Menopause and no libido

Lower oestrogen may contribute to vaginal dryness or pain, making sexual activity less appealing. Sleep disruption from hot flushes or night sweats can reduce energy, while menopausal mood changes can affect interest and closeness. Low sex drive is a common presentation of menopause, yet it can also relate to depression, anxiety, illness, medication or relationship circumstances. The goal is to understand what has changed for you, not to measure yourself against anyone else.

If discomfort is present, pause activities that hurt and discuss lubricants, moisturisers or vaginal treatment with a clinician. Make space for affection and intimacy without treating intercourse as an obligation. Protect sleep, address low mood and review medicines with a prescriber. A partner conversation about comfort, timing and consent can reduce pressure. Treatment choices depend on your symptoms, medical history and preferences.

Seek advice if low libido troubles you, causes conflict, follows a medicine change or occurs with pain, bleeding after sex, unusual discharge or persistent low mood. Prompt assessment is appropriate for unexpected bleeding after menopause, severe pelvic pain or thoughts of self-harm. A clinician can also assess vaginal dryness and other pelvic symptoms.

Could dryness, pain, sleep, mood or a medicine be affecting my libido? Which treatments are suitable with my health history? What can my partner and I do while symptoms are addressed? When should I come back?