Brazil often ignores menopause tool that boosts sleep, mood, intimacy

A new study published in the journal Menopause suggests that self-pleasure may offer significant relief for common menopause symptoms, yet it remains one of the least discussed and least used strategies among women and their doctors.

Researchers from the Kinsey Institute surveyed about 1,200 women in the United States, aged 40 to 65, about their menopause experiences and how they manage symptoms such as sleep problems, mood changes, and hot flashes. Participants were asked about a range of management strategies, including lifestyle changes like exercise and diet, supplements, hormone therapy, and sexual self-care. While 25% of women reported exercising and 21% adjusted their diet, only 14% said they used masturbation as part of their symptom management plan.

Despite being one of the least-used methods, masturbation scored among the highest for symptom relief, earning an average effectiveness rating of 4.35 out of 5. For comparison, hormone therapy scored 4.2, and lifestyle changes scored below 4.0. Nearly half of perimenopausal women said self-pleasure improved at least one symptom, particularly mood and sleep.

The study points to a biological basis for this relief. Orgasms trigger the release of endorphins and oxytocin, which can ease pain and promote relaxation. This neurochemical response can support better sleep, lower stress levels, and improved mood stability, all areas that often decline during the menopause transition. Additionally, arousal increases blood flow to vaginal tissue, which can help maintain elasticity and lubrication, issues many women face as estrogen levels drop.

Lack of medical discussion

Perhaps the most striking finding was about communication between doctors and patients. Only 7% of women said their doctor had ever mentioned masturbation as part of menopause care. Even when menopause itself was discussed, pleasure and sexual wellness were largely left out of the conversation.

The researchers noted a generational shift. Perimenopausal women were significantly more open to trying masturbation for relief than older postmenopausal participants. Two-thirds of women said they would consider using it more often if they knew it could help.

The study highlights a broader issue in women’s health care: the persistent taboo around discussing female pleasure. Despite menopause affecting every woman, the topic remains under-taught in medical training and under-discussed in clinical settings. The findings suggest that self-pleasure, a free and accessible tool, could be a valuable part of a holistic approach to menopause management, alongside hormone therapy, nutrition, exercise, and supplements. For many women, knowing that such an effective tool is within their control may be empowering. The research does not suggest replacing medical care but rather broadening the conversation about what evidence-based menopause support can include.