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For many women, this concoction bubbles along happily right through menopause. But for other women, it doesn't take a chemist to know that something is out of whack. We get hot flashes, mood swings, insomnia -- and suddenly sex isn't as alluring as it used to be. What's going on?
The hormones in charge of women's sexual characteristics and reproduction include estrone, estradiol, and estriol -- collectively known as estrogen. Your body doesn't stop producing estrogen altogether, but as you get older, estrogen production declines.
This can thin the walls of your vagina and inhibit lubrication during sex -- both of which can make sex uncomfortable or even painful. Estrogen also impacts desire for sex and orgasm, so declining estrogen levels may leave you feeling less in the mood for lovemaking, or unable to achieve orgasm. If this happens often enough, you may find yourself wanting to avoid sex altogether.
Sometimes, though, a medical condition is to blame instead of hormones. People with arthritis may find some sexual positions painful, and the poor circulation and nerve problems that can accompany diabetes may make arousal difficult. Some medications can make sexual arousal and orgasm difficult. This is especially true of antidepressants such as selective serotonin reuptake inhibitors SSRIs and certain blood pressure, decongestant, and tranquilizer medications.
Ask your doctor whether the medications you're taking could be impacting your sex life. Some researchers think that emotions play a greater role than hormones or medical issues when it comes to women's sexual desire. Rosemary Basson, Director of the University of British Columbia BC Sexual Medicine Program for close to 20 years, says that unlike men, women's desire for sex arises during sex, not before. So slow, sensual play and erotic massage likely does for women what Viagra does for men.