Exploring Sexual Decline in Aging Women

Interview Dr. Mimi Secor on sexual decline and aging women.

Dr. Mimi Secor has a Doctorate in Nursing Practice, is a Nurse Practitioner and serves the Boston, MA area. She travels extensively and is available for live or remote interviews.

Why does sex decline with age for women and is it more physical or psychological? What options do women have for improving their libido/desire?

Talking Points for an interview:

1. Many postmenopausal women suffer from symptoms of genitourinary syndrome of menopause (GSM), formerly vulvovaginal atrophy (VVA), atrophic vaginitis (AV) causing painful sex. This can lead to loss of desire and fear that sex will continue to be painful. This can lead to avoiding sex and loss of libido/desire.

2. According to research, women are hesitant to discuss their symptoms with their health care providers so symptoms persist, and the relationship can suffer.

3.  Another factor than can contribute to sexual decline is obesity involving one or both partners. This can cause a variety of problems from contributing to loss of sexual attraction, loss of self-esteem, fatigue, physical problems during sex, and relationship stress.

4. Physical problems also may also contribute to a decline in sex for women. In addition to obesity, women may suffer from various ailments such as diabetes, hypertension arthritis, back pain, sleep problems including sleep apnea. These conditions can be stressful, cause physical symptoms and require medications that may be associated with side effects such as dizziness and fatigue that can impact libido/ sexual desire.

5. There are many effective treatments for painful intercourse related to postmenopausal genitourinary syndrome of menopause (GSM) formerly atrophic vaginitis (AV). These include local estrogen, non-estrogens, physical therapy, biofeedback and other lifestyle changes. Couples therapy may also be beneficial to improve the relationship.

6. Some new medications for female libido that are showing promise and may be helpful for women with decline of libido associated with post-menopause: Addyi ® (flibanserin)—Official Website‎
Vyleesi (bremelanotide). Resources: North American Menopause Society, NAMS.org, Menopause.org

Available for Interviews: Dr. Mimi Secor

Dr. Mimi Secor
 is a popular National Speaker and Consultant, educating advanced practice clinicians and consumers around the country and the world. She is the author of the book, Debut a New You: Transforming Your Life at Any Age.

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