Objectives: This study aimed to describe the sexual health problems of menopausal women and the sexual health services required to promote their well-being and provide recommendations that could help improve sexual health during menopause. Methods: A concurrent mixed-method design was used. Data were collected from menopausal women aged 40–65 years using a structured questionnaire (n = 420) and an in-depth interview guide (n = 20). Quantitative data were analyzed using descriptive and inferential statistics, whereas qualitative data were subjected to content and thematic analysis. Results: The mean ages at menopause among the quantitative and qualitative participants were 47 ± 4.22 and 45 ± 3.38 years, respectively. Quantitative and qualitative findings indicated that participants most commonly experienced vaginal dryness, reduced sexual desire, urinary tract infections, sexually transmitted infections, and pain during intercourse. Across both data strands, women also expressed similar needs, which included access to accurate and helpful information to navigate the menopausal period, improved sexual satisfaction, and the availability of contraceptive services to support safe sexual practices during this period. Conclusions The study provides insight into the sexual problems and needs of menopausal women, which may guide healthcare providers and policymakers in developing appropriate strategies aimed at enhancing the sexual health of this demographic.

Objectives: This study aimed to assess sexual health status and associated factors in menopausal women. Methods: The study employed a descriptive, cross-sectional design. It included 420 menopausal women aged 40–65 years from Ilesa West Local Government Area of Osun State. A structured questionnaire was used, and the data were analyzed using descriptive and inferential statistics. Results: The mean age of the study respondents was 54.74 ± 5.49 years. A little over half (52.4%) of the respondents exhibited good sexual health status, whereas 47.6% had poor sexual health status. Logistic regression analysis revealed that lack of financial resources (P = 0.01; odds ratio [OR], 4.00; 95% confidence interval [95% CI], 1.45–11.02), loss of partner (P = 0.01; OR, 9.18; 95% CI, 2.89–29.09), and limited communication with partner (P = 0.01; OR, 3.12; 95% CI, 1.51–6.46) were predictors of poor sexual health status. Conclusions This study provides insight into the determinants of the sexual health status of menopausal women, which may help health care providers and policymakers develop effective strategies to improve the sexual health of menopausal women.