Low Libido in Menopause | Testosterone and Hormone Therapy

Many women notice a change in sexual desire during perimenopause and menopause. A lower libido is very common and can be influenced by hormonal shifts, sleep disruption, stress, vaginal dryness, and changes in overall energy and mood. Declining levels of estrogen and testosterone can both play a role in reduced sexual interest and arousal.

Hormone therapy may help address these changes. Estrogen therapy can improve vaginal dryness, comfort, and overall sexual health, while low-dose testosterone therapy may help restore sexual desire in some women. Testosterone is a naturally occurring hormone in women and, when carefully prescribed and monitored, can be an effective option for improving libido, sexual satisfaction, and energy.

Treatment is always individualized. A thoughtful evaluation of symptoms, medical history, and hormone levels can help determine whether testosterone therapy, estrogen therapy, or a combination approach may be appropriate. The goal is to support healthy sexual function, comfort, and overall wellbeing during midlife and beyond.