Libido & Sexual Health During Menopause: Why Things Can Change

Changes in sexual desire and comfort can occur during perimenopause and menopause, and they are legitimate health concerns to discuss. There is rarely one single explanation.

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Why can libido change?

Hormonal changes may interact with vaginal dryness, pain during sex, sleep disruption, mood, stress, relationship factors, medicines and other health conditions. Understanding what has changed is more useful than assuming every problem has the same cause.

What if sex has become uncomfortable?

Vaginal dryness and irritation can make sex painful. Lubricants and vaginal moisturisers can help some people, while local vaginal oestrogen may be an option after appropriate clinical discussion. Read our vaginal and urinary health guide.

What treatment can be discussed?

Management depends on the cause. It may involve addressing vaginal symptoms, reviewing medicines or other health factors, psychological or relationship support, and discussing menopause treatment where appropriate. NICE advises that testosterone may sometimes be considered for low sexual desire associated with menopause if HRT alone is not effective, but this requires appropriate clinical assessment.

When should you seek help?

Speak to a healthcare professional if sexual symptoms are distressing, persistent, associated with pain or bleeding, or affecting your wellbeing or relationship. Bleeding after menopause should be medically assessed.

Explore Women's Health or book a private consultation.

General information only. Treatment suitability requires individual assessment.