In women, the sexual peak occurs between 30 and 40 years of age. Lowering of hormone levels, and other body changes, happen when egg production stops, usually between 48 and 58 years of age. This is the menopause. There may be hot flushes, night sweats, aching in the joints, and less physical and mental energy and well-being. Other ageing changes include less sensitvity to arousal and orgasm and a general lessening in the sexual response.

Some women get dryness in the vagina, which can become sore and itchy. Some have less desire for sex, and can feel much less sexy in a number of ways. It is very common to gain a bit of weight, and this can make a woman feel less attractive.

Oestrogen, however, continues to be produced in the body fat stores and may help the effects of the menopause. Where loss of oestrogens is quite bad, extra hormones may be used. This is HRT or Hormone Replacement Therapy. Continuing having sex helps to keep the vagina soft and wet, and even if sensation is less, most women say that they feel very satisfied.