Birth control is recommended for at least 1 year after the last menstrual period. The level of estrogen in the body affects the cell structure of the vulva, vagina, bladder, and urethra. These cells become thinner, paler and less elastic as estrogen levels decline. Remember, not all women have problems with these changes. Helpful Hints Use lubricants liberally for vaginal dryness.
Most drugstores have products specially designed for perimenopausal women.
Cocoa butter, coconut or sesame seed oil, or a water-soluble jelly may be effective. Use only water-soluble lubricants with condoms, dental dams, and diaphragms to avoid the breakdown of latex. Longer periods of foreplay alone or with a partner may help. Open communication with your partner is very important due to possible changes in sexual desire or responsiveness. Regular sexual activity and orgasm, either alone or with a partner is one of the best ways to keep the genital-urinary tract in good condition.