Do you remember the first time you fell in love? Chances are, you thought you had discovered the moon and the stars. The lyrics to songs seemed to be written about you. And you probably didn’t even think about eating or sleeping. When a woman falls in love, she experiences an almost-overwhelming influx of energy, filling her with exhilaration, benevolence, vigor creativity, and often insatiable sexual desire.
This first-love feeling can be experienced at any life-stage or age when we are able to connect at a deeply emotional and spiritual level with another person. But at midlife, the challenge for most women is to be able to access that in-love feeling in ways other than looking to another person for fulfillment and gratification. In other words, if you think of sexual energy in the largest possible context — as life force, or Source energy — then it is easy to see that the health and vitality of our sexuality is inexorably linked to the health and vitality of our lives.
It is a common misconception that sexual desire and activity inevitably decrease at menopause. Although this is true for some women, it certainly doesn’t have to be the truth for all. What we believe about sexuality at menopause has a lot to do with our sexual expectations and experience. And many women who are in the process of negotiating how to tap into their source energy at midlife notice a decrease in sexual desire. In one study 86 percent of women reported some form of sexual dysfunction, usually in the form of loss of sexual desire, often associated with vaginal dryness, dyspareunia (pain during intercourse), vaginismus (painful spasms in the vaginal muscles), loss of clitoral sensation, and touch sensation impairment.1
Determining the cause of sexual problems can be difficult. Sometimes, menopause-related hormone deficiency is to blame. But sexual function is a complex, integrated phenomenon that reflects the physical health of not only the ovaries and hormone balance, but also the cardiovascular system, the brain, the spinal cord and the peripheral nerves. In addition, there are almost always underlying psychological, sociocultural, interpersonal and biological influences that affect individual sexual function. Interestingly, of the 14 percent of women in the study who reported no sexual problems, one-third admitted they had previously had sexual problems but that the problems had been resolved when they found new sex partners.
It is also important to note that health conditions and medications may also interfere with sexual functioning. Women suffering from gynecological problems, hypertension (high blood pressure), diabetes, chronic pain, alcoholism, drug use (including cigarette smoking), thyroid deficiency, or depression, as well as those who use anti-hypertensive medications, tranquilizers or sedatives, ulcer medications, glucocorticosteroids, antihistamines, or antidepressants may suffer some sexual dysfunction.
Are you worried about perimenopause and how it will affect your sex life? Many of the following midlife changes in sexual function have been associated with normal perimenopause:
As you can see by this list, change itself, and not the nature of the change, is the common theme. It’s important to remember that during the perimenopausal transition, with all of its changes, a woman’s libido may go underground for a while as she reprioritizes her life and the manner in which she uses her energy. This is perfectly normal and can yield great dividends. But, it is only temporary. There is no reason for diminished sex drive to become permanent after menopause. And, while some women truly do notice a decline in libido at menopause, others actually experience heightened sexual desire and activity after menopause.
Here’s how to keep your libido high after menopause: