I had one problem - I couldn't get pleasure precisely because of the symptoms (in my case, dryness and itching showed themselves strongly). It's good that you can get rid of this if you want)) I took cyclimus and infusions on the borax uterus on the advice of a doctor ... now nothing bothers me) And intimate life again began to bring joy)
Yes, it is possible of course. All erogenous zones remain in place))
Of the sexual aspect, most often there is a decrease in libido (here who has what kind of relationship, I don't know how to influence this) and a decrease in the amount of vaginal natural lubrication (which is solved in the 21st century going to the pharmacy).
In a sense, a woman may even be more relaxed due to the lack of the need to think about contraception)
In case of severe menopause, hormone therapy may be prescribed
What procedures are best to perform after 40 years?