No. Many women find the end of their reproductive years sexually invigorating because they no longer face the risk of pregnancy. Plus, regular sexual activity for postmenopausal women improves vaginal lubrication and elasticity after estrogen declines. However, menopause can bring bodily changes that contribute to arousal problems, and in turn, orgasm problems. Low estrogen levels can cause vaginal dryness, thinning of vaginal tissues, reduced blood flow to the genital area and reduced vaginal sensitivity. Postmenopausal women often find the arousal phase of the sexual response cycle takes longer or is less intense.Changing hormone levels also can produce mood swings and emotional upsets that make some women nearing menopause feel less interested in sex. Hormone replacement therapy relieves these symptoms for many perimenopausal women. Using over-the-counter vaginal lubricants may help with dryness problems. Discuss your treatment options with your health care professional, particularly the latest research regarding the safety of hormone therapy and how the risks and benefits affect your personal health needs.