And it's probably not what you'd expect.
You can't enjoy yourself if you throw out your back or if that old knee injury flares up.
Hot flushes are one of the most common symptoms of the menopause.
"We need to make it normal to have these kinds of conversations."
Menopause isn't something we learn about in school, despite 86% of women reporting that they would very much like it to be.
“We want to all get older. We want to live for a long time. So why are we so ashamed about it?”
The fun's only just begun.
Intimate health expert Dr Shirin Lakhani says many women are impacted during menopause.
"I was feeling so bolstered from the positive results of the first treatment, I couldn’t wait to jump into bed with my husband. But I was extremely disappointed by what I found."
From vaginal dryness to STIs, here are some of the potential causes, according to OB-GYNs.