Advantages of Consistent Sexual Activity During Menopause Unveiled
In the journey of menopause, many women experience the Genitourinary Syndrome of Menopause (GSM), a condition marked by symptoms such as urinary urgency or incontinence, vaginal dryness, and vulvar atrophy. While vaginal ultra-low-dose estrogen therapy is the standard remedy, some women may prefer non-hormonal options.
Regular sexual activity can help alleviate GSM symptoms by promoting vaginal blood flow, maintaining tissue elasticity, and increasing natural lubrication. This can reduce discomfort and pain during intercourse, a common issue for women dealing with GSM caused by lowered estrogen levels after menopause.
For those wary of estrogen therapy, several alternative methods exist. Vaginal DHEA (dehydroepiandrosterone), for instance, acts as a precursor to both estrogen and testosterone locally in vaginal tissues, improving vaginal tone, lubrication, pelvic floor strength, and potentially reducing urinary incontinence and pain during sex.
Non-hormonal vaginal moisturizers and lubricants are another option. These products can help alleviate vaginal dryness and improve comfort during intercourse without hormonal intervention.
Pelvic floor physical therapy is another approach. Strengthening pelvic muscles can improve urinary symptoms and sexual function. Maintaining sexual activity itself and good vaginal hygiene practices may also preserve vaginal tissue health.
In cases where estrogen therapy is not an option, shared decision-making with healthcare providers is crucial. Doctors can tailor treatments to individual needs, including the aforementioned options, and monitor closely.
Water-based lubricants can be used just before having sex to reduce discomfort during intercourse for GSM sufferers. However, it's important to avoid lubricants containing glycerin or warming properties, as they can irritate the sensitive vaginal tissue.
It's also worth noting that high levels of stress can decrease testosterone, impacting sex drive in women and negatively affecting the body's production of DHEA, a hormone precursor used to produce estrogen and testosterone.
A study involving over 900 Japanese women found that women who engage in regular sexual activity have a lower prevalence of GSM-related symptoms such as vulvar pain, irritation, and dryness. This underscores the importance of maintaining sexual activity as a means of managing GSM.
However, GSM can lead to a decrease in the frequency of sexual activity for women between the ages of 40 and 70. To combat this, libido-boosting exercises like hip thrusts can increase blood flow to the pelvis, enhancing pleasure zones for women.
It's also essential to remember that external vaginal moisturizers help the vulva area, while internal moisturizers are inserted into the vagina. Petroleum-based products should not be used for lubrication if using condoms, as they can break down latex condoms.
Dr. Monica Christmas, associate medical director for The Menopause Society, emphasizes the importance of diagnosing and treating GSM. She notes that local low-dose vaginal estrogen therapy is safe and effective at alleviating bothersome vulvovaginal symptoms contributing to pain and avoidance of intercourse.
Optimal sexual health is integral to overall well-being, and it is imperative to recognize the effect GSM can have on women who aren't sexually active. Consultation with clinicians is vital to establish the safest and most effective approach for each individual.
- While regular sexual activity can help alleviate symptoms of GSM, non-hormonal options such as vaginal DHEA and non-hormonal vaginal moisturizers and lubricants are also available for women who prefer them.
- In addition to promoting good vaginal hygiene, pelvic floor physical therapy can improve urinary symptoms and sexual function for women experiencing GSM.
- Maintaining optimal sexual health is essential for overall well-being, and it is crucial for women dealing with GSM to consult with healthcare providers for a tailored treatment plan and to monitor their condition effectively.
