Is this what I do?
One of the key symptoms of menopause is a dry vagina.
Lower levels of oestrogen directly affect your vagina and can make it thinner, drier and less elastic. Testosterone levels fall gradually with age and this can have an impact on your sex life at menopause.
The domino effect of menopause symptoms such as hot flushes, sleeplessness and fatigue can make it less likely you want sex as much
Some women are concerned by the changes menopause causes to their sexual lives and others are not so worried. It really depends on you, your attitude to sex, your age, how menopause has affected you, whether you are in a relationship, whether you want to have sex and whether there are other things happening in your life you are more concerned about.
Different types of menopause can also affect your sex life. If you have had a surgical or chemotherapy induced menopause, symptoms can be worse due to the sudden drop in oestrogen and testosterone.