Menopause
Sexual Wellness During Menopause with Dr. Shannon Chavez
"Menopause is a major life transition that affects far more than hormones. It can influence mood, sleep, energy, libido, confidence, and a woman's overall relationship with her body. A thoughtful approach to menopause includes education, emotional support, and a deeper understanding of how these changes shape physical health, intimacy, and well-being. With the right care, menopause can become a time of greater self-awareness, empowerment, and connection rather than something to simply endure.
We have to change the menopause narrative because too many women have been taught to see this stage of life as something to fear, hide, or simply endure. That outdated messaging leaves women feeling ashamed, dismissed, and disconnected from their bodies at a time when they need support, education, and care the most. A new narrative makes room for honesty, empowerment, and a deeper understanding of what women truly need to feel healthy, sensual, and connected through this transition." - Dr. Shannon Chavez
Shop Supportive Tools
External Vibrators
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Body Image and Sex During Menopause
"My approach as a sex therapist is to look at menopause through a whole-person lens, recognizing that sexual wellness is deeply connected to emotional health, nervous system regulation, relationship dynamics, and the way a woman feels in her body. I help women move beyond symptom management alone by understanding the mind-body connection, reducing shame, and creating more space for pleasure, intimacy, and self-trust during this transition. Rather than treating menopause as the end of sexuality, I see it as an opportunity to redefine desire, deepen connection, and build a more intentional relationship with your body and well-being.
Body image is such an important part of the menopause conversation because so many women start to feel like their body is changing in ways they did not expect or no longer fully recognize. These shifts can affect confidence, sensuality, and the ability to feel at home in your own skin, especially when our culture places so much pressure on women to stay unchanged. In my work, I help women move away from criticism and disconnection and toward a more compassionate, informed relationship with their body. Menopause is not a time to turn against yourself. It is a time to listen more closely, care for yourself more intentionally, and build a new kind of trust with your body." - Dr. Shannon Chavez
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Stimulating Oils and Gels
Topical stimulating gels and oils can help increase blood flow, warmth, and sensitivity during arousal supporting comfort and pleasure when menopause-related hormonal changes reduce natural lubrication and sensation.
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Sex Therapist Recommended Products for Menopause
"Product recommendations during menopause should go beyond trends and focus on what truly supports comfort, pleasure, and overall well-being. Changes in hormones can affect skin, vaginal tissue, arousal, temperature regulation, and sleep, which is why the right products can play an important role in daily self-care and intimacy. I recommend safe-to-use, body-aware solutions that help women feel supported as their needs change, whether that includes lubrication, moisturizing care, sensory tools, sleep support, or products that enhance relaxation and connection. The goal is not to “fix” the body, but to provide tools that help women feel more at ease, more empowered, and more connected to themselves.
I often recommend a few simple but powerful products that help women feel more supported in their bodies during menopause. A wand massager can be an incredible tool, not just for relaxation throughout the body, but for gently reconnecting with the pelvic area through massage, sensation, and improved blood flow. I also often talk about the importance of vaginal moisture and tissue health, which is why I recommend a good vaginal moisturizer or hyaluronic acid suppositories, an ingredient many women already trust in skincare, and that can be incredibly supportive for vaginal tissue as it changes. For intimacy, I like lubricants that do more than reduce friction, such as Sliquid O Gel or Toca Organic Pleasure Oil because they can also support arousal, pleasure, and a more connected sexual experience." - Dr. Shannon Chavez
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Books to Support Intimacy
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B-Vibe x Le Wand Anal Massage & Education Set
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I love the Womanizer for something a little different than your typical vibrator. Instead of vibrating, it pushes air pulsations around your clitoris. Many women compare it to the feeling of oral sex.
Womanizer Liberty 2- Sage
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Womanizer Liberty 2 is a compact Pleasure Air clitoral stimulator designed for powerful, touchless stimulation in a perfectly portable form. Engineered with Womanizer’s signature Pleasure Air Technology, Liberty 2 delivers gentle air vibrations that stimulate the clitoris without direct contact, creating intensely satisfying sensations. Its discreet size, combined with a hygienic travel case and built-in travel lock, makes it an ideal companion for pleasure anytime, anywhere.
Despite its travel-friendly design, Liberty 2 is packed with performance, offering 8 refined intensity levels to suit every mood. Fully waterproof and USB rechargeable via a convenient magnetic charging port, this body-safe silicone stimulator is as easy to clean as it is to use. Whether at home or on the go, Liberty 2 delivers reliable, customizable pleasure in a sleek, elegant design.
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FAQ
Menopause
Menopause is officially confirmed after 12 consecutive months without a menstrual period. It marks the end of reproductive years and natural fertility. Most women reach menopause between the ages 45 and 55, although timing can vary.
Perimenopause is the transition period leading up to menopause. During this phase, hormones fluctuate and periods often become irregular, heavier, lighter, or unpredictable. Symptoms such as sleep disruption, hot flashes, vaginal dryness, and low libido often begin during perimenopause and continue into menopause. Because pregnancy is still possible during perimenopause, contraception, including condoms, may still be necessary. If you're unsure where you are in the transition, a healthcare provider can evaluate your symptoms and potentially test hormone levels, including estrogen, progesterone, FSH, LH, thyroid hormones, and DHEA.
As estrogen and progesterone decline, several body systems adjust. Common menopause symptoms include:
- Hot flashes and night sweats
- Sleep disruption
- Mood swings, irritability, anxiety, or depression
- Decreased libido
- Vaginal dryness or discomfort during sex
- Urinary urgency or leakage
- Brain fog or memory changes
- Headaches and fatigue
Hormones influence temperature regulation, brain chemistry, vaginal tissue health, and bladder function. When levels decline, these systems must adapt. Many women also experience vaginal and clitoral tissue changes, sometimes associated with vaginal and clitoral atrophy.
Hot flashes affect more than two-thirds of women during perimenopause and menopause. They are sudden waves of heat often accompanied by flushing, sweating, and a racing heart.
These episodes occur because hormonal shifts influence the brain’s temperature-regulation center, causing blood vessels near the skin to dilate.
Common triggers include:
- Stress
- Alcohol
- Caffeine
- Diet of including but not limited to spicy foods, sugars
- Tight clothing
- Smoking
- Warm environments
Helpful strategies include maintaining a cool sleep environment, practicing slow breathing techniques, staying physically active, and managing stress through relaxation practices such as massage or calming routines. Some women also explore relaxation and massage tools to support overall nervous system balance during menopause.
Yes. Vaginal dryness during menopause is extremely common. Declining estrogen can thin vaginal tissue and reduce natural lubrication, sometimes called vaginal atrophy.
This may cause:
- Irritation or burning
- Pain during intercourse
- Increased friction or tearing
- Reduced sensation
Importantly, vaginal dryness does not automatically mean low desire. Hormonal changes affect lubrication even when emotional intimacy is present. Many women benefit from high-quality lubricants designed to support vaginal health. You can explore options such as:
- Water-based lubricants
- Silicone-based lubricants
- Oil-based lubricants
Our curated lubricants collection
The best lubricant for menopause dryness depends on your needs and sensitivity level.
Many sexual health professionals recommend starting with high-quality water-based lubricants, which hydrate vaginal tissue without irritation. Some women prefer silicone-based lubricants because they last longer and provide additional glide during intercourse.
Liz Mallers, Sex Educator, says “A body-safe lube is an absolute must have in your bedside drawer. My top favorite is Uberlube, the perfect silicone-based lubricant. I love its clean ingredients, long-lasting nature, and velvety feel. Oh, and the bottle is beautiful, which is a major bonus.”
Pain during sex during menopause often relates to tissue thinning, reduced lubrication, or pelvic floor tension.
Supportive menopause products may include:
- Water-based lubricants for hydration
- External vibrators to increase blood flow and sensation
- Dilators to gently support vaginal elasticity
- Stimulating gels and oils to enhance arousal and circulation
- The Ohnut is a depth-limiting ring to avoid deep penetration and painful sex.
Regular gentle stimulation can also increase blood flow to vaginal tissue, helping improve elasticity and comfort over time.
Yes. Using dilators after menopause can support vaginal health by helping maintain flexibility and gradually reintroducing comfortable penetration.
Some women search specifically for menopause dilators when experiencing:
- Pain during penetration
- Vaginal tightening or narrowing
- Discomfort after long periods without intercourse
- Recovery after pelvic floor therapy
Medical-grade dilators are designed to help gently stretch vaginal tissue and support long-term comfort.
Multiple factors, including hormonal changes, sleep disruption, stress, and physical discomfort, influence low libido during menopause. Declining estrogen and testosterone can reduce sexual desire, while vaginal dryness or pain may make intimacy less appealing. Emotional stress and relationship dynamics can also play a role.
Helpful approaches may include:
- Stress management and improved sleep habits
- Enhancing physical stimulation with external vibrators
- Improving comfort with lubricants
- Reconnecting emotionally using tools from our building intimacy collection
If libido changes are significant, discussing hormone therapy or other medical options with a qualified provider may be beneficial.
Yes. Some women experience clitoral atrophy during menopause as estrogen levels decline. Reduced hormone levels may decrease blood flow and sensitivity in clitoral tissue.
Symptoms may include:
- Reduced sexual sensation
- Difficulty achieving orgasm
- Decreased arousal response
Maintaining blood flow through stimulation can help support tissue health. Many women benefit from gentle stimulation tools like external vibrators, which are designed to enhance circulation and sensitivity.
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