Saying No to sex?

A U.S. survey found 44 percent of women over age 35 say that they have avoided, made an excuse or stopped having sex because of physical discomfort. More than half of U.S. women ages 35 and over are having less sex during menopause than before menopause, found the Sex & Menopause Survey, conducted by Harris Interactive for Duramed Pharmaceuticals, Inc. While 95 percent of the women were knowledgeable about hot flashes and 91 percent were knowledgeable about night sweats, 47 percent reported they were not knowledgeable about another symptom of menopause -- vaginal atrophy, resulting in vaginal narrowing or shrinkage which can cause vaginal dryness and painful sex.