Menopause-Womens Sexual Concern During And After Menopause.

How Does Menopause Affect Sex Drive?

The reduction in Estrogen levels and the ultimate final loss of same following menopause can lead to fluctuations in the levels of a woman's libido and sexual functioning. Difficulty in getting sexually aroused and reduction in sensitivity to touching and stroking may be noticed in menopausal and postmenopausal women, Which can result in decresed interest in sex.
Lower levels of estrogen can also lead to a decrease in blood supply to the vagina which can affect vaginal lubrication, causing resultant dryness and creating discomfort during sexual intercourse.
Although lower estrogen levels is always the first to be blamed for a decresased sex drive in menopausal women, it is not the only culprit; there exist a numerous other factors which may influence a woman's drive for sexual activity during menopause and after. These include among others:

Bladder control problems
Sleep disturbances
Depression or anxiety
Stress
Medications
Health concerns

Ahealthy lifestyle is important for maintaining a healthy sex life. Treatment of medical problems like cardiovascular disease, diabetes and high blood pressure may improve sexual function.sexual response is controlled by a complex system in the body and blood vessels and nerves are a part of this complex structure. diseases such as diabetesaffect sexual health because of this involvement of blood vessels.

Some medications can have adverse effects on sexual desire, response, and ability to have an orgasm. Your doctor may suggest alternatives if sexual response changes with the use of particular medications. When sexual problems are part of relationship issues or there are emotional concerns, counseling may be suggested. Not all women have sexual concerns after menopause, and some may feel more sexually free since there is no further chance of pregnancy. Also, women may gain self-confidence as they age. That can improve mental health and often translates to more confidence and comfort with sexual matters.

the main advise to achieve healthy living during and afer menopause includes:

Eating healthy foods, including whole grains, plant-based fats (like olive oil), and fresh fruits and vegetables.
Limiting the intake of high-fat animal products.
Maintaining a healthy weight.
Avoiding  smoke.
Exercising regularly, since this reduces risk of cardiovascular disease, diabetes, and cancers and helps improve mood and overall well-being.
(Specific pelvic floor exercises improve fitness of the muscles used during sex and may increase sensations during orgasm).
Above all, Talk with your doctor about symptom relief from vaginal dryness, hot flashes, and decreased sexual desire.
Make sure you tell your doctor about any alternative or over-the-counter treatments you use.