Surprising reasons you’re not having sex

By Gwyneth MacLaine · March 14, 2008

You’ve hit perimenopause.

Before menopause, hormonal shifts — specifically decreasing estrogen — lead to physiological changes that can make sex seem about as appealing as running a marathon with a pebble in your sock. Sensitive vaginal tissues become less lubricated, the ensuing dryness leads to pain, and painful sex quickly turns into no sex, Krychman says. Hot flashes don’t help matters, either. A landmark study published last year in the American Journal of Obstetrics and Gynecology shows women whose sexual desire drops during menopause are more apt to report night sweats, disturbed sleep, and depression.

Sex Rx: Talk to your physician about the pros and cons of hormone replacement therapy (HRT), which may lessen menopausal symptoms. New research shows an estrogen cream or suppository may ease dryness without the risks of HRT. Lubricants such as Replens or his-and-hers lubes from K-Y can also help, especially if pain during intercourse is a problem. Pine bark extract is also getting a lot of buzz: A study in the Scandinavian Journal of Obstetrics and Gynecology found that it may alleviate hot flashes, depression, panic attacks, elevated cholesterol, and other symptoms linked with perimenopause. Talk to your doctor before trying anything new.

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1 Comment

  1. Kathrin 1:54 pm

    I think “Your crazy-busy life” is the main reason, i am a homemaker and it’s not that easy to have sex after a hard working day.

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