View All. Listen to Holly Thacker, M. Has sex become a chore you no longer feel like doing? Or worse, is it painful? For many women, these feelings are all too common. As you get older — particularly after menopause — you may face an increasing number of barriers to sex, including dryness and constriction of the vagina or medical conditions such as diabetes and extra weight.
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The physical transformations your body undergoes as you age also have a major influence on your sexuality. Declining hormone levels and changes in neurological and circulatory functioning may lead to sexual problems such as erectile dysfunction or vaginal pain. Such physical changes often mean that the intensity of youthful sex may give way to more subdued responses during middle and later life.
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