Menopause and Sexuality

Abstract

Menopause heralds the end of the female reproductive cycle. It is marked by a number of hormonal and
psychological changes, many of which have direct implications on a woman's sexual well-being. A
progressive decline in sex hormones like oestrogen and testosterone affect both the frequency and the
quality of sexual experiences in menopausal women. Sexual dysfunction in menopausal women is a
relatively understudied area which is becoming increasingly relevant, with the changes in population
dynamics and attitude towards sexuality. A number of biological, psychological and socio-cultural
factors aggravate the sexual dysfunction in this population. Treatment options include both
pharmacological and non-pharmacological modalities. It is prudent of a clinician to routinely assess
for sexual dysfunction in menopausal women, and to refer her to a psychiatrist for detailed evaluation
and management.