How common is low sex drive in genitourinary syndrome of menopause?

Genitourinary Syndrome of Menopause can affect the tissues of the vagina, vulva and urinary tract. Dryness, burning, irritation or pain during sex may make sexual activity less comfortable, while hormonal changes can also affect desire and arousal. Low sex drive can therefore be part of a wider group of symptoms rather than an isolated concern. It can also have other causes, including tiredness, relationship strain, medicines or low mood, so the symptom alone cannot identify one condition.

Notice whether desire changes alongside dryness, discomfort, urinary symptoms, sleep problems or mood changes. A clinician can discuss lubricants for sexual activity, moisturisers used regularly, and treatments aimed at genitourinary symptoms when appropriate. Tell them about medicines and health conditions, because these may influence desire or affect which options suit you. You can also discuss ways to reduce pain, allow more time for arousal and protect privacy while deciding what feels comfortable.

Arrange an assessment if low sex drive is persistent, upsetting, linked with pain, or affecting closeness or wellbeing. Seek prompt medical advice for unexpected vaginal bleeding, bleeding after sex, new sores, unusual discharge, severe pelvic pain or urinary symptoms that are worsening. These symptoms need their own evaluation and should not be attributed to menopause without an examination.

Could dryness or pain be contributing to my reduced desire? Which treatments could help the genital or urinary symptoms? Could any of my medicines, sleep difficulties or mood changes be affecting libido? What symptoms should I monitor, and when should I return if the problem continues?