A new study suggests that regular sexual activity is linked to fewer genitourinary syndrome of menopause (GSM) symptoms, including vaginal dryness, discomfort, and irritation. The research, published in Menopause and highlighted by The Menopause Society, focuses on women aged 40 to 79 and offers practical guidance for managing menopause-related discomfort. The findings are particularly relevant for Thai women as the country’s population ages and the number of women in midlife grows.
In Thailand, where women over 40 represent a significant share of the population, GSM can affect quality of life, intimate relationships, and daily participation in work and family life. Thailand’s aging demographic underscores the need for accessible, culturally appropriate solutions for menopause symptoms, beyond conventional hormone therapies. This study provides a data-backed option that may complement existing care and support for midlife women.
The study surveyed more than 900 women aged 40 to 79, examining sexual activity and GSM symptoms such as dryness, irritation, and pain during intercourse. While sexual desire and arousal tend to decline with age, orgasm and overall sexual satisfaction often remain stable. Crucially, women who had sexual activity within the prior three months reported fewer GSM symptoms compared with those who were not sexually active during the same period.
Researchers propose that ongoing sexual activity might help maintain genital health during and after the menopausal transition. The low use of hormone therapy among participants—only about 3%—suggests there is room to expand treatment options in the region. In many parts of Asia, including Thailand, hormone therapy is sometimes limited by concerns about risks, lack of information, or cultural discomfort discussing sexual health.
An official from the Menopause Society emphasized the importance of recognizing GSM and expanding treatment options. “Local low-dose vaginal estrogen therapy is safe and effective for alleviating bothersome vulvovaginal symptoms and pain,” the spokesperson said. They added that healthcare providers should offer treatment to anyone with GSM symptoms, regardless of sexual activity, and normalize the use of local estrogen therapy in appropriate cases.
The Thai context matters. Traditional conversations about menopause and sexual health in Thailand have often been private, with care seeking occurring behind closed doors. As women live longer lives—well into their mid-70s and beyond—the impact of GSM on mental health, relationships, and overall wellness becomes more pronounced. Open dialogue within families, communities, and healthcare settings can help reduce stigma and improve access to care.
Historically, Thai women have faced barriers to discussing sexuality and aging. Today, greater access to information and healthcare resources is driving demand for evidence-based, non-judgmental care. The study supports clinicians in initiating conversations about sexual health during routine visits and suggests public health messaging that destigmatizes menopause and sexual wellness.
Looking ahead, the research invites further study on how sexual activity influences long-term genital and urinary health and calls for more personalized menopause care. It also highlights the need to understand barriers to hormone therapy access and how shifting attitudes affect Thai generations. Multidisciplinary care—combining gynecology, mental health, and patient education—can better support women as they age.
Practical takeaways for Thai women:
- Seek guidance from qualified healthcare providers if GSM symptoms arise, such as vaginal dryness or pain.
- For those comfortable with sexual activity, regular intimate contact may offer protective benefits for genital health.
- Even for those not sexually active, informed discussions about treatments like local low-dose estrogen therapy can be beneficial.
- Start conversations about menopause with family, peers, or clinicians to reduce stigma and improve support.
As awareness grows, policymakers, clinicians, and community leaders in Thailand should promote menopause education, normalize discussions about sexual health for older women, and ensure access to safe, effective treatments. This approach can help Thai women maintain comfort and well-being throughout and beyond menopause.
Sources integrated within the article:
- Research summarized by The Menopause Society and reported by neuroscience-focused outlets
- General guidance on GSM management and local estrogen therapy
- Regional context on aging and life expectancy in Thailand from credible international sources