If lubricants and moisturizers are not sufficient, hormone replacement therapy can be used to help keep the vaginal walls plump and lubricated. However, estrogen has many potential side effects. Using it in the form of a cream rather than a pill can reduce the side effects somewhat. One or two percent testosterone cream is another option, but it also has side effects. These creams should not be used as lubricants just before intercourse because your partner is likely to absorb the hormone too.
Many women have fewer and less intense orgasms when they reach menopause.
It may take more time and stimulation to become aroused. For some women these changes are distressing, while others enjoy them. For all women, having intercourse or masturbating regularly can help increase sexual responsiveness and pleasure. They keep the muscles supporting the uterus, vagina and bladder in shape and increase lubrication. Kegel exercises, contractions of the pelvic muscle near the vagina, can also help strengthen the vaginal muscles.