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Most Americans define sex as intercourse. The old in-and-out can be great fun, sure, but it also tends to frustrate many older couples. Even when aided by erection medication, older men may have difficulty accomplishing it. And even with the help of a lubricant, older women may experience pain during it.

Introduction The hormonal changes that occur at menopause result in a range of symptoms, including hot flushes , mood changes and sexual symptoms. While most of the symptoms of menopause are temporary, sexual symptoms such as low libido , pain during intercourse dyspareunia and vaginal dryness often persist if they are left untreated. Sexual symptoms are natural and normal, but they may cause distress for some women. They would benefit from speaking with their doctor about treatments to help them maintain or improve sexual function during and after menopause. What affects sexuality after menopause?