Dr Ivana Matic-Stancin | Melbourne Lifestyle Medicine GP

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A hidden gem, Sexuality as a Healer in The Perimenopausal Transition

Sexuality and eroticism are often forgotten and under-prioritised in our perimenopausal years for many women.

The perimenopausal transition, a phase of profound physiological and emotional change, marks a natural progression in a woman's life journey. Amidst the complexities of hormonal fluctuations and shifting identities, sexuality might take a back seat. However, embracing healthy sexuality during this transformative phase can contribute significantly to overall health and longevity. Regardless of relationship status – whether single, in a homosexual, or heterosexual partnership – nurturing sexual well-being is an integral aspect of self-care that should not be overlooked. In this blog, we'll delve into the importance of fostering a positive sexual connection with oneself or/and another during the perimenopausal transition and explore how it can influence overall health and longevity.

Perimenopause: A Phase of Transformation

Perimenopause is a natural evolution that brings about changes in hormonal levels, menstrual patterns, fertility status, and even emotional well-being. The transition often prompts reflections on life, aging, and personal identity. Amidst these shifts, maintaining a healthy and fulfilling sexual connection often diminishes. Raising self-awareness of intimacy and eroticism becomes essential as its significance reaches beyond simple pleasure.

The Nexus of Sexuality and Health

The connection between perimenopausal sexuality and overall health extends to various dimensions:

  1. Physical Well-Being: Engaging in regular sexual activity offers numerous physical benefits. It increases blood circulation, releases endorphins that reduce stress and contributes to cardiovascular health – all of which enhance longevity.

  2. Hormonal Balance: Sexual activity triggers the release of hormones such as oxytocin, often referred to as the "love hormone," and endorphins, which positively impact mood and stress levels. These hormonal shifts can contribute to emotional balance during the perimenopausal transition. All hormones interact with each other, but we still do not fully understand how they interact and “talk “to each other. There is even a possibility that the elevation of oxytocin and endorphins can increase endogenous estrogen.

  3. Immune System Boost: Engaging in sexual activity can stimulate the immune system, bolstering its ability to fight infections and promoting overall well-being.

  4. Bone Health: Regular sexual activity has been linked to improved bone density, which is particularly relevant during the perimenopausal phase when the risk of osteoporosis increases.

  5. Vaginal Health: Sexual activity helps maintain vaginal elasticity and lubrication, addressing issues like dryness that often accompany hormonal changes.

  6. Self-Esteem and Body Image: Embracing one's changing body and nurturing a positive sexual connection can enhance self-esteem, promote a healthy body image, and elevate mood.

Embracing a Positive Sexual Connection

Regardless of relationship status, here are ways to embrace a positive sexual connection during the perimenopausal transition:

  1. Open Communication: If in a partnership, communicate openly about desires, boundaries, and challenges to maintain emotional intimacy.

  2. Self-Exploration: For singles, self-exploration can foster self-awareness, confidence, and a deeper understanding of one's own body.

  3. Prioritise Intimacy: Focus on emotional connection and intimacy, involving non-sexual touch, conversation, and shared experiences.

  4. Stress Management: Engage in stress-reduction techniques like mindfulness, meditation, or yoga to alleviate psychological factors that might affect sexual well-being.

  5. Consult Experts: Seek guidance from healthcare professionals or sex therapists who specialise in perimenopausal issues to address any concerns.

 

The perimenopausal transition is a time of profound change, a journey of introspection, and a quest for self-empowerment. Many women at that stage under-prioritise their sexuality. Amidst these shifts, the importance of a healthy sexual connection should not be underestimated. Regardless of relationship status, embracing positive sexual well-being during this transformative phase can contribute significantly to overall health, longevity, and emotional well-being. By nurturing intimacy, prioritising self-care, and seeking guidance when necessary, women can navigate the perimenopausal journey with grace, vitality, and an understanding that sexual well-being is essential to holistic health.