SEXUAL HEALTH

This can include; loss of interest in sex, vaginal dryness and urinary symptoms

In our 40s and 50s, testosterone and estrogen levels both decrease, which may make it more difficult to get aroused. A decrease in estrogen can also lead to vaginal dryness. Lower levels of estrogen lead to a drop in blood supply in the vagina, which can then negatively affect vaginal lubrication. It can also lead to thinning of the vaginal wall, known as vaginal atrophy. Vaginal dryness and atrophy often lead to discomfort during sex. 
Other physical changes during menopause might also affect your libido;. Hot flushes and Night Sweats, Mood/Irritability, Sleep.

Midst options:

• Air vibrator
• Water based lubricants
• Midst Menopause Doctor
• Advice and medication
• Hormone replacement therapy (HRT)
• Testosterone therapy 
• Ospemefene:

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Some Suggestions

• Water based Lubricant
• Exercising
• Kegel exercises