In my experience, most women start to have weakened pelvic muscles starting at age 40, which can also cause anxiety about leaking during sex. Being overweight can further exhaust pelvic floor muscles as the excess weight pushes down on the abdomen. Having diabetes, pre-diabetes, and other chronic diseases—even food intolerances or digestive issues—can also affect the muscles in this all-important region. The nerve damage seen in type 2 diabetes can lead to changes in bladder functions such as an overactive bladder. Nothing like having to pee during the moment!
So what’s a woman to do about the pain associated with vaginal dryness, urinary leakage, and hormone decline?
There are many things you can do to improve upon vaginal dryness. But my No. 1 piece of advice is to keep it natural—especially down there. That means no chemicals, parabens, and other irritating ingredients. Read the label for lubricants, or better, make your own from simple ingredients you likely already have in your cupboard at home! Pelvic floor exercises are also crucial to add to your wellness regimen, as they will strengthen all the muscles involved in orgasm.
Lastly, it’s important to remember that women are simply not wired the same way sexually as men. The male orgasm is very goal-directed, very linear. Start, build, build some more, and bravo (or not!)! The goal is to climax, and there is a sense of performance about it. But with women, when we are intimate, intensity may build, and then fall; we may flow here and then there. And as we ebb and flow, many things can affect our ability to both bond with our mate as well as to achieve pleasure.