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Menstrual Cycle Changes Many women experience a significant variation in the amount of menstrual flow in the perimenopausal period. There may be periods of heavy flow followed by a sudden decrease. The frequency of periods may f online viagra sales luctuate as well. Eventually, menstruation will cease as a woman transitions into the postmenopausal period. Sexual Effects Because vaginal secretions decrease around menopause, women may experience some discomfort during intercourse. Decreased testosterone levels can also result in a lower sex drive for postmenopausal women. There are treatments available if decreased libido is bothersome. Genitalia Changes occur secondary to decreased Estrogen production. These changes include gradual thinning of pubic hair, gradual shrinkage of the labia and vaginal dryness. Vulvar burning and