What can be done about sexual decline during female menopause?

To address sexual decline during menopause, consider the following approaches: 1. **Hormone Replacement Therapy (HRT):** Under a doctor's guidance, appropriate use of estrogen and/or progesterone can help alleviate symptoms caused by declining sex hormones, such as hot flashes, sweating, and vaginal dryness, thereby improving quality of life. However, it is important to weigh its risks and benefits, including the potential risks of breast cancer, cardiovascular disease, and thrombosis. 2. **Non-hormonal Therapies:** Local estrogen creams, rings, or gels can also be used to relieve vaginal dryness and discomfort. In addition, over-the-counter lubricants and water-soluble moisturizers can help improve sexual comfort. 3. **Lifestyle Modifications:** Maintaining a healthy diet, exercising regularly, and developing good sleep habits can contribute to overall health, including sexual health. Avoid smoking and alcohol consumption, as they may exacerbate menopausal symptoms. 4. **Psychological Support:** Counseling, participating in menopause education programs, or joining support groups can help women manage emotional fluctuations, improve self-acceptance, and enhance their attitude toward sexual life. 5. **Partner Communication:** Open communication with a partner, discussing changes in sexual needs, and seeking mutual understanding and support can enhance intimacy. In all cases, discussing individual circumstances thoroughly with a doctor is highly advisable.