Menopause can affect sexual health in ways that are common, frustrating, and often overlooked. Kathryn Macaulay, M.D., Director, UC San Diego Menopause Health Program, explains how hormonal changes during perimenopause and menopause contribute to vaginal dryness, pain with intercourse, and low libido. Macaulay also outlines why these symptoms can have more than one cause, including physical changes, life stressors, relationship factors, and other health conditions. This discussion helps clarify that sexual symptoms during menopause are common and treatable, and it points toward more informed conversations with a health care provider. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 41523]