It is sexual health week here in the UK. Sex remains a bit of a taboo and so it’s not something that patients ask me about directly. It is something I always explore as it can be a hugely important part of life that suffers during peri and menopause. Common barriers to enjoyable sex include Vulval and vaginal dryness Pelvic pain during or after sex Vulval pain and irritation during and after sex Vulval skin disorders such as lichen planus Perineal scars fr
Another common question I get asked in clinic. Menopause is the point at which a person has not had a period for 12 months and marks the end of our reproductive years as our ovaries have no more eggs to release. After the point of menopause we are considered to be “post-menopausal”. During this time oestrogen and testosterone levels are persistently low and need replacing to maintain well-being and prevent future health problems such as heart disease, osteoporosis, sexual dys