Menopause is associated with many often-lamented symptoms that can drastically affect a woman’s comfort, happiness, and daily life activities. Hot flashes, night sweats, and mood swings are commonly discussed, yet low sexual desire is a prevalent symptom in menopausal women that is commonly overlooked. One cross-sectional study of over 2,000 women found 52.4% reported low sexual desire compared to 26.7% of pre-menopausal women.1 Not only because of the ubiquity but also because of the effect on quality of life, symptoms of sexual dysfunction in menopausal women deserve more attention and more treatment options, as the current choices leave much to be desired.
Testosterone and estrogen, critical hormones for sexual desire, decrease in menopause. Physical factors, such as vaginal dryness and dyspareunia, are largely common in menopause and can reduce interest in sex for many women.2 Many women also report increased levels of depression, cognitive symptoms, and mood swings during menopausal transitions. While these may not have a direct effect on sexual desire, they can diminish the appeal of sexual activity.1










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