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Navigating Sex in Perimenopause: Expert Advice to Help Women Reclaim Confidence and Intimacy

In recognition of Women’s History Month, sex and relationships expert Dr. Shannon Chavez offers guidance to help women feel empowered in their intimate lives while navigating perimenopause.

Hormonal changes as women age can significantly impact their sexual health. In fact, research indicates that 68% to 87% of peri- and postmenopausal women report sexual health concerns, including lower libido, vaginal dryness, and discomfort during intimacy. Yet experts say this stage of life can also open the door to a more intentional and empowered relationship with pleasure. In recognition of Women's History Month, licensed psychologist and certified sex therapist Dr. Shannon Chavez encourages women to view perimenopause as an opportunity to reconnect with their bodies, reclaim confidence, and redefine what a satisfying sex life can look like.

“The perimenopause transition is one that many women feel unprepared for, especially when it comes to their sexual health. The hormonal shifts that begin during perimenopause can affect desire, comfort, and emotional connection,” said Dr. Chavez. “The good news is that with the right information and tools, women can not only maintain but truly thrive in their sexual lives.”

Below, Dr. Chavez shares advice to help women reclaim their sex lives, navigate intimacy with confidence, and continue thriving in this new stage of life.

  • Address the Signs of Vaginal Dryness: As estrogen levels decline with age, many women experience symptoms associated with the menopause transition, including vaginal dryness. If you notice pain or discomfort during sex, Dr. Chavez recommends speaking with a health care professional and considering using a vaginal moisturizer, such as Replens Long-Lasting Vaginal Moisturizer, as part of a regular self-care routine. Studies show that lubricant use increases as women go through menopause, but while lubricants provide immediate relief during intimacy, vaginal moisturizers work differently, helping restore moisture and providing longer-lasting comfort when used consistently.
  • Prioritize Learning: Perimenopause is a natural phase of life, not something to face in silence. Yet many women feel unprepared for symptoms like mood changes, sleep deprivation, vaginal dryness, and shifts in desire. When women understand what’s happening with their bodies, they can replace uncertainty with confidence.
  • Practice Open Communication: Communication is essential during sex at any age. During perimenopause, changes in desire, comfort, or mood can feel confusing but keeping those experiences to yourself often creates more distance. Talking openly about what feels different, what is needed, and what intimacy looks like now helps build understanding rather than frustration. It creates space to redefine connection beyond intercourse, exploring new forms of pleasure.
  • Rediscover Self-Connection: Reconnecting with your body through self-exploration can help reinforce sexual awareness and a deeper understanding of your desires. Taking time for solo intimacy can support a more positive relationship with your sexuality and overall well-being.
  • Talk to Your Doctor: Having conversations with a health care professional can clarify and address symptoms. They can evaluate changes, discuss treatment options, and offer personalized strategies. This guidance can provide knowledge and tools to help reclaim your sexual well-being and approach this life stage with greater confidence and control.

“Sexuality does not expire with age. Everyone deserves pleasure, intimacy, and confidence at every stage of life,” says Dr. Chavez. “When we understand the changes happening in our bodies and feel empowered to advocate for our needs, midlife can become one of the most liberating phases of our sexual lives.”

For more expert insights from Dr. Chavez, visit www.drshannonchavez.com and follow Dr. Chavez on social media.

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