You've Lost that Lovin' Feeling- Menopause and Libido

One of the most frustrating symptoms of menopause and perimenopause can be a loss of libido. This can happen for many reasons, including vaginal dryness and discomfort (known as the genitourinary syndrome of menopause), fatigue from poor sleep (due to hot flashes), and increased anxiety or depression that often accompany menopause. A natural decrease in testosterone that comes with age, can also play a role. Other factors, such as medications antidepressants (such as SSRIs), marijuana use, stress, and relationship challenges, can contribute as well.

Enjoying sex again after menopause

Many women feel uncomfortable talking about their sex drive with their doctor, fearing it’s just a normal part of aging or something they can't change. But the truth is, women can enjoy an active sex life well into their later years, and there are treatments available that can help.

Managing stress is key, not just for a healthy sex life but for overall well-being. We live in a busy world full of stress from work, family, finances, and more. Taking time to slow down, rest, and recharge can make a huge difference. I personally find that taking one day off every week helps me feel more relaxed and productive for the rest of the week. Apps like "Calm" can be useful for guiding meditation, breathing, and stress management.

From a medical standpoint, your doctor can treat the vaginal symptoms and pain that contribute to discomfort during sex. Vaginal hormones, such as estrogen and DHEA, can help, and they are safe for women, even those with a history of hormone-sensitive cancers. Pelvic floor therapy is another effective option.

There are also medications available to help with arousal and desire. Some, like flibanserin and Wellbutrin, work by boosting certain brain chemicals (dopamine and norepinephrine). Testosterone therapy, usually in a skin patch or cream, can also improve libido, and a new topical sildenafil (Viagra) cream for women is being developed.

Having a satisfying sex life is important, and your menopause specialist is here to help you make it an enjoyable part of your life again.