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Explore the MasterclassDownload Audio: Sex and Menopause: An Evolution of Desire

Many women come into my clinic worried that menopause has “killed” their libido.
They say things like:
But after many years of working with women through this life stage, I’ve come to a rather different understanding.
Often what women are really saying is: “I don’t want that kind of sex anymore.”
Not rushed sex. Not pressured sex. Not performative sex. Not obligation sex. Not disconnected sex.
Menopause is not the end of sexuality. Very often, it is the end of tolerating bad sex and evolving into great sex.
Menopause Is a Transition, Not a Sexual Death Sentence
Hormonal changes during menopause absolutely affect sexuality. Bodies change. Arousal changes. Lubrication changes. Energy changes.
But change does not equal loss. In fact, many women discover that sexuality becomes:
The problem is that our culture tends to define sexuality through a very youthful lens:
So when sexuality starts changing, many women assume something has gone wrong.
But perhaps what’s actually happening is evolution.
Spontaneous vs Responsive Desire
One of the most important concepts for understanding menopause and sexuality is the difference between:
Spontaneous desire is when arousal seems to appear out of nowhere: “I’m horny. I want sex.”
This is the type of desire our culture tends to glorify.
Responsive desire is different.
With responsive desire, arousal emerges gradually in response to:
Many women find that during and after menopause, spontaneous desire decreases while responsive desire becomes much more important.
This is often why women think: “I’ve lost my libido.”
But frequently they haven’t lost desire at all. They simply no longer become spontaneously aroused in the same way they may have earlier in life.
And interestingly, women who were always more naturally responsive in their sexual arousal often adapt to menopause more easily than women who relied heavily on spontaneous arousal.
Slow Down and Take Your Time
Menopause can actually become an invitation into a more mature style of lovemaking. One that is:
I often say: sex should age like a fine wine.
When wine ages well, it becomes more complex, layered and nuanced. You savour it rather than guzzle it down.
Mature sexuality can be the same. At this stage of life, many couples finally have:
And perhaps most importantly: less interest in performing.
Create the Conditions for Desire
One of the biggest mistakes couples make is waiting for lust to magically descend before initiating intimacy.
But long-term sexuality usually doesn’t work that way — particularly after menopause. So instead of waiting passively for desire to appear, it helps to actively create the conditions that allow desire to emerge. This means:
Desire grows much more easily in relationships where warmth, affection and connection are already flowing.
Work With Your Body, Not Against It
Bodies change with menopause. Rather than fighting those changes, work creatively and compassionately with them.
For example:
And one rather lovely benefit: you can’t get pregnant anymore.
For many women, this creates a whole new sense of freedom and relaxation around sex.
Men Are Changing Too
It’s also important to remember that menopause doesn’t happen in isolation.
At the same stage of life, many men are also experiencing hormonal, emotional and sexual changes sometimes referred to as the andropause. Erections may become less predictable. Recovery time may lengthen. Stress and fatigue may impact arousal more easily.
But this can actually support the evolution toward slower, more connected, more relational lovemaking. So instead of trying to recreate the sexuality of your twenties, this stage of life offers the possibility of creating something deeper:
Menopause as Liberation
For many women, menopause becomes a profound turning point. A time of:
Rather than the end of erotic life, menopause can become the beginning of a more authentic one. One less driven by performance and expectation. And more guided by pleasure, connection, embodiment and truth.
Sexuality does not have to disappear with age. Instead, it can mature into something truly worth savouring.
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