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Low libido is incredibly common in perimenopause and menopause. Treatments include vaginal estrogen, hormone replacement therapy, testosterone, CBT.
Changes in sexual health: Lower estrogen levels can lead to low libido, more trouble achieving orgasm and vaginal dryness, which can cause burning and pain during sex, Tang says. Many women find ...
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[49] [28] [50] [51] Periovulatory levels of estradiol increase sexual desire in postmenopausal women. [49] Based on animal research, progesterone may also be involved in sexual function in women. [52] [53] [54] Very limited clinical research suggests that progesterone does not increase sexual desire and may decrease it. [55]
Estrogen can also reduce vaginal atrophy and increase sexual arousal, frequency and orgasm. [21] The effectiveness of hormone replacement can decline in some women after long-term use. [21] A number of studies have also found that the combined effects of estrogen/androgen replacement therapy can increase libido and arousal over estrogen alone. [21]
A variety of conditions can lead to hypoestrogenism: menopause is the most common. [5] Primary ovarian insufficiency (premature menopause) due to varying causes, such as radiation therapy, chemotherapy, or a spontaneous manifestation, can also lead to low estrogen and infertility. [17]
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