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She also holds an Associate of Arts from the Art Institute of Dallas and a Master of Science in international health from University College London. Menstrual cramping after menopause can be caused by uterine fibroids.
Lower estrogen levels after menopause may lead to changes in your genital tissues and sexual responsiveness. A decrease in estrogen leads to decreased blood flow to the pelvic region, which can result in needing more time to build arousal and reach orgasm, as well as less genital sensation.