Menopause and sex

Anna Giulia Pecoraro, gynecologist

MENOPAUSE is the most controversial and difficult moment in every woman’s life.

While it’s true that the decline of sexual desire is stronger and more frequently confessed in this period, on the other hand we can’t underestimate the great number of women of all ages and backgrounds which come to us doctors complaining about other issues related to their sexual sphere. Problems that often start before menopause. Anyway, let’s focus on this complex period of approximately 10 years, linked to the end of a woman’s fertile life. Menopause is not an objective process that goes exactly in the same way for everyone; it should, instead, be studied case by case. Women don’t react all in the same way: some of them almost don’t notice it, while some other ones start to perceive symptoms with many months or even years in advance.

The ones to blame for this are always the HORMONES which are capable of affecting the psyche, the psycho-physical wellness and the sexual desire itself.

Many women complain about their loss of SEXUAL DESIRE, which means less excitement and lack of orgasm; in short: a globally poor quality of their sexual life. It’s true that the reduction of female hormones is the main cause for all this process, but we can’t underestimate the problem by limiting it to some biochemical and physiological aspects. There’s another important phenomenon in this phase of a woman’s life: the fear of ageing, the awareness of being unable to procreate anymore, the mostly wrong idea of having lost any seductive power. It’s more than a matter of hormones: we have to face the PSYCHOLOGICAL aspect of the process, too. That’s the reason why, even if the endocrine glands have their importance, we should give more attention to the mental approach each woman adopts to face the time before and during the climacteric, especially considering that life expectations after menopause are much longer than in the past.

In general, the female sexual disorders (FSD) are as widespread as often underestimated first of all by women, unlike the male sexual disorders which are much more studied. We know, as we already said, that their causes are both physical and psychological and often intertwined. There are still many disputes and TABOOS on this subject, because of the complex interplay between biological, psychological and social factors plus the sexual education, that is still practically absent in many cases.

The most discussed, widespread and heard disorder among women is the lack of SEXUAL EXCITEMENT.

We know for sure that the female hormonal cycle influences their personality and sexuality and it’s established that hormones deeply affect sexual desire. However, they have no significant influence on the excitement and pursuit of pleasure, since these phases are more linked to the psychic sphere.

“Love is the most powerful aphrodisiac“ G. Casanova

Anna Giulia Pecoraro, gynecologist

MENOPAUSE is the most controversial and difficult moment

We have to face the psychological aspect of the process, too.

The arousal disorder is due to sexual stimulation difficulties. Its key trait is the inability or effort to get and maintain an adequate sexual arousal in response to an appropriate stimulation during the whole sexual activity. Therefore, it’s often associated with orgasm disorder.mIt is characterized by lack of reaction to sexual stimulation, vaginal dryness and apathy during sexual encounters, which are lived as a duty. When the lack of excitement is accompanied by pain, women often start to avoid any sexual contact

In the absence of organic diseases, this problem is mainly linked to women’s difficulty to abandon themselves, tending to keep a constant control on what is happening, on their emotional actions and sensations. All these aspects stop them from following the feelings flow.

Despite an extensive medical research, we can state that there is no “pink pill” at all and that the wholes sexual sphere control depends on brain, except for a few cases due to organic alterations (such as hormone deficiencies and gynaecological infections). Depression, chronic stress, relationship problems, vaginismus, sexual phobias, etc. may cause a sort of inhibition in the free expression of female desire and emotions. Besides that, many women still consider the male gratification a priority, due to a repressive and chauvinist education. And they are often unaware of the incompleteness and total lack of freedom of their sexual dimension.


There are many commercial products designed to help women suffering from arousal disorder, but most of them present major side effects (like the testosterone base creams). A new product with no side effect because of its 100% natural ingredients is the VAGINAL CREAM YGYN 30. It’s composed of phytotherapic products and several studies shown that its constant use for 30 days significantly improves sexual pleasure.

However it’s still true that: “Love is the most powerful aphrodisiac“ G. Casanova

Anna Giulia Pecoraro

Rome, Lungotevere della Vittoria 5 – Tel. 0039 06 36001598