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Intercourse After Menopause

Dr. Alyssa Dweck

Written by Dr. Alyssa Dweck, MS, MD, FACOG, Chief Medical Officer

Dr. Alyssa Dweck

Written by Dr. Alyssa Dweck, MS, MD, FACOG, Chief Medical Officer

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Intercourse after menopause can change in a variety of ways. Some of these changes — like decreased arousal and libido after menopause— may be directly tied to the hormone fluctuations commonly experienced. But there may be other factors affecting your sex life as well.

In this video, Bonafide Chief Medical Officer, Dr. Alyssa Dweck talks about common changes in intercourse after menopause and lays out potential causes and treatments.

Video Summary

Is Intercourse the Same After Menopause?

It should really come as no surprise that your sex life after menopause may not be the same as it was in your twenties. This can be really dramatic and disconcerting for some women. It’s really important to bring up this change in libido during menopause to your healthcare provider during your routine exam, or during a problem-focused visit. By the same token, your healthcare provider should elicit this information in a direct but open-ended way, so that they can assist if needed.

First, women tend to complain about a lowered sexual drive or libido during menopause, in addition to vaginal dryness and discomfort, and even orgasm concerns, like weakening or absence during this transitional period.

Who better to address these concerns than your gynecologist?

How Sex Changes After Menopause

The first thing to recognize is that sexual desire and female arousal after menopause is complicated for women. It’s just not a simple light switch that goes on and off, but rather has a lot of different variables. For example, if your relationship is strained or there’s discord going on in your marriage, this is going to affect your libido, and is probably best helped with a mental health provider or counselor. 

Second, if you have chronic medical issues or are taking medications that might interfere with your libido during menopause, these things need to be addressed as well.

Third, if you’re suffering with vaginal dryness and subsequent pain as a result of low estrogen levels during menopause, it behooves you to use a vaginal moisturizer. I’m a huge fan of Revaree® from Bonafide®. This is a hyaluronic acid suppository, a super moisturizer used twice a week in the vagina to help with moisture, and it is not hormonal. Lubricants may also be quite helpful, especially during intimacy to improve intercourse after menopause.

If you suffer from a busy mind, where you just have so many tasks to perform and so many responsibilities that it’s causing undue stress, you’ll need to manage this: whether it’s with exercise, altering the diet, or meditation or mindfulness to help de-stress and bring you more into the present.

Finally, orgasm issues do plague many menopausal women, where they become weaker or they become nonexistent. Part of this is due to hormonal change, and part of it is due to managing discomfort. We’ve already spoken about moisturizers, which I think are quite helpful, but from time to time you must consider the blood flow being enhanced in the genital area to assist with arousal and sexual satisfaction after menopause. For this, I often recommend Ristela®, a dietary supplement whose antioxidant and amino acid combination helps to enhance blood flow to the genitals to enhance satisfaction and female arousal after menopause.*

I hope all of these are of help to you. Thanks!


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I began to notice a dramatic change after the third Revaree suppository. The dryness and itching (mistaken for a vaginal infection) began to banish (poof)! The best thing is no hormone treatment needed (for me carried side effects).
Laser treatments are costly and this is an at home treatment. If you suffer from vaginal atrophy, dryness and itching you must give Revaree a try. A mighty wonder in a “little” suppository!

Caroline on

Revaree and Clairvee have helped me so much! My GYN recommended Revaree to me. As a past Breast Cancer-Estrogen positive patient I can not use the standard Estrogen products recommend for vaginal dryness after menapause. Revaree totally changed that for me! I added Clairvee and I don’t have any pain or discomfort any more! Thank you so much for these products!

Bonnie Hoppe on

I started taking Ristela and Revaree 3 months ago. I just received my next 3 months today. I’m loving the Revaree inserts but still waiting for the Ristela to kick in, I know it takes time. But at least I have hope! I’m 65 and wish I’d found this years ago.

Shelly on

Thank you for the important information

Claudia on

I had a hysterectomy at 45. (I am now 51) Immediate libdo & dryness occurred with painful intercourse. I started taking Ristela, Relizen & Revaree as a combo about a year later. It WORKS!!! I have run out and thought ‘oh I can go without /my body is fine.’ Boy was I wrong. As soon as I got back on your products I felt so much better. Like me again. I will not let that happen again. I have a subscription & use my REWARDS points as needed. Thank you so much for knowing what women need.

Jeni on

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* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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