Menopause changes much about how your body feels, including your experience with intimacy. If sex now feels uncomfortable, less satisfying, or even painful, you are not alone. Close to half of all postmenopausal women deal with challenges like vaginal dryness, discomfort during sex, or a reduced interest in intimacy. The important truth? These symptoms are common, but they are also treatable.
Why Does Sex Change After Menopause?
Hormones drive most of the changes that happen after menopause. When estrogen levels fall, the vaginal lining becomes thinner and less able to produce moisture. This leads to irritation, dryness, or pain during intercourse. Testosterone, which is linked to desire and sexual satisfaction, also declines with age. You might notice it takes longer to get aroused, or that orgasms feel different. These symptoms may affect relationships and self-confidence, but effective solutions are available.
Typical symptoms include:
- Vaginal dryness or irritation
- Pain or discomfort during sex
- Lower desire for intimacy
- Changes in arousal or orgasm
Treatment Options Worth Considering
Hormone Replacement Therapy
Restoring hormone balance can be a game-changer. Bioidentical hormone replacement therapy, such as BioTE pellets, offers plant-based hormones that closely match those naturally produced by your body. A small pellet is placed just under the skin and delivers a steady, consistent dose of hormones for several months. Many women find that this treatment eases vaginal dryness, boosts libido, and makes sex more comfortable. However, not all hormone therapies are FDA-approved. Compounded pellets may carry extra risks, so make sure to discuss your full health history and preferences with a knowledgeable provider.
MonaLisa Touch Laser Therapy
If you prefer a non-hormonal approach or cannot use hormone therapy, MonaLisa Touch laser therapy is an option. This gentle, in-office laser treatment stimulates collagen production and improves natural lubrication in the vaginal tissue. Most women report less dryness and pain after just a few quick sessions. The procedure involves minimal downtime and is hormone-free, making it suitable for women with a history of breast cancer or those who simply wish to avoid hormones.
PRP (O-Shot) and FemiWave
Regenerative treatments like the O-Shot use platelet-rich plasma from your own blood to encourage healing, boost sensitivity, and improve natural lubrication. FemiWave uses gentle sound waves to increase blood flow and tissue health, aiming to improve pleasure and reduce discomfort. While research is ongoing, many women report improvement when other options have not provided enough relief. Results can vary, and these treatments are not always covered by insurance.
Why Choose A Place for Wellness?
At A Place for Wellness, you will find a compassionate team with decades of expertise in menopause and sexual health. Dr. Delia Delgado and her staff offer every treatment mentioned above, working with you to develop a plan tailored to your needs and goals. You can count on honest guidance, science-backed care, and ongoing support at every step.
Take Your Next Step
Sexual health after menopause is possible. You do not have to accept discomfort as your new normal. Relief and renewed confidence are within reach. Schedule your appointment at A Place for Wellness and take the first step toward feeling like yourself again.