Sexual Health in Menopause:
What the Pandemic Revealed and Why Women of Colour Need a Different Conversation

During perimenopause and menopause, many women experience changes they were never fully prepared for. Lower sexual desire, vaginal dryness, difficulty with arousal and, for some, painful intercourse.
These shifts are driven primarily by declining estrogen and testosterone, but the emotional impact often runs deeper than the biology.
Hormone therapy can help, but research consistently shows its effects on sexual function are modest. Pleasure, intimacy and desire are shaped not only by hormones, but by stress, relationship dynamics, cultural expectations and emotional wellbeing. So, when the pandemic hit, those layers became even more complicated.


