Sex and menopause.

Sex therapy & guidance

Hot flushes, poor sleep, a body that reacts differently than you’re used to. Menopause affects your sex life too: your desire, your arousal and how pleasant sex feels. That isn’t something you “just have to accept”. Often a lot can be done.

When your body
finds a new rhythm.

During menopause your oestrogen levels drop. As a result, the lining of your vagina can become thinner and drier, and sex can start to chafe or hurt. Arousal sometimes needs more time. And if you’re sleeping badly or struggling with hot flushes, sex is often the last thing on your mind.

The way you see yourself can change too. Your body feels different, and your relationship may be entering a new phase. That raises questions, but it also gives room to rediscover what you enjoy.

You might recognise:

Less desire than before
Dryness, burning or pain during sex
Needing more time to get aroused
Feeling less at home in your own body
Hot flushes or poor sleep that make everything harder
The feeling that sex has become a chore instead of something nice

Also read about less desire for sex or pain during sex.

“Menopause isn’t the end of sex. Often it’s actually a moment to rediscover what you enjoy.”

What used to happen naturally may now need more time, attention or a different approach. That isn’t a loss, but a change. Guidance helps you adapt your sex life to it, so that it fits you again.

How I work

Body and mind, taking both along. With sex during menopause, hormones, your body, your thoughts and your relationship all play a part. That’s why we look broadly.

Making use of medical options

For dryness or pain, your GP or gynaecologist can often prescribe something, such as a vaginal cream. That can easily run alongside our conversations.

Giving arousal time

We look at how you can make more room for arousal: with pace, touch, and moments when you’re not already exhausted.

Rediscovering what you enjoy

Your desire can change. We explore what suits you now, on your own or together with your partner.

On your own or together

On your own, or together with your partner.

Menopause happens in your body, but it often affects your relationship too.

Starting on your own

Nice if you first want to work out for yourself what’s changing and what you need.

or

Together with your partner

Valuable if sex has become a loaded subject, or if you want to discover together what feels good now.

Ready for a
new chapter?

You don’t have to wait until all symptoms are gone. A first conversation helps you get an overview.

Email praktijk@deseksuoloog.nl at your own pace