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Do women's preferences for penis size change after menopause in 50s and 60s?
Executive Summary
Women’s preferences for penis size after menopause are not clearly established by the available evidence: some recent surveys report little change with age, while longitudinal and clinical research emphasize that menopause alters sexual functioning in ways that could influence comfort and preference, chiefly via decreased lubrication and increased pain [1] [2] [3]. The strongest, most generalizable studies do not directly measure size preference by menopausal status, so the claim that preferences change decisively in a woman’s 50s and 60s remains unproven and overstated by single small surveys [1] [2].
1. A provocative survey that says “preferences don’t change” but has limits
A June 2025 clinic survey reported that 90 percent of women preferred a larger penis and produced an average ideal length of 7.5 inches across ages including women in their 50s and 60s, implying little change in preference with menopause [1]. This finding is striking but comes from a small convenience sample of 180 women shown lifelike models; the clinic setting, sampling method, and potential selection bias toward sexual-health concerns make the result unlikely to generalize to the broader population. The survey also noted that larger size can be painful for some postmenopausal women because of thinner vaginal tissue, an admission that undercuts the headline interpretation and highlights an important physiological caveat [1]. The surge in interest in penis enlargement referenced in the same piece signals social and commercial forces that may shape expressed preferences independent of biologic change [1].
2. Longitudinal population data emphasize sexual function, not size preference
High-quality longitudinal research from large cohorts, such as the Study of Women’s Health Across the Nation (SWAN) and related analyses, shows that menopausal transition affects sexual desire, pain, and frequency of sex more than core sexual values, and did not find clear links between menopausal status and the dimensions of sexual functioning that would imply a systematic shift in size preference [2]. These studies document increased vaginal/pelvic pain and decreased desire during transition, which are more likely to change what type of sexual activity is comfortable than to produce a uniform adjustment in aesthetic or size preferences [2]. Because these large studies did not measure penis-size preference specifically, they cannot confirm or refute claims about size changes, but they frame what mechanisms would plausibly affect preference: lubrication, comfort, and partner dynamics [2].
3. Physiological changes create plausible reasons preferences could shift for some women
Clinical and review articles describe how lower estrogen, vaginal atrophy, and dryness after menopause increase the risk of painful intercourse, and these changes create a credible pathway by which some women would prefer smaller or differently shaped penises to reduce pain [3] [4] [5]. Medical commentary stresses treatment options—topical estrogen, moisturizers, counseling—to restore comfort, which suggests that preferences tied to comfort could be malleable if symptoms are treated [3] [4]. At the same time, reviews note that some women report stable or even increased libido postmenopause depending on relationships and life context, indicating heterogeneity in sexual priorities that could maintain previous preferences for size in many women [6].
4. Behavioral and relational context matter more than raw size numbers
Smaller, recent studies of older adults emphasize complex motivational patterns: older women’s sexual activity and openness are shaped by health, partner availability, relationship satisfaction, and sexual roles, not simply anatomy [7]. Research showing nonheterosexual women may sustain better sexual functioning through menopause further underlines that sexual preference and satisfaction are socially and relationally mediated, so any assertion that menopause alone changes size preferences oversimplifies a multilayered reality [8]. The clinic survey’s dramatic headline is therefore plausibly driven by sampling and social signaling rather than a universal biological shift [1].
5. Bottom line: evidence is mixed, biased, and incomplete—here’s what matters going forward
Existing data do not support a definitive claim that women’s penis-size preferences systematically change after menopause; small clinical surveys suggest continuity, large cohort studies show functional changes that could alter comfort, and reviews document both increased pain and varied libido outcomes [1] [2] [3]. The field lacks targeted, representative studies that directly ask women in their 50s and 60s—across sexual orientations and health statuses—about size preference while controlling for pain, lubrication, relationship context, and sample bias. Until such data exist, any strong conclusion about postmenopausal shifts in size preference should be treated as speculative rather than established fact [2] [7].