That's right: Women who remain sexually active through menopause typically avoid some of the physical problems associated with menopause that can make sex painful, explains Mary Jane Minkin, M.D., clinical professor of obstetrics and gynecology at Yale University School of Medicine in New Haven, Connecticut.

Consider, for instance, the drop in estrogen that heralds, menopause. That hormonal dip causes your vagina to become shorter and narrower, making sex uncomfortable and even painful–if you stop having sex altogether. If you continue to have regular sex, says Dr. Minkin, your vagina stretches, becomes more inviting–as does the prospect of sex.

In addition, low estrogen levels during menopause can reduce natural lubrication, which not only makes sex uncomfortable and even painful, it raises your risk of vaginal tears and urinary tract infections. "The good news is, women who have sex regularly tend to get better lubrication," says Dr. Minkin. "This really is a case of use it or lose it."

An excerpt from Living Better Longer supplement to Prevention Magazine, "As good as it gets," Denise Foley,

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