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An orgasm is the same regardless of where the stimulation that triggers it comes from.In general, the clitoris is more sensitive to stimulation than the vagina and is more reliably able to trigger orgasm when stimulated.When your overall quality of life is poor and you’re tired from rustling the covers all night, sleep may take priority over sex.Although hormone therapy (with estrogen or with estrogen plus progestogen) is associated with risks, if the hot flashes are disruptive and other measures are not helpful, the benefits of hormone therapy often outweigh the risks for healthy women in early menopause.Although you may think of HIV or herpes when you hear about STIs, chlamydia is the most commonly reported STI.It’s easily cured with antibiotics but often goes undiagnosed and untreated and can lead to pelvic inflammatory disease.

What should a recently divorced postmenopausal woman know about safe sex?

I’ve always enjoyed sex and I’m worried that my vagina will change after menopause. With menopause, the ovaries stop making estrogen, which can cause your vagina to become dry and less elastic or “stretchy.” Fortunately, low doses of vaginal estrogen therapy can keep the lining of your vagina healthy.

For many women, so can the regular use of long-acting vaginal moisturizers when combined with regular vaginal sexual activity.

However, the results aren’t dramatic, and placebo cream (without any active testosterone) has been shown to have similar effects.

Although short-term treatment (for about 6 months) appears to be safe, we don’t yet know about long-term safety, especially with regard to breast cancer or heart disease.

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