Additionally, some women find it takes longer to fall asleep. Sleep deprivation can make you tired, irritable and nervous. As estrogen levels decline, the walls of the vagina may become thin and dry. These changes make the vagina more susceptible to infections and could cause discomfort during sexual intercourse. Dryness and irritation may also occur in the urethra, the tube that carries urine from the bladder.
Bladder infections are more likely after menopause.
Dysfunctional bleeding Changes in the menstrual cycle include bleeding that lasts longer or shorter than it has in the past, flow that is lighter or heavier and even mid-cycle spotting. Skin dryness Your skin, like your vaginal walls and urethra, may become dry and more easily irritated as estrogen levels decrease. Sexuality Menopause need not affect a woman's enjoyment or level of sexual activity. For others, lowered hormone levels may reduce interest in having sexual relations. Yet most women find that by having regular sex during and after menopause, their vaginas retain elasticity and their ability to have orgasms is undiminished.