. My accomplice has misplaced his libido and by no means thinks of it, though he loves me and worries about it.” (Age 60)

While many of the written feedback had been about issues with intercourse, just a few ladies left extra hopeful messages.

“As I’ve a brand new accomplice since one yr, I discover my sexual life has by no means been higher and it’s definitely very frequent. Very a lot the explanation for my happiness, contentment and well-being.” (Age 59)

Sex occurs “much less usually than when youthful. We each get drained, however once we do it, it’s good.” (Age 64)

The information and feedback had been analyzed by Dr. Helena Harder, a analysis fellow at Brighton and Sussex Medical School, and colleagues. Dr. Harder stated the feedback present that medical doctors must have extra frequent conversations with ladies about intercourse.

“Women say that they’re sorry that issues have modified. They want it was completely different,” says Dr. Harder. “But basically, it’s not being introduced up in discussions. Patients want reassurance that it’s O.Okay. to debate intercourse and ask questions. If you do this, it’s most likely a very good step towards making adjustments.”

Dr. Faubion, who can be medical director for the North American Menopause Society, notes that remedies can be found to assist ladies with vaginal dryness and painful intercourse. In addition, two libido drugs have been authorised to assist enhance feminine want. One is a capsule and the opposite, an injectable, needs to be obtainable this fall, though each medication have drawbacks, together with price, limits on after they can be utilized and unintended effects, in order that they aren’t an choice for each girl, she stated.

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