Can hormone replacement therapy for women cause loss of libido and difficulty achieving orgasm?

Possible: There are several side effects to hrt, and libido issues are one. Menopausal and perimenopausal symptoms in and of themselves, can wreak havoc on a woman's sex drive/libido and orgasms in general. Discuss with your rx'ing dr. And hopefully adjusting and or changing meds may help. Best wishes.

I am not: Aware of any evidence to support low dose hrt in post menopausel women having a negative effect on libido. Many things can, the biggest is fatigue. If u are up at night with hot flashes then, well, fatigue. With lack of estrogen vaginal tissue thing can occur creating pain and a negative association w/intercourse. Your decreased libido unlikely to improve by stopping hrt. Good luck.

HRT!: Hormone replacement therapy with estrogen, such as 17-beta-estradiol is done usually with doses of 0.5 to 2 mg. This dose will not typically result in levels equivalent to premenopause. Also, there is a natural loss on the modest testosterone levels. You can ask your doctor if you are a candidate for an estrogen/methyltestosterone pill which can help!