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Menopause and hormonal changes can reduce sexual desire, cause vaginal dryness, and affect intimacy. Dr Hetal Gosalia advise patience, emotional support, open communication, and exploring new ways of closeness. Gynecologists or sexologists can help with lubrication, hormone therapy, or sexual health guidance, while mutual understanding and positivity help couples maintain a healthy sex life.

My wife is 54 years old and has had menopause. Now she has zero interest in sex. Is there a way out? SD, Thane

Yes, the way out is to have patience, as it is a temporary phase. At present, your physical presence with emotional support matters to her a lot. Intimacy can be in the form of caring and cuddling, too. With a good interpersonal relationship, after a period, she will bounce back to normal. It is very common for women to lose interest during menopause due to changes taking place in their bodies. Arousal may take time. You can incorporate some new, exciting ways.

Usually, the dry vagina hurts due to a lack of lubrication during intercourse. So, use some water-based jelly. You can even meet a gynaecologist who may suggest hormone replacement therapy. Otherwise, visit an experienced sexologist. What matters is a positive bond at present. It will eventually bounce back to a healthy sex life. Some women feel free from pregnancy and contraceptive worries, which helps them to be more active than before. So, do not lose hope. Feel free to release yourself with masturbation, which is normal.

We have been married for 10 years and have had a normal sex life. Now all of a sudden my wife is insisting that I use a condom even though she wears a copper T. What should I do? KVK, Mulund