Fertility is more a function of age than menopause, says Dr. Lobo. Usually at about age 45-46 the chances of getting pregnant are about one to two percent. In women with many children who are exceptionally fertile you may want to keep using protection, but it is highly unlikely that you will get pregnant around the time menopause occurs.
Will menopause affect my sex life?
With the decrease of vaginal lubrication sex can be less comfortable.
Over time, vaginal atrophy can occur, leading to dryness and/or
irritation during sex. Other problems that may downshift your sex life
are sleep disturbances and hot flashes, which affect your general sense
of well being and therefore your sexual desire. However, with the
advent of Hormone Replacement Therapy, your sex life doesn’t have to
suffer.
Should I try Hormone Replacement Therapy (HRT)?
The major indication for using HRT is relief of symptoms. Hormone
Replacement Therapy will alleviate most, if not all symptoms, including
vaginal dryness and hot flashes. The benefits for younger women include
protecting your heart and guarding against osteoporosis, says Dr. Lobo.
HRT offers the most benefits to women who start early. There is
evidence that you don’t need to continue forever and that the women who
do start early experience some long-term benefits, such as protection
against osteoporosis. And, contrary to what some may think, women who
take hormones actually don’t gain weight, but will show a decrease in
abdominal fat.
Is there a risk with HRT?
The potential concern for older women who take HRT is breast cancer.
But, if you are only using hormones for around five years, that risk is
reasonably small. The risk increases slightly if you are using a higher
does of estrogen or practicing long-term use.
