What causes reduced vaginal sensation during sex?
Reduced vaginal sensation during sex can be caused by hormonal changes, nerve damage, childbirth, ageing, or medical conditions. Emotional factors, such as stress or anxiety, can also play a significant role.
Detailed Medical Explanation
Vaginal sensation may diminish due to several factors. Common causes include reduced oestrogen levels during menopause, which can lead to thinning and dryness of the vaginal tissues. Vaginal childbirth may stretch or damage nerves and muscles, impacting sensitivity. Ageing naturally decreases blood flow and elasticity. Medical conditions like diabetes, multiple sclerosis, or pelvic surgery may damage nerves, while certain medications (e.g., antidepressants) can reduce sexual response. Mental health factors such as depression, anxiety, or relationship issues may also lower arousal and sensation. Read more on NHS.
Clinical Context
Women may notice reduced sensation after childbirth, during peri- or post-menopause, or as a result of chronic illness. Addressing both physical and psychological factors is essential for comprehensive care. A gynaecologist can offer personalised advice and treatment options based on a thorough assessment.
Evidence-Based Approaches
Guidelines recommend evaluating hormonal status, medical history, and psychological wellbeing. Treatments can include oestrogen therapy, pelvic floor physiotherapy, and addressing underlying medical conditions. Studies highlight the effectiveness of pelvic floor exercises in restoring sexual function (BMJ).