Contrary to common belief, menopause doesn't signal the end of women's sexual desire. A recent study from the North American Menopause Society (NAMS) reveals that many women over 40 report sustained or even heightened interest in sex.
During menopause, the reproductive system effectively goes into "pause" mode, with declining levels of estrogen and progesterone leading to symptoms like vaginal dryness. Yet, this transition doesn't necessarily diminish libido—the drive for sexual activity. On September 28, 2020, NAMS published findings from a comprehensive study tracking around 3,200 women over 40 to explore how various factors impact sexual interest amid menopausal changes.
The researchers assessed a wide range of influences, including education, ethnicity, body mass index, relationship status, blood pressure, hormone levels, menopause stage, stress or depression symptoms, antidepressant use, sexual orientation, sexual satisfaction, pelvic pain, hot flashes, and vaginal dryness.

The results are eye-opening: A quarter of menopausal women rated sex as very important after age 40. About 45% of participants viewed sexual activity as highly significant in their early 40s, with importance gradually declining over time. Ultimately, just 28% of women deemed sex unimportant post-menopause.
“Contrary to previous literature reporting that the importance of sex declines as women move through their 40s, we found that for a quarter of women, sex remains very important to them throughout their quarantine,” said lead researcher Holly Thomas.
Women who prioritize sex report greater overall sexual fulfillment, a trend especially pronounced among those with higher education levels. The study also uncovered cultural differences: African-American women were more likely to value sex in their 40s, while Asian women were less likely to do so.