Exploring Postmenopausal Sexuality

bjective: To assess the sexual health of postmenopausal women in Tunisia and to explore factors influencing sexual function, as well as the challenges encountered in this population. Methods: A descriptive cross-sectional study was conducted among 100 sexually active postmenopausal women recruited from outpatient gynecology clinics in Monastir and Sousse, Tunisia. Participants completed a self-administered French questionnaire including demographic data, menopausal symptoms, sexuality, and knowledge of hormone replacement therapy. Data were analyzed using SPSS version 22. Results: The mean age was 53.6 ± 5.7 years. Ninety-three percent of participants continued to engage in sexual activity, but 76% reported sexual dysfunction. Common concerns included decreased libido (42%), vaginal dryness with dyspareunia (78%), orgasmic difficulties (35%), and diminished satisfaction. Menopausal symptoms adversely impacted quality of life. Although 69% perceived sexuality as a taboo subject, 74% expressed interest in counseling and sex education. Conclusion: Menopause significantly affects sexual health through biological, psychological, and sociocultural mechanisms. In Tunisia, sociocultural taboos further hinder open dialogue. Tailored healthcare strategies including counseling, hormone therapy, and education are urgently needed to improve postmenopausal women’s well-being.