As women step into the postmenopausal years of their life, they feel less burdened by not getting menstrual periods or becoming pregnant. This might sound heavenly phase of life, isn’t it? It can be good but women can expect many physical and psychological changes that can affect their intimacy with their partners. But, still, there are ways for menopausal or post-menopause women to get enjoyable and pleasurable sex, either alone or with their partners. This article provides insight into female sexual pleasure, the effect of menopause on sexual pleasure, and some tips/treatments to make sexual pleasure achievable after menopause. [1, 4]

What is Meant by Sexual Pleasure for Women?

Female sexual pleasure is hard to be noticed as there is no such clear signal or a well-defined event that indicates female sex climax as found in men. The components of female sexual pleasure include:

1. A desire for sex or physical attraction towards the partner.

2. Sexual arousal on stimulation or even sexual thoughts- Each part of the women’s body has different stimulating points just like the brain. These particular points must be known to the male partner. Upon touching these points, the heart rate, blood flow, and blood pressure rise in these areas. The sexual and de-stressing hormones just as testosterone, dopamine, and serotonin are released by the body, which makes women enjoy the entire sexual activity. These can even result in vaginal lubrication.

3. Sexual satisfaction or orgasm (aka female climax)- It is the series of rhythmic muscular contractions that happens inside of the vagina/womb or on the pelvic floor. The sexual tension gets released at peak of the orgasm when the female body gets warm and the blood pressure and heart rate increase. Soon after this, the female body feels relaxed and all the vitals get back to normal. This can come through nipple stimulation, penetrative sex, clitoral stimulation, or masturbation. Female sexual satisfaction can be achieved even without an orgasm or climax.

Female sexual pleasure comes in with emotional and psychological satisfaction. [2]

Sexual Pleasure after Menopause

Menopause and advancing age can affect the desire in women to have sex and when it happens, the other components of female sexual pleasure also get affected.

During menopause, women experience a drop in their female sex hormone estrogen. The outer genitalia and the vagina of females have a lot of estrogen receptors. When there is a loss of estrogen, the vaginal or genital tissues tend to shrink up. The vaginal canal becomes less stretchy and even becomes dry. Moreover, a decline in the levels of estrogen hormone also leads to reduced blood flow to the vagina.

As a result, the vagina becomes less sensitive to touch and less receptive to getting aroused. All of this makes sex less desirable among menopausal or post-menopause women. They report facing sexual difficulties such as showing less interest in sex, trouble having orgasms, or feeling downright uncomfortable as well as painful sometimes while having sexual intercourse. On top of all this, the menopause accompanying emotional toll could also make them lose interest in having sex or not get pleasure even if they try to do any sexual activity.

Additionally, menopause comes to older women who are more likely to experience health issues. If they are already suffering from any chronic illnesses or injuries, their energy level could be low and they might experience physical pain and lower self-body image- all of which affect their sex drive. [1, 2, 3]

How can Problems in Sexual Pleasure Post-Menopause be Treated?

Menopause results in vaginal dryness, itching, or pain/discomfort. These side effects can be resolved safely by using prescribed estrogen treatments that are directly put into the vagina as a cream, pessary, or vaginal ring, alongside hormonal replacement therapy. The topical estrogen products can help increase moisture and lubrication in the vaginal lining, allowing penetrative sex to be comfortable back again.

If pain at the time of sexual intercourse is not letting women feel pleasure from sex, the doctor recommends a vaginal examination to determine the cause of pain and treat their condition accordingly. Some of the conditions that can cause painful intercourse includes a pelvic mass, endometriosis, ovarian cysts, sexually transmitted infections, scar tissue from surgery, and vaginitis. Furthermore, if there are post-menopause vaginal changes noticed in women like the dry, fragile vaginal tissues, don’t ignore them and let things turn painful instead treat the thin vaginal lining and make it healthy again. This can be done usually within a month.

Another impact menopause can have on the sex life of women is their reduced sexual desire or lagging libido (sex drive) which can be addressed by increasing receptiveness to sex and treating mental or emotional turbulence with drugs or relaxation techniques.

Lastly, if there is any sexual dysfunction bothering post-menopause women, they must not get embarrassed and give up on sex. Healthcare providers can help address these concerns with their integrated treatment approach. [3, 4]

Self-help Tips to Deal with Sexual Pleasure Problems after Menopause

• Have a healthy personal relationship and open communication with your partner.
• Have a sex-related talk without any inhibitions with your partner, doctor, or counselor. It is a good way to work through some of the challenges that you might be experiencing post-menopause.
• Look at sex as an enjoyable activity and not as a task or sin.
• Allow your partner to explore your body physically.
• Do not divert your thoughts on anything or sexual climax, just focus on what is being done to your body.
• Read erotic books.
• If having stress or anxiety, manage stress through relaxation techniques this way brain would not have to process two different feelings (sexual pleasure and stress/anxiety) at a time. It could help you feel different about sex.
• Your partner must understand and accept your menopause as a physical limitation and act accordingly.
• Do kegel exercises to strengthen pelvic floor muscles.
• Try doing sex regularly at different positions to control penetration, and keep your hormonal levels up and sexual tracts healthier and lubricated. [2]

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References:

1. https://www.hopkinsmedicine.org/health/wellness-and-prevention/how-sex-changes-after-menopause#:~:text=This%20change%20has%20a%20huge,cause%20intercourse%20to%20be%20painful.
2. https://www.youtube.com/watch?v=sMOeF_ZI4d8
3. https://health.clevelandclinic.org/sex-and-menopause/
4. https://www.nhsinform.scot/healthy-living/womens-health/later-years-around-50-years-and-over/menopause-and-post-menopause-health/sexual-wellbeing-and-intimacy-during-and-after-menopause

An orgasm is a physical and emotional experience brought on by a sequence of rhythmic contractions of the vagina, penis, pelvic floor muscles, and occasionally the uterus. An orgasm occurs typically when muscle tension and blood flow to the genitalia have built up, resulting in a feeling of sexual ecstasy. For women, reaching the pinnacle of lovemaking and experiencing the height of pleasure is just as crucial as it is for males. The onus is still on the woman’s partner to assist her in getting there, even if she is aroused sufficiently. [1, 2, 3]

Many women now fake orgasms to not shame their partners during intimate encounters. How can this be? This is due to the verity that many males have difficulties orgasming women. However, when a male partner cannot satisfy the female partner in bed, the self-esteem and connection with the female partner will suffer.

Furthermore, why stop at one if one has what it takes? There is no more excellent way to show love towards the partner, deepen intimacy, and stoke the male ego than with a female orgasm, where two or three are better than one. It is simple to do; follow these pointers to give her the epic orgasms every guy likes to think he can and every woman wants her man to be able to offer. Read on to know more about the ways to give sexual pleasure to women.

1. Create A Romantic Environment: Remember that tension and sexual activity do not mix. So, the male partner must create the right atmosphere for her if he plans a hot act for the bedroom. Before asking or starting a lovemaking session, evaluate her emotional state. Is she up for it, or is she too frazzled or worn out? The secret to a good night’s start is to be aware of her emotions. It is ridiculous to anticipate an exciting climax from her, much alone many orgasms, if he is unaware of his partner’s emotions. Please make an effort to get her in the right frame of mind. Make it a point to chat with her and show affection towards her since one (males) cannot overstate the value of talking about women. [1, 2]

It is time for some teamwork once a man has constructed the foundation and established the atmosphere for the upcoming night. Her turn to prepare for the act is now. Kegel exercises are the ideal method for extending a woman’s time in bed since they strengthen the vaginal muscles, prepare her for more pleasure, and help her cope with pain. But not all women want to have sex with a drill sergeant, so do not just tell her to do Kegels; assist her instead. She will contract when the male touch near her erogenous zone. A man can maintain the mood, arouse her, and incorporate some of those beneficial Kegel exercises if you provide a moderate thrust and let squeezing and relaxing the muscles last for a while. [1, 4]

2. Give Importance To Foreplay: The role of foreplay in females should not be underestimated. Sexual activity cannot induce an epic orgasm on its own. A man must set aside ample time for foreplay. Do not be in a rush to jump in and finish the deed because this is not a race. She will likely stay in bed longer and find the encounter much more enjoyable and rewarding if a man can learn the skill of gradually arousing her. Similarly, use the hands and tongue. Assist the partner in being aroused orally and physically if the male partner wants her to experience several orgasms. Make sure to be aware of how to arouse her organically. The male index finger will stimulate her clitoris. The movements ought to be smooth and circular. Be open to criticism and perceptive of her verbal and nonverbal clues. Her small groans and friendly body language will let one know the male partner is leading in the correct direction. A man moves to the G-spot after stimulating the clitoris. This area, which sits atop the vaginal cavity, is thought to give a woman the most pleasure. The clitoris is a tiny, densely covered nerve structure that only exists to provide sexual pleasure located at the apex of the vaginal entrance. Getting her excited would make the deed more enjoyable, rewarding, and intimate for the couple. [2]

3. Use Lubricants If Necessary: A woman needs to feel comfortable and find the experience enjoyable rather than painful to have many orgasms. The vaginal area is very sensitive, so lubricate it with a lubricant before having multiple sex sessions, not just once or twice. Any pleasure will be reduced by vaginal soreness, making sexual activity so excruciatingly painful that she may not even experience an orgasm. [1, 3]

4. Switch Positions: Be inventive here. Do not expect her to share the opinion of the missionary stance; if the male partner supports it, change the position. It will enable the male partner to maintain the novelty and desire while letting the spouse experience an orgasm from the thrill of trying out a new love position. [1, 3,43]

5. Take a Brief Break: Having said that, stay in bed. Stay in bed if both partners plan to make out after the climax. Hug, kiss, cuddle and converse to rekindle the energy. Remember that making love requires more than just a physical act; it also necessitates an emotional connection. When couples have reached a climax, do not just turn away from her or roll onto the back; instead, look her in the eyes and tell her how much he loves spending time with her and he is drawn towards her. If one does this, likely, won’t have to make much effort to pique her interest in a subsequent round of passionate sex. The desire one has throughout their lovemaking session can be maintained to a great extent by kisses and caresses. Kissing and touching the partner ensures that couples are both sufficiently aroused to progress further into the act. [4]

Sexual Pleasure After Menopause

Estrogen level can seriously affect the sexuality after menopause too.

• Try foreplay, touching, kissing, and cuddling to avoid libido
• Stimulating the clitoris is an important part of having an orgasm
• Communication and connection are a must to have better and healthy sex
• Use lubricants during sex. This can help with the dryness one might be experiencing in their vagina.

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References:

• https://www.womenshealthmag.com/sex-and-love/a19953576/types-of-female-orgasm/
• https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/top-5-pressure-points-for-female-orgasm/articleshow/
• https://greatist.com/live/science-backed-ways-to-make-your-partner-orgasm
• https://www.promescent.com/blogs/learn/give-her-an-orgasm.