The loss of estrogen, progesterone and testosterone following menopause can lead to changes in a woman's sexual functioning. Menopausal women may notice that they are not as easily aroused, and may be less sensitive to touching and stroking -- which can result in decreased interest in sex.

In addition, lower levels of estrogen can cause a decrease in blood supply to the vagina. This decreased blood flow can affect vaginal lubrication, causing the vagina to be too dry for comfortable intercourse.

A lower oestrogen level is not the only culprit behind a decreased libido; there are numerous other factors that may influence a woman's interest in sexual activity during menopause and after. These include:

• Bladder control problems
• Sleep disturbances
• Depression or anxiety
• Stress

Sleep disturbance, depression, anxiety and stress can be related to progesterone and testosterone deficiency.