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Even if, as the saying goes, the brain is a woman's most important sex organ, we can't deny the role our bodies play—especially as we get older. Satisfying sex depends on several things: presence of desire, arousal, absence of pain, and an ability to reach orgasm. After menopause, libido declines, and changes in our bodies can make it difficult to get aroused, painful to have intercourse, and impossible to climax. It's little wonder that many women become dissatisfied with sex, and some avoid intimacy entirely. Several years ago, a large national survey found that sexual activity fell precipitously with age.

Clinically defined, menopause is the end of regular monthly menses in women. Many women might remain asymptomatic, but a vast majority will go through some type of symptom. And at times, the symptoms — night sweats, hot flashes, vaginal dryness, anxiety, etc.