I forgot to mention you can still add lube on top of the Yes gel in a booking no problem.

I have been googling it and apparently a healthy sex life (we are sex workers) gets rid of it. If you don't want it to close up and go small then  just continue shagging  .

Lillybliss I think it depends upon how severe the prolapse is. I have no signs of any vaginal prolapse as I have carefully checked the symptoms. However there is an argument for 'use it or lose it' for a healthy vagina as well as Dr Kegel twice daily.

Definitely get an appointment with GP but most are not experts on hormones and HRT so do some research and educate yourself on HRT there's much scaremongering about it but Estrogen is important for us as we age. Check out menopause barbie on YouTube she gives great and in a way that it's easy to understand and she is a menopause specialist. But you can get estrogen cream to apply to the vagina and it's going to work in that area and will not cause uterine problems but the topical estrogen gel I take is strong and I need to take progesterone to protect my uterus and stop heavy periods. It's important you feel comfortable and that your living your best life with your hormones working for you and keeping you healthy.

As for prolapse this can be down to many things, I actually purchased a kegel machine because I find doing kegaks hard to master and recently I had a tummy bug and was violently sick and I couldn't stop wetting myself so I obviously need to get my muscles working.

You should be fine using an oestrogen gel or cream, as it's likely to be applied at night. It should also help, not hinder, sex work as penetration is likely to be more comfortable.

As an aside, I'm 2 years out from the menopause now. Mine was thankfully symptom-free but I have lost a lot of my previously abundant natural lubrication. During penetration it's OK, but I need a dab of lube to assist entry.

I always use lube, and being active seems to make a big difference. I had to stop work for a while to look after a sick relative a year ago, and when I resumed I was very surprised how different it was to before. Entry in particular was noticeably awkward compared with usual, and it was several weeks before 'things' got back to normal. I would say I am higher than average volume and normally I find penetrative sex very easy, but it wasn't after a few months break. Some of the clients noticed it as well. So in future I shall make sure I keep up a steady work rate and limit the breaks.

This thread is very interesting to me as although I'm not even 40 yet I'm pretty sure I have been perimenopausal for a couple of years now. Haven't been to the doctors though as they are rubbish and will just put it down to the weight.

Lube is only a placebo and does nothing to prevent the issue recurring, which it will. The best solution is Vagifem which your GP and/or gynae will be only too happy to prescribe for you. It can be taken on its own, and even by those who are unable to take HRT.

I cannot emphasis enough how life-changing Vagifem can be for those going through menopause who are finding their vagina is not ‘working’ as it once did, be it in terms of lubricating itself, lack of elasticity, painful sex etc

I had a shock a couple of days ago when I gushed, which hasn't happened for a couple of years, so something's still working OK!