by Dr Martha Tara Lee

Relationship Counsellor & Sex Therapist

Sexuality can vary greatly among individuals, and experiences can differ after the age of 50. Menopause can happen in your 40s or 50s, but the average age is 51 in the United States. Menopause is a natural biological process. But the physical symptoms, such as hot flashes, and emotional symptoms of menopause may disrupt your sleep, lower your energy or affect emotional health. All these changes have impacts on your sexual health.

The good news is that your sex life is not over now that you are over 50. While it's important to recognize that everyone's experiences are unique, here are some general points to consider:

1. Embracing Changes in Sexual Desire

Hormonal changes during menopause can lead to a decrease in estrogen levels, which may result in a decline in sexual desire for some women. However, it's crucial to note that this is not the case for everyone. In fact, some women may experience an increase in sexual desire due to newfound freedom or a stronger sense of self. Understanding and accepting these changes as normal can help women embrace their unique desires and explore new avenues of pleasure.

2. Addressing Physical Changes

Aging brings physical changes that can impact sexual experiences. Vaginal dryness, reduced elasticity, and changes in arousal and orgasm are common concerns for women over 50. However, there are various solutions available to alleviate these issues. Lubricants, hormone therapies, and other medical interventions can help address vaginal dryness and improve overall sexual comfort. Regular pelvic floor exercises can enhance muscle tone and improve sexual satisfaction. It's important for women to know that these physical changes are natural and manageable with the right support.

3. The Role of Emotional and Psychological Factors

Emotional and psychological factors play a significant role in sexual experiences at any age, including after 50. Women in this stage of life often experience increased confidence and self-awareness, which can positively impact their sexual relationships. However, factors like stress, relationship dynamics, and body image can influence sexual satisfaction. Cultivating open communication with partners, seeking therapy or counselling when needed, and prioritizing self-care can help address these emotional and psychological factors and enhance overall sexual well-being.

4. Considering Health Conditions and Medications

Certain health conditions such as diabetes, cardiovascular disease, or arthritis may affect sexual function or desire. Additionally, medications used to manage these conditions can have an impact on sexual health. It's essential for women to have open discussions with their healthcare providers about any concerns or challenges they may be facing. Healthcare professionals who specialize in menopause or sexual health can provide guidance, recommend appropriate treatments, and offer support tailored to individual needs.

Tips for Women:

1. Prioritize Self-Care

Taking care of your physical and mental well-being can positively impact your sexual health. Engaging in regular exercise, maintaining a healthy diet, managing stress levels, and getting enough sleep can all contribute to overall well-being.

2. Open Communication

Communicate openly with your partner about your desires, concerns, and any changes you may be experiencing. This can help foster understanding and create a supportive environment.

3. Explore New Experiences

Be open to trying new things and exploring different aspects of your sexuality. This could involve experimenting with different forms of intimacy or seeking professional guidance from a relationship counsellor or sex therapist if needed.

4. Educate Yourself

Stay informed about the changes that can occur in your body and how they may impact your sexual health. Educate yourself about menopause, hormonal changes, and common sexual concerns for women over 50. This knowledge can empower you to make informed decisions and advocate for your own sexual well-being.

5. Seek Professional Help

If you're experiencing significant challenges or concerns related to your sexual health, consider consulting with healthcare professionals who specialize in menopause or sexual health.

It's crucial for society to understand and acknowledge that sexuality is not limited to youth. Women over 50 can have fulfilling and enjoyable sexual experiences. Age should not be a barrier to exploring and expressing one's sexuality. Society should promote inclusivity, provide accurate information about sexual health, and foster an environment that supports individuals of all ages in their sexual journeys.

If you need support in navigating menopause or your sexuality after 50, please do not hesitate to reach out to me.