Ageing, as well as vaginal births, play an important role in regulating sexual function in women. With the decrease in the hormone estrogen that is related to aging and menopause, many women experience some changes in sexual function as they age. Poor vaginal lubrication and decreased genital sensation are problems associated with changes in estrogen levels. Pain during intercourse is a common symptom, following reduced lubrication of the vaginal wall. There are additional causes, such as physical psychological and medical conditions which contribute to a decline in sexual arousal, genital sensation and orgasm.
After clinical examination and identification of the severity and impact of the problem, we suggest the following therapies, to improve sexual function.