Menopause and sexual health: women can stay active after 50

Medical experts explain that menopause does not mark the end of a woman's sexual life. Hormonal declines in estradiol, testosterone and progesterone can lower libido and cause symptoms such as vaginal dryness, pain during intercourse, reduced lubrication, and difficulties reaching orgasm. Indirect effects—including sleep disturbances, anxiety, hot flashes, weight gain and lowered self‑esteem—also influence intimacy.

Treatments and interventions that can restore sexual well‑being include hormone‑replacement therapy, local vaginal therapies, CO₂ laser procedures, and regular use of moisturizers. Lifestyle measures—regular physical activity, balanced nutrition, adequate sleep and stress management—further support desire and comfort. Multidisciplinary care involving gynecologists, pelvic‑floor physiotherapists, nutritionists and fitness professionals helps women aged 50, 60 and even 70 maintain an active, satisfying sex life.