How Can I Increase My Sex Drive Over 40?

Menopause can negatively affect libido in several ways. During menopause, your testosterone and estrogen levels both decrease, which may make it more difficult for you to get aroused.

A decrease in estrogen can lead to vaginal dryness and decreased blood supply in the vagina, which can then negatively affect vaginal lubrication. This can also cause thinning of the vaginal wall, known as vaginal atrophy. Vaginal dryness and atrophy often lead to discomfort during sex.

Other physical changes during menopause might also affect your libido. For example, many women gain weight during menopause, and discomfort with your new body can decrease your desire for sex. Hot flashes and night sweats are also common symptoms which can leave you feeling too tired for sex. Other symptoms include mood symptoms, like depression and irritability, which can turn you off from sex.

If you’re going through menopause and noticing changes in your libido, our doctors at Winona can help determine the underlying cause of those changes. Depending on why your sex drive has decreased, your doctor might refer you to another professional for help. For example, they might recommend a sex therapist if there’s no physical cause for your decreased libido, or marital counseling if you and your partner want help improving your relationship.

Talking about sex with your doctor might make you uncomfortable, but remember that it’s their job to take care of all aspects of your health and well-being without judgment. If you’re uncomfortable with this topic, here are some tips to help:

-Bring notes. Be specific about what your concerns are. It will help your doctor if you have notes on your symptoms, including what makes them better or worse, and how you feel when they occur.
-Write down questions to bring with you to your appointment. Once you’re in the exam room, it might be hard to remember everything you wanted to ask. Writing down questions beforehand will help make sure you get all the information you need and help guide the conversation.
-Know what your doctor might ask. While every situation is different, understanding what your doctor might ask can help calm your nerves. They will probably ask how long your symptoms have been going on, how much pain or distress they cause you, what treatments you’ve tried, and if your interest in sex has changed.

There are many ways to treat libido changes from menopause.

Hormone replacement therapy (HRT) can treat the underlying hormone changes that are creating your symptom. Estrogen pills can help reduce vaginal dryness and vaginal atrophy by replacing the hormones your body is no longer making. There are potential serious risks of estrogen therapy, including blood clots, heart attacks, and breast cancer. If you only have vaginal symptoms, an estrogen cream or vaginal ring might be a better choice for you.

Learn more: Is hormone replacement therapy (HRT) right for you?

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