As women start their menopausal transition, menopause sex drive, arousal, and even sexual satisfaction, includingĀ orgasm, sometimes take a nosedive. This can be frustrating, but it isnāt uncommonāin fact, more than half of menopausal women suffer fromĀ low libido.1
The hormonal changes experienced during perimenopause and menopause can causeĀ fatigue,Ā anxiety, andĀ mood swingsāthese are common symptoms, but they may also affect women sexually.2Ā āSexual libido and satisfaction naturallyĀ ebbsĀ and flows throughout our life cycle, and theĀ perimenopauseĀ andĀ menopauseĀ years are no exception,ā saysĀ Dr. Alyssa Dweck, Chief Medical Officer at Bonafide. āHormonal changes during this time, and certain life circumstancesāincluding relationship issues, professional and personal responsibilities, medical conditions andĀ medications, andĀ stressāare all influential.ā
The good news is that women donāt have to settle for a boring sex life or a decreased menopausal sex drive. Although there are a number of ways to boostĀ desire and arousalĀ during menopause, today weād like to talk about one specific remedy: pelvic floor exercises that result in better sex for women.
What is the Pelvic Floor?
Have you ever leaked a little bit of urine when coughing, laughing, or running? Women in menopause may experience these issues due to a weakenedĀ pelvic floorāa network of muscles, ligaments, and connective tissues that support the bladder, uterus, rectum, and vagina.3
āPelvic floor relaxation and weakness are not uncommon in women,ā says Dr. Dweck, as she adds that susceptible women include those with certain genetic factors, who have gone through pregnancy and childbirth, and who have obesity.Ā She also emphasizes how important it is to keep these muscles tonedāand notes that ignoring a weak pelvic floor during menopause may lead to other issues, including; pelvic pain and pressure, organ prolapse, urine andĀ bowelĀ incontinenceĀ and sexual dysfunction.
With all of this in mind, it pays to take time now to get your pelvic floor in shapeāfor better overall health and to potentially improve your menopause sex drive and yourĀ experience with sexĀ during and after menopause.
Top Exercises for Better Sex
If youāve ever started an exercise routine, you know how difficult it can be to stick to it. Committing to a sex improvement exercise routine or pelvic floor exercises is no different, so itās important to find a way to incorporate exercises that target this area in your daily schedule. Fortunately, there are several exercise options you can do now, whether youāre just starting perimenopause, or youāve already gone through menopause. (Note: consider checking with your healthcare provider first to make sure itās ok for you to begin a new routine.)
Kegel Exercises for Women
Kegel exercises for women work by contracting and relaxing specific muscles, and they are the ideal type of pelvic floor exercises for toning and strengthening. They help relax the vagina, making penetration more comfortable during sex. Kegel exercises can also help to improve vaginal lubrication, allow for better blood to flow to the genitals, increase sexual arousal, and make it easier to reach orgasm.4
So, how do you do Kegel exercises? First, youāll need to locate the correct muscles.
The next time you urinate, try to temporarily stop your urine flow. The muscles you squeeze to make this happen are the key muscles to target for this pelvic floor exercise, and the squeezing motion you complete when stopping your flow, is basically how you do Kegel exercises.5
āKegel exercisesĀ can be done on oneās own time, during other activities,ā says Dr. Dweck. So, feel free to try them when youāre working at your desk, driving your car, or standing in line at the store. (Nobody but you will even know youāre getting a workout!) For a simple Kegel workout, try following these steps:6
- Contract or āsqueezeā the pelvic floor muscles for 10 seconds (start with 5 seconds if you are brand-new to Kegels)
- Release and relax the muscles for the same number of seconds that you squeezed
- Repeat 5 to 10 sets up to three times a day
Want to step up your Kegel exercise routine? Try some Kegel bridges:7
- Lie on your back with your feet flat on floor, hip-width apart, and bend your knees at a 90-degree angle
- Make sure your weight rests on your upper back and shoulders (you may want to lie on a towel or yoga mat for comfort)
- Raise your hips to form a bridge. Hold this pose and squeeze your pelvic floor for 10 seconds
- Release your muscles, lower hips to the ground, and rest for 10 seconds
- Repeat
If you really want to boost your routine involving Kegel exercises to improve sex, consider trying a pelvic floor exerciserāa device designed to target your pelvic floor muscles. āWorking with a pelvic floor exerciser can be a game changer for improving and supporting pelvic floor health,ā Dr. Dweck says. Pelvic floor exercise equipment includesĀ Kegel weightsĀ andĀ digital pelvic floor training products.Ā Dr. Dweck also recommends working with a pelvic floor therapist in combination with pelvic exercisers for maximum benefit.
Yoga Poses for Better Sex During Menopause
YogaĀ is a type of exercise known for easing overall stress. Some yoga poses may also be considered pelvic floor exercises as they help to strengthen your pelvic floor muscles. When combining pelvic floor strength with less personal stress, itās possible that your sexual experiences and menopause sex drive may benefit. In fact, theĀ Journal of Sexual MedicineĀ published a study involving women between ages 22 and 55 who committed to a 12-week, one-hour daily yoga regimen focusing on six areas: desire, arousal, lubrication, orgasm, satisfaction, andĀ pain. At the end of the test period,Ā 3 in 4Ā women reported that their sex lives improvedāandĀ women over age 45 reported the biggest improvements across all the focus areas.8
Yoga can be practiced alone or in combination with Kegel exercises. āMany yoga poses likely incorporate pelvic floor strength training,ā explains Dr. Dweck. ā[This]Ā is typically a dedicated practice which also focuses on strengthening the core, as well as improving mindfulness and breathing.ā
Here are two specific yoga poses that may be beneficial for supporting your pelvic floor along with better sex during and after menopause:
Childās PoseĀ - This yoga pose doesnāt require extreme flexibility, so itās ideal for women who may have limited mobility:9
- Kneel on the floor with knees hip-width apart
- Exhale while slowly leaning forward. Place your hands in front of you (on the floor, shoulder-width apart) and relax your upper body as you pull back, so that your bottom touches your heels. Keep your hands on the floor as your arms stretch in front of you
- As you lean back, allow your forehead to touch the floor (or rest it on a block or pillow if itās more comfortable)
- Hold this position for a minimum of 30 seconds

Squat PoseĀ ā This yoga pose works to increase blood flow to your groin while stretching out your hips and pelvis:10
- Stand with your feet slightly wider than your hips
- Lower your body so that you end in a squatting position. Go only as low as you are comfortable!
- Hold this position for a few seconds while focusing on your breathing, then return to the original starting position

Strength Training Exercises to Improve Sex
Lifting light weights can help support better sex during menopause in a couple of different ways. First, strength training can boost testosterone levels, which in turn pumps up your sex drive, in addition to your muscles. Women naturally produce testosteroneāalbeit one-seventh the amount men doāstill, increased testosterone may result in a higher sex drive. Just two or three days of strength training each week may make a difference.11
Second,Ā exerciseĀ in general isnāt just good for the bodyāit also benefits the brain, says Dr. Dweck.Ā āAny exercise, including basic cardio and weight training, might suffice since endorphins (feel good chemicals in the brain) are released during physical activity, which may enhance mood, and in-turn have a positive effect on sexual satisfaction. Additionally, exercise might enhance sexualĀ self-esteemĀ by optimizing body weight and tone. When a woman feels sexy, sheāll likely feel more sexual.ā
Itās absolutely possible to remain sexually active as you enter menopauseāand for many years afterward. Exercise is key to supporting your pelvic floor as well as maintaining sexual desire, energy, and satisfaction, so, why wait? Incorporating pelvic floor exercises, kegel exercises, and a combination of activities like strength training and yoga into your routine today just may help you experience the best sex of your life!Ā
Resources
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8351832/
- https://www.menopausenow.com/loss-libido/articles/4-exercises-to-pump-up-your-libido
- https://www.everydayhealth.com/menopause/kegels-for-menopause-benefits/
- https://www.issm.info/sexual-health-qa/what-are-kegel-exercises-and-what-sexual-health-benefits-might-they-have
- https://www.issm.info/sexual-health-qa/what-are-kegel-exercises-and-what-sexual-health-benefits-might-they-have
- https://www.issm.info/sexual-health-qa/what-are-kegel-exercises-and-what-sexual-health-benefits-might-they-have
- https://www.pericoach.com/2018/05/15/3-essential-two-in-one-core-kegel-exercises-you-can-do-at-home/
- https://www.menopause.org/for-women/sexual-health-menopause-online/effective-treatments-for-sexual-problems/yoga-kegel-exercises-pelvic-floor-physical-therapy
- https://www.healthline.com/health/sex-yoga#yoga-benefits
- https://www.livehealthily.com/physical-activity/yoga-for-menopause
- https://www.menopausenow.com/loss-libido/articles/4-exercises-to-pump-up-your-libido
Comments
Post commentThank you for the exercise exercises. I can still do Keagleās quite well. But wasnāt aware of the others.
I knew about kegel exercises but wasnāt aware of the others. Iām going to add the others to my workout routine.
very helpful and interesting. i am very active and go to the gym regularly.
So glad my friend connected me to this website and blog. So very helpful. I will definitely pass it along to my friends!