| Although the population of older women in the United States is on the rise, there is a paucity of research on the topic of female sexuality and older women; and even less research on the sexually satisfying experiences of post-menopausal women. While society does not visibly encourage the sexuality of post–menopausal women, the present study indicates that older women do not proscribe to societal inhibitions on their sexuality. An in-depth, standardized interview guide was utilized to explore the sexuality of what may be considered to be a liberal group, of older women. Eight Caucasian, post–menopausal women between the ages of 65–74 years were interviewed. A biopsychosocial perspective was used. All of the women were sexually active and all reported experiencing their sexual activity as satisfying. The women underwent a transitional period in sexuality and self-confidence between menopause and post-menopause. These were two distinct transitions and developmental periods in the women's lives. While menopause was a time of emotional sensitivity and upheaval, post-menopause was a time of quiescence. The women became increasingly self-confident about their bodies, sexuality, and themselves post-menopausal, and reported an overall increase in sexual enjoyment. For the majority of participants the ending of their first marriage coincided with menopause. They cited the quality of their relationships and of sex post-menopause, post-divorce as significantly improved. Post-menopause experiences of sexual satisfaction were enhanced by a reciprocal emotional connection with their partner; increased positive self-regard; and an ability to focus attention on their pleasurable experiences in the moment. Although half of the participants reported health issues these issues did not interfere with sexual activity or sexual satisfaction. All of the participants reported that sexually satisfying experiences enhanced their quality-of-life, self-esteem, and happiness. The women voiced a need for more open dialogue between health providers and menopausal women about sexuality, hormonal therapy, and changing bodies and needs. They encouraged women to advocate for themselves and to seek out information. The women's stories also indicate that mental health workers need to be more aware of the emotional concerns and age related stresses of marital relationships in menopause. |
