Menopause and its impact on sexual health

The menopause marks the end of menstruation and the beginning of the postmenopause, characterized by a significant decrease in estrogen and progesterone production. These hormonal shifts can affect women differently, impacting physical sensations, such as increased sensitivity or decreased natural lubrication in the intimate area.

Beyond physical changes, the transition can involve symptoms like hot flashes, sleep disturbances, and mood swings, which may influence sexual intimacy. The University Hospital Zurich notes that psychosocial factors also play a critical role in how sexuality changes during this period.

While spontaneous desire may occur less frequently for some, interest often shifts toward reactive desire, where sexual interest develops during physical closeness and stimulation. The transition does not end sexuality; rather, it changes how desire and physical responses manifest.