What should you know about post menopausal loss of libido?

After menopause, lower oestrogen can contribute to vaginal dryness, discomfort or changes in arousal, while other factors may also affect desire. Poor sleep, hot flushes, pain, relationship strain, stress, depression, burnout and concerns about body changes can all play a part. Some medicines and health conditions, including hypothyroidism or type 2 diabetes, may contribute. Loss of libido is a symptom, not a measure of affection or a requirement to have sex.

Arrange a private appointment with a primary-care clinician, gynaecologist or sexual-health professional. Mention dryness, pain, bleeding, sleep, mood, medicines and the timing of the change. Lubricants or moisturisers may help some discomfort; allow time for arousal and discuss communication with a partner if that feels safe. A clinician can review medical conditions and medicines and explain whether local or systemic hormonal treatment, counselling or another approach is appropriate for you.

Seek medical advice for painful sex, persistent vaginal symptoms, new bleeding after menopause, a sudden change in desire, or distress that affects your wellbeing or relationship. Prompt review is also sensible when reduced desire comes with marked low mood, loss of interest, severe fatigue, unexplained weight change, increased thirst or other new symptoms. Do not stop prescribed medicines without guidance.

Ask whether dryness, medicines, mood or another health condition may be contributing, which treatments are safe with your history, and when symptoms should be reviewed.