Menopause and loss of sexual desire

Lower oestrogen can make vaginal tissue drier and more sensitive, so sex may feel uncomfortable and anticipation may fade. Hot flushes, night sweats and disrupted sleep can leave you tired. Mood changes, stress, medicines, long-term health conditions and how you feel about your body can also affect desire. Low sex drive is a common presentation of menopause, but it can have several overlapping causes.

Notice whether dryness, pain, poor sleep or low mood is the main barrier. A clinician can discuss lubricants, moisturisers, treatment for vaginal symptoms and whether menopause treatment is suitable for you. Gentle activity, sleep routines, time for intimacy without pressure and honest communication with a partner may help. Do not stop prescribed medicines without advice; some medicines can affect desire and may have alternatives.

Arrange medical advice if loss of desire is persistent, distressing, linked with pain, bleeding after sex, new discharge, marked low mood or relationship distress. Seek prompt care for unexpected bleeding after menopause, severe pelvic pain or a sudden major change in symptoms. A review can also check for vaginal dryness, menopausal mood changes or another condition.

Could vaginal dryness, sleep problems, mood, medicines or another health issue be contributing? Which options could improve comfort? What benefits and side effects should I consider? Should I be assessed for another pelvic problem, such as pelvic organ prolapse?