The Myth of Menopause Decreasing Women’s Sexual Desires

One of these days, I will finish writing a book titled, “The Top Ten Myths about Human Sexuality.” But every time I begin writing this book, I find it impossible to fit all 100+ human sexuality myths people need to have debunked for their health, happiness, and safety, into a single top ten list. I guess I need to write a book titled, “The Top 100+ Myths about Human Sexuality.” In any case, this paper is about one of these top ten, 100+ myths: Menopause causes women to lose their desire to have sex.

Sex is Not About Pregnancy

People believing women’s sexual desires end with menopause is driven by another sexual myth, that women’s sexual desires are primarily driven by pregnancy. The truth is, most women’s sexual desires do not end with menopause. In fact, many women’s sexual desires increase with menopause. And, although pregnancy may be important to women, it rarely rates as being important for driving sexual desires. Instead, women’s sexual desires are primarily driven by pleasure. Science clearly shows pleasure over pregnancy being the primary force driving sexual desire (see Table 1) and you can easily prove this to yourself by answering a few simple questions.

Table 1. Top 15 reasons why women have sex. Taken from Meston, C. M., & Buss, M. (2007). Why humans have sex. Archives of Sexual Behavior, 36, 477–507.

Over your lifetime, which of the following two numbers is WAAAAAAAAAAAAAAY BIGGER?

The number of times you have had (and will have) sex for the purpose of pleasure?


The number of times you have had (and will have) sex for the purpose of pregnancy?

Menopause marks ovulation coming to an end. Women can no longer become pregnant. Losing the ability to conceive may make women sad, but it has nothing to do with women’s capacity for pleasure. Thus, menopause should have no effect on women’s sexual desires. However, both women, and men continue to believe this myth because menopause is used as a scapegoat for three genuine reasons women lose their desires to have sex.

Unhappy Marriages

Most menopausal women are married. And if they are in unhappy, sexless marriages, then it is easier to blame the lack of sex on menopause than on the relationships composing the marriages. Indeed, menopausal women who describe their marriages as being unhappy are significantly less likely to be having sex with their partners than menopausal women who describe their marriages as being happy.

Depression and Anxiety

More than 50% of menopausal women may be suffering from undiagnosed depression or anxiety. Depression and anxiety decrease sex drive. Although not healthier, it is easier to blame this decrease in sex drive on menopause than seeking treatment for depression or anxiety.

Medical Conditions

The last way menopause is used as a scapegoat for causing women to lose their sexual desire, is by focusing on menopause’s physical effects, which are often uncomfortable and painful; and ignoring menopause’s psychological effects, which are often sexually liberating.

The Physical Effects of Menopause

Menopause decreases levels of estrogen and progesterone to the extent of causing a variety of physical symptoms, such as hot flashes, night sweats, vaginal dryness, and vaginal atrophy (the thinning, drying and inflammation of the vaginal walls).

Hot flashes and night-sweats occur because of blood vessels dilating near the surface of the skin. There is no scientifically agreed-upon reason why this occurs during menopause, but with time, most women cease to experience these symptoms.

Vaginal dryness, which is associated with painful vaginal intercourse (medically referred to as dyspareunia), can be addressed with doctor-prescribed topical estrogen therapies or with over-the-counter personal lubricants, which come in a variety of forms, including creams, suppositories, and sprays.

As for vaginal atrophy, the best way to treat this is by having a rich and vibrant sex life! A vaginal dilator may be needed to initiate vaginal sex. Nonhormonal and available without a prescription, vaginal dilators relieve vaginal discomfort by stimulating and stretching the vaginal muscles to reverse the narrowing of the vagina.

The Psychological Effects of Menopause

Although society often sells it as being negative, decreasing levels of estrogen and progesterone is not all bad, because of the reduced levels of these hormones, post-menopausal women have relatively higher levels of testosterone, the one hormone that is directly associated with libido and sexual energy in post-menopausal women. In fact, nonvaginal sex (e.g., masturbation) increases relative to testosterone levels in postmenopausal women and is associated with decreasing dyspareunia and vaginal atrophy.

Further, menopause eliminates one of the greatest fears women have when engaging in vaginal intercourse, the fear of getting pregnant (see Table 2).

Table 2. Top ten fears women have about sex. Taken from Jalili, C. (2016). Here’s what 2,000 men and women fear the most about sex. Elite Daily.

So, what does this all mean? Although society and its ticking maternity clock, lectures, shames, and guilts women about the mythical motherhood-reasons they should be having sex; the true reasons women desire to have sex are either unaffected or benefitted by menopause.


Achilli, C., Pundir, J., Ramanathan, P., Sabatini, L., Hamoda, H., & Panay, N. (2017). Efficacy and safety of transdermal testosterone in postmenopausal women with hypoactive sexual desire disorder: a systematic review and meta-analysis. Fertility and Sterility, 107, 475–482.

Burger, H. G., Dudley, E. C., Cui, J., Dennerstein, L., & Hopper, J. L. (2000). A prospective longitudinal study of serum testosterone, dehydroepiandrosterone sulfate, and sex hormone-binding globulin levels through the menopause transition. Journal of Clinical Endocrinology & Metabolism, 85, 2832–2838.

Deecher, D. C., & Dorries, K. (2007). Understanding the pathophysiology of vasomotor symptoms (hut flushes and night sweats) that occur in perimenopause, menopause, and post menopause life stages. Archives of Women’s Mental Health, 10, 247–257.

Dennerstein, L., Dudley, E. C., Hopper, J. L., Guthrie, J. R., & Burger, H. G. (2000). A prospective population-based study of menopausal symptoms. Obstetrics & Gynecology, 96, 351–358.

Easton, J. A., Confer, J. C., Goetz, C. D., & Buss, D. M. (2010). Reproduction expediting: Sexual motivations, fantasies, and the ticking biological clock. Personality and Individual Differences, 49, 516–520.

Gott, M., & Hinchliff, S. (2003). Barriers to seeking treatment for sexual problems in primary care: A qualitative study with older people. Family Practice, 20, 690–695.

Hunter, M. S., & Mann, E. (2010). A cognitive model of menopausal hot flashes and night sweats. Journal of Psychosomatic Research, 69, 491–501.

Jackson, A. (2011). Sex and older Americans: Exploring the relationship between frequency of sexual activity and happiness. Paper presented at the Gerontological Society of America’s 64th Annual Scientific Meeting, Boston, Massachusetts.

Jalili, C. (2016). Here’s what 2,000 men and women fear the most about sex. Elite Daily.

Kingsberg, S., Kellogg, S., & Krychman, M. (2010). Treating dyspareunia caused by vaginal atrophy: A review of treatment options using vaginal estrogen therapy. International Journal of Women’s Health, 1, 105–111.

Lucas, D. R., Roberts, C., Nylander, G., & Higdon, M. (2016). Do Americans know more about sex today than they did 25 years ago? Paper presented at the annual meeting of the Southwestern Psychological Association, Dallas, Texas.

Meston, C. M., & Buss, D. M. (2007). Why humans have sex. Archives of Sexual Behavior, 36, 477–507.

Montgomery, K. S., Green, T., Maher, B., Tipton, K., O’Bannon, C., Murphy, T., McCurry, T., Shaffer, L., Best, S., & Hatmaker-Flanigan, E. (2010). Women’s Desire for Pregnancy. The Journal of Perinatal Education, 19, 53–61.

Nelson, H.D., Vesco, K. K., Haney, E., Fu, R., Nedrow, A., Miller, J., Nicolaidis, C., Walker, M., & Humphrey, L. (2006). Nonhormonal therapies for menopausal hot flashes: Systematic review and meta-analysis. Journal of the American Medical Association, 295, 2057–2071.

Oliver, M. B., & Hyde, J. S. (1993). Gender differences in sexuality: A meta-analysis. Psychological Bulletin, 114, 29–51.

Pandey, S., Ghimire, P., Koirala, S., & Pandey, S. (2020). Prevalence of perimenopausal depression among women of age group 40 to 54 years. International Journal of Medical Research Professionals,

Randolph, J. F., Jr, Zheng, H., Avis, N. E., Greendale, G. A., & Harlow, S. D. (2015). Masturbation frequency and sexual function domains are associated with serum reproductive hormone levels across the menopausal transition. The Journal of Clinical Endocrinology and Metabolism, 100, 258–266.

Stanca, L. (2012). Suffer the little children: Measuring the effects of parenthood on well-being worldwide. Journal of Economic Behavior & Organization, 81, 742–750.

Su, H.I., & Freeman, E.W. (2009). Hormone changes associated with the menopausal transition. Minerva Ginecologica, 61, 483–489.

Dr. Don Lucas, Ph.D. is a Professor of Psychology and head of the Psychology Department at Northwest Vista College in San Antonio Texas. He loves psychology, teaching, and research.

If you like this story, then check out Don’s videos on his YouTube channel, 5MIweekly:, follow him on Instagram @5MIweekly, like him on Facebook:, and check out his website:

I am a Professor of Psychology at Northwest Vista College in San Antonio Texas. My research focus is human sexuality. I also host a YouTube channel, 5MIweekly.

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