responsible for keeping the vagina and vulva lubricated and elastic. But once breastfeeding is finished, things generally go back to normal.
Sex: keep at it
For most women, menopause is when the big changes to the vaginal area start. The permanent drop in oestrogen can see dryness and tightening, which can cause a real problem in the bedroom for some women.
But there are medications (both prescription and over-the-counter) that can help when sex is uncomfortable and, as Dr Tan advises, it’s definitely helpful to keep at it.
It turns out intercourse and other sex activities that stretch the vagina can help preserve elasticity by preventing contracting and over-tightening of the tissue in the area.
She can’t put a figure on exactly how often is required but says “probably at least weekly”.
If you don’t have a partner, but might want one in the future, there are other ways to maintain the area.
Some specialist physiotherapists are trained to provide vaginal dilator therapy, which aims to stretch the vaginal muscles, she says
Don’t suffer in silence
The good news (sort of) is that half of all women will not experience any major problems as a result of these changes, and will be able to manage any symptoms with over-the-counter medications (vaginal moisturisers and lubricants).
However, about 50 per cent of women may experience these symptoms to a level that causes serious discomfort, a condition known as vulvovaginal atrophy.
“A lot of women suffer in silence,” Dr Tan said.
“It affects their relationships, their self esteem, their sex lives. It’s an important thing to address.”
Help is at hand, and Dr Tan stresses it’s important to talk to your GP or gynaecologist if you’re experiencing discomfort during sex, or other symptoms, as there are treatments (such as oestrogen replacement or vaginal laser) available that can provide relief.
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