Loss of libido

What is Libido?

Libido is a term that relates to a person’s general sexual drive or desire. It refers to the natural and frequently varying amount of desire or passion for sexual engagement. Libido is impacted by emotional, psychological, and social elements in addition to physical factors. Libido fluctuates over time and is influenced by a variety of factors such as hormone variations, emotional well-being, stress, interpersonal dynamics, physical health, and life circumstances.

Sexual desire is a complex feature of human behaviour that varies greatly between individuals. It is not inherently linked to a specific amount of frequency or intensity of sexual activity, but rather symbolises an individual’s overall proclivity or desire to engage in sexual activities.

Loss of libido and the menopause

Loss of libido, or decreased sexual desire, is a common concern for many women during menopause. This decline in sexual desire can be attributed to various physical, emotional, and hormonal changes associated with this life stage.

Physical changes: Hot flashes, nocturnal sweats, exhaustion, and body shape changes are all physical effects of menopause that may have an impact on a woman’s confidence and self-esteem. These modifications could lead to a decline in sexual desire.

Hormonal changes: The drop in oestrogen and progesterone levels that occurs during menopause might have an impact on arousal and sexual desire. Oestrogen helps to keep the reproductive system healthy and working properly, which includes controlling sexual desire.

Vaginal dryness and discomfort: Dryness and pain in the vaginal area can be brought on by low oestrogen levels, as can atrophy (thinning) of the vaginal tissues and a reduction in the natural lubrication.

Psychological and Emotional Factors: Stress, worry, mood fluctuations, and emotions of frustration or melancholy as a result of menopausal symptoms can all lead to a diminished desire in sexual activity. Relationship changes, such as stress or communication problems with a spouse, can also have an impact on libido.

Strategies that may help manage and improve libido

Open dialogue: Discuss your feelings, worries, and desires with your partner in a direct manner. Examine strategies to improve intimacy and sexual happiness as you share your experiences with others.

Hormone therapy: This treatment option may be appropriate for women who are negatively affected by their loss of libido at this time. It is prudent to treat vaginal dryness with topical oestrogen therapy using pessaries, creams/gels or a product such as an Estring, before considering testosterone therapy.

Address vaginal dryness: Using water-based lubricants or moisturizers can help alleviate vaginal dryness and discomfort during sexual activity. These products can improve comfort and increase pleasure.

Emotional well-being: It’s critical to address emotional issues including stress, worry, and mood swings. It is possible to increase libido and promote general well-being by engaging in stress-relieving activities, obtaining support from a therapist or counsellor, or practising relaxation techniques.

It’s critical to keep in mind that each person’s experience with menopause is distinct, and there is no universal cure. Consulting a healthcare professional, such as a gynaecologist or menopausal specialist, if you’re worried about a lack of libido, can offer personalised advice and explore treatment choices catered to your particular needs. They can assist in addressing the root problems and creating a strategy to enhance your sexual health and general quality of life.