A practical starting point
First treat pain and dryness with vaginal estrogen when indicated, improve sleep, and review medications. Then discuss desire-specific options with a HormoneFit clinician.
HormoneFit Learn
Why does libido drop in menopause?
Medically reviewed by Dr. Nathan Roth, MDCM, FRCSC, FACOG · Updated 2026-07-26
Why does libido drop in menopause?
Low libido in menopause is often multifactorial: lower estrogen and sometimes testosterone, vaginal dryness or pain, sleep loss, mood changes, medications, and relationship stress. Treatment may include vaginal estrogen, systemic HRT when appropriate, addressing sleep and mood, and in select cases testosterone therapy under specialist care. HormoneFit evaluates desire concerns for Ontario women.
- Hormones, comfort, sleep, and mood all interact
- Painful sex from dryness suppresses desire
- Treating GSM often improves intimacy
- Systemic HRT may help some women
- Testosterone is considered carefully in selected cases
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References & guidelines
This page is educational and does not replace personalized medical advice. HormoneFit physicians assess each patient individually. Women in Ontario can book a virtual consultation.
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