Lincoln, NE
A 58-year-old female asked:
Can hormone replacement therapy for women cause loss of libido and difficulty achieving orgasm?
3 doctor answers • 6 doctors weighed in

Dr. John Munshoweranswered
Family Medicine 32 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed Dec 29, 2022

Dr. Chevies Newmananswered
Obstetrics and Gynecology 24 years experience
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.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago

Dr. Thomas Nameyanswered
Rheumatology 50 years experience
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!
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsAnswered >2 years ago
Last updated Dec 29, 2022
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