LESS INTENSE ORGASMS

Getting closer to menopause, some women find that it takes longer to reach orgasm or their sexual climax may feel shorter or less intense. They may no longer experience a wave of contractions at climax (or climax contractions may feel weaker), or they might keep coming to the cusp of orgasm but find they can’t reach the peak of climax.

“There is a misconception that this change in orgasm occurs due to a drop in testosterone,” Farrell says. “In fact, this is not the case because testosterone gradually falls over the years and does not decline sharply during perimenopause and menopause.” Instead, Farrell says the most likely cause is that the reduction in oestrogen leads to reduced blood flow to the pelvic area.

“There can also be changes in nerve activity in the clitoris, changes in the tone of the skin in the vagina and the pelvic floor, and less lubrication during sexual arousal,” Farrell points out. “All of these factors combined can reduce a woman’s arousal level and may contribute to a lower intensity of orgasm.” It’s important to note some health conditions, such as high blood pressure and diabetes, can also impact on your enjoyment of sex so don’t hesitate to talk with your doctor.

Ways to find relief Strengthen your pelvic floor:

“A strong and toned pelvic floor can make your orgasms more pleasurable and intense,” Farrell says. Do pelvic floor exercises as described on the opposite page.

Take time for intimacy: Snuggle up on the couch, take a bath together, and give each other a foot massage. Relaxing together and being physically close can help revive your libido and boost intimacy, which can help a woman feel more relaxed and in turn increase desire.

Focus on foreplay: Instead of treating it as a sexual appetiser, savour it like a main course. “Lengthy touching, kissing and stroking can make a big difference to a woman’s arousal, relaxation, lubrication and pleasure during sex,” Farrell says.

Apply creams for comfort: Lubrication applied to your vulva, can help make sex more pleasurable and less painful. Choose one free of perfumes and preservatives if you tend to have sensitive skin.

Apply topical oestrogen: “Ask your GP for a script for oestrogen cream,” Farrell suggests. “Applying an oestrogen cream topically in the vagina twice a week can greatly improve a woman’s level of comfort during sex, which in turn may enhance her arousal and orgasm.”