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You may lose interest in sex when you go through menopause, particularly if vaginal dryness makes sex uncomfortable or painful.¹ Having hot flashes or trouble sleeping also may affect how you feel about sex.

It seems that as women get older they have sex less often.² But it's not clear whether this is directly linked to menopause. The vaginal dryness that happens because your body is making less estrogen can make it harder for you to get sexually aroused. Some women find it harder to have an orgasm, and some say that orgasms are painful.¹

If you're not interested in sex, this could be caused by things other than menopause, such as a crisis in your relationship, retirement or your children leaving home.³ Or it may have to do with getting older.

We're not sure whether losing interest in sex is directly linked to the drop in estrogen levels. Some researchers think it may be caused by your body making less of another hormone (called testosterone). Others say that estrogen has an important role in how you feel about sex.³

On the other hand, you may become more interested in sex because you no longer have to worry about getting pregnant. This may make you more relaxed.

This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment. ©BMJ Publishing Group Limited 2008. All rights reserved.