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Low Sex Drive? Here's a Menopause Makeover

By Paula Spencer Scott
WebMD Feature

You can feel just as sexy after menopause as you did in the decades before. You can have great sex, too. If your sex drive slows, think of it as a speed bump, not a stop sign. Here's a roadmap.

First, Relax

Low sex drive may be the No. 1 sex complaint among midlife women. Though not all women feel it, it's normal if you do.

Speak Up and Check Up

Don't be shy about sex talk now. Start with a frank doctor visit. 

"The causes of low desire in women can be very complex," says Mary Rosser, MD, PhD, an OB/GYN at Montefiore Medical Center in New York. One or more of these issues could be to blame:

  • Age. Out of sync with him? Women are two to three times more likely than men to see desire dip with age. You can feel the effects of menopause 10 years or more before your periods end.
  • Hormone effects. Falling estrogen around the time of menopause drags down desire. Hot flashes, night sweats, and vaginal dryness can also crash sleep, mood -- and romance. If chemotherapy or having your ovaries removed thrusts you into menopause, you may have a harder time. It can cause more intense symptoms than the slower process of natural menopause.
  • Partner problems. Marriage trouble may have put your sex drive in park -- not hormones.
  • Other health troubles. Being depressed can be a leading sex-killer. Others include: anxiety, bladder control trouble, chronic illness, and drugs used to treat illnesses.
  • Life stress. "I can’t tell you how many women I see are just too busy with work and home life to be sexy human beings," Rosser says.

Reset Your Desire-Zappers

It would be nice if you could pop a Viagra, like men, to pump up your sex drive. But male desire centers on blood flow. In women, it's more complex. What can help:

  • Lubricate. Thinning vaginal tissue causes painful sex and can lead to urinary tract infections. Both can make you avoid sex. Products like KY Jelly and Astroglide add moisture. Shy about buying? Order them online.
  • Try hormones. Your doctor can prescribe estrogen (in a cream, ring, or tablet) to apply in your vagina. This thickens the tissue and helps make sex feel better. If you also have symptoms like hot flashes, an estrogen patch or pills can ease them and may boost desire.
  • Try changing medicines. Some drugs for blood pressure and depression can nuke sex drive. Ask your doctor about taking a break from a problem drug or switching to one with less sexual side effects.

Rethink Sex

You may need a mental makeover. Tweaking your approach to sex can make a big difference:

  • Put your pleasure first. If you focus on yourself during sex, you can set the right tempo for you. One study found that older women who were least likely to take the lead about when and how to have sex had the most unhappy partners.
  • Make time for each other. Your instinct may be to avoid romance when you don't feel in the mood. Yet date nights and mini-trips can say "this is key to me" and help reset desire.
  • Bring back foreplay. Your clitoris takes longer to respond with age. Give ample time to cuddle, kiss, or stroke. Just start fooling around, without climax as the goal.
  • Stoke sex organ No. 1, your brain. New things turn us on. Try changing places, positions, toys, and roles. Having more sex makes you want more sex.

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