The clitoris may not be as easily aroused and less sensitive to touching. All these changes can happen alone or in combination and can lead to less interest in sex.
Other factors may influence a person's level of interest in sex, including bladder control issues, cervical/bladder prolapse, mood disorders and some medications.
Vaginal dryness can be treated with water-soluble lubricants. Do not use non-water-soluble lubricants because they can affect the integrity of condoms and provide a medium for bacterial growth.
You might minimise pain by using sexual positions that allow you to control the depth of penetration. Foreplay, such as sensual massage or oral sex, can make you feel more comfortable. Experiment with erotic videos or books, masturbation and changes to sexual routines.
• Dr Tlaleng Mofokeng (MBChB), sexual and reproductive health practice, DISA Clinic, 011-886-2286, visit safersex.co.za.
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