Suzanne NobleHost, Sex Advice for Seniors · Sex, Dating & Relationship Advice for Over 50s

Menopause Is Changing My Sex Life — Now What?

16 Jul 2026 · 1 min

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In this brief dialogue, Speaker A asks how professionals should counsel clients navigating sexual changes during menopause, noting the uncertainty and need for guidance. Speaker B responds by emphasizing normalization of the physiological shifts and encouraging couples to focus on what feels good and what is possible. The advice highlights reducing shame about altered sexual function, such as inconsistent erections, and suggests pivoting to alternative pleasurable activities. By reframing the experience and managing anxiety, the speaker argues that individuals can maintain intimacy without becoming fixated on performance, thereby preventing a self‑fulfilling cycle of anxiety‑driven dysfunction.

Chapters

Well, it is hard, you know, because as you go through the menopause, right, it's changing all the time. Like, it takes a while to settle down. So for somebody to go to a professional like yourself and go, okay, what do we do now? I don't know. What do you say to them? Like, you just have to put up with it for a while.
I'm normalizing to some degree what's going on, and I'm encouraging them to engage in, like, let's work with what you do have. What, what does feel good? What is possible? Because part of it is that they're so ashamed that their parts aren't working or that their things look different that they just want to hide. And so if we can actually get them to just pivot when something— like, for example, if the erection doesn't arrive or if it doesn't stay, then let's just pivot to something else that's still enjoyable, right? If they can get their head around that and not get taken out and feel so ashamed, then they can keep going. And oftentimes, you it won't come back if they're not focused on it and freaked out about it because it's a, it's a reaction to the anxiety.