Sexuality in women is meant to be a pleasurable experience. Sexual activity is affected by one’s attitudes, beliefs, needs and responses. A breakdown in any of these areas can lead to sexual difficulties affecting intimacy, satisfaction and relationships. This can manifest as a low desire, lack of arousal, difficulty to achieve orgasm and sexual pain, which causes woman distress and may result in unsatisfying sexual episodes. However, as a woman reaches menopause, she may experience less sexual pleasure too. Menopause or cessation of menstruation is part of the natural aging process in women. During menopause, natural moisture of the vagina and vulva is reduced, which may cause discomfort and even painful sexual penetration. This may result in avoidance of sexual activity with the resultant loss of arousal and interest in being sexual.