How to Enjoy Fulfilling Sex During Menopause - and Beyond
Yes, intimacy can get better with age.
Menopause brings physical and hormonal changes - but it should not mean the end of intimacy, pleasure, or connection. In fact, with the right support, many women report that sex becomes more emotionally fulfilling, more comfortable, and even more enjoyable during midlife and beyond.
At True Health Care Utah, our approach focuses on restoring hormonal balance, improving vaginal health, supporting emotional intimacy, and helping women feel confident and connected in every stage of life.
Here’s how.
1.Understand What’s Changing - and Why It Matters
As estrogen, progesterone, and testosterone levels shift during perimenopause and menopause, you may notice:
Vaginal dryness
Thinning or sensitive vaginal tissue (atrophic changes)
Lower or fluctuating libido
Mood changes or increased stress
Changes in arousal or orgasm patterns
These changes are common - but they are not permanent, and they are treatable.
When hormones are restored to healthy, balanced levels, comfort, pleasure, and libido often return as well.
2. Restore Comfort with Supportive Therapies
Comfort is essential for enjoyable intimacy.
Safe, natural, and customized treatment options may include:
💧 High-quality lubricants (water- or silicone-based)
🌸 Bioidentical estrogen or progesterone creams
💗 Compounded vaginal therapies (hyaluronic acid, vitamin E, DHEA)
🌿 Hormone pellet therapy for whole-body balance
These therapies help support healthy vaginal tissue, increase natural lubrication, enhance sensation, and reduce discomfort — naturally.
3. Rethink Foreplay - Because Arousal Can Shift
As estrogen changes, arousal may take longer to build, but it absolutely still happens.
Focus on deeper, slower, and more thoughtful intimacy:
More touch, massage, kissing, connection
Mindful stimulation (no rushing)
Exploring pleasure beyond just penetration
Using hands, communication, or toys when needed
You’re not broken - your body simply requires more presence, more warmth, and more time.
4.Stay Physically Active - It Helps More Than You Think
Movement increases circulation, energy, and hormone communication, all of which improve sexual function.
Great options include:
Walking or hiking
Strength training (supports testosterone balance)
Yoga, Pilates, or stretching (improves flexibility and pelvic function)
5.Support Your Pelvic Floor - Your Intimate Foundation
A healthy pelvic floor improves:
✨ Comfort during sex
✨ Sensation and orgasm quality
✨ Urinary control
Support options may include:
Kegel exercises
Yoga and core-strengthening movements
Pelvic floor physical therapy for tension, pain, or tightness
6. Protect Your Energy and Lower Stress
Hormones don’t function well when your nervous system is overwhelmed.
Try incorporating:
Mindfulness, breathwork, or light relaxation
Emotional intimacy - conversation, affection, presence
Prioritizing sleep
Planning intimacy when you feel most rested and emotionally open
Stress is one of the biggest libido killers. Hormonal balance + nervous system calm = deep, connected desire.
7. When to Seek Support - You Don’t Have to Figure It Out Alone
It’s time to talk to a knowledgeable provider if you’re experiencing:
Pain during intercourse
Vaginal tightness or dryness
Low libido that affects quality of life
Frustration, emotional disconnection, or mood changes
Hormonal changes in perimenopause, menopause, or post-menopause
At True Health Care Utah, we address both the physical and emotional layers, using a holistic, personalized approach that supports your hormones, nervous system, mood, and well-being.
You Deserve Comfort. You Deserve Connection. You Deserve Intimacy.
Menopause isn’t the end of sexual wellness - it’s a new beginning.
With hormone support, vaginal therapies, and whole-body wellness, intimacy can become more joyful, more meaningful, and more connected than ever before.
Reach out today to begin your personalized hormonal and intimacy evaluation.
Let’s restore comfort, confidence, and connection - naturally.
Dr. Stephanie King, FNP-C, APRN, DC
True Health Care Utah
Text (direct): 626-379-2840
Email: skingdc@me.com
https://truehealthcareutah.com
In-person appointments in Salt Lake City, Utah
Virtual consultations in Utah & California
Bio-identical Hormones • Pellets • Functional Medicine for Men & Women