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A Candid Conversation About Sexual Health During Perimenopause

Perimenopause is a transformative phase in a woman's life, marked by hormonal fluctuations and various physical and emotional changes. Among the topics that often remain unspoken is sexual health. Yet, it's an essential aspect of overall well-being that deserves candid discussion and understanding.

Decreased estrogen levels may lead to vaginal dryness, reduced libido, and changes in sexual function. These changes can affect self-esteem, intimacy, and relationships if not addressed openly and proactively. There are numerous ways to navigate these changes with confidence:

Open Communication

Start by having open and honest conversations with your partner about your experiences, concerns, and desires. Effective communication fosters understanding and support, strengthening your relationship.


Take time to explore your body and sexual preferences. Experiment to understand what feels pleasurable and comfortable for you – perimenopause could result in changes from how you previously felt.


Vaginal dryness is a common symptom of perimenopause. If necessary, there’s nothing wrong with using water-based lubricants during sexual activity to reduce discomfort and enhance pleasure.

Pelvic Floor Exercises

Pelvic floor exercises can improve pelvic muscle strength and blood flow, enhancing sexual sensation and function.

Seek Professional Help

If you're experiencing persistent sexual health concerns, consider consulting a pelvic floor physical therapist or healthcare provider. They can offer personalized advice, treatments, and support tailored to your needs.

Sexual health is an integral part of overall well-being, and addressing it during perimenopause is crucial for maintaining a fulfilling and satisfying intimate life. By fostering open communication, exploring self-care practices, and seeking professional guidance when needed, women can navigate changes in sexual health with confidence and embrace this transformative phase of life with positivity and empowerment.



About Michelle

Michelle is a Doctor of Physical Therapy at Webb Physical Therapy, located in Lawrence, Kansas.  She's worked in PT for close to 10 years, and believes each patient should be treated with a holistic, whole person approach to healing.

She is devoted to helping her patients develop individualized treatment plans to help them achieve their specific goals.

Call (785) 813-1338 for a free 15 minute phone consultation, or email

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