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Lost Libido during Menopause

Regarded by sex therapists and researchers as the most common sexual issue women face, lost libido can be a difficult symptom of menopause. Achieving a clear understanding of lost libido, its causes, and its treatments can help lead to a more fulfilling life, both in and out of the bedroom.

What Is Lost Libido?

Lost Libido during Menopause1

Lost libido is the loss of the instinctive natural sexual energy and desire a person feels. While men are less often affected, women report suffering from lost libido frequently, especially during menopause. A lost libido manifests in failure to initiate sexual activity or respond to a partner's advances, but according to sex therapists, reduced libido should only be addressed if a woman and her partner perceive it as a problem.

What Causes Lost Libido?

Lost libido can affect a woman throughout her life and can be caused by a number of physical and psychological factors. Because menopause is both a physical and psychological change, it makes sense that many women experience lost libido.

Psychological causes of lost libido

The psychological causes of lost libido can be very individual and cover a wide range of conditions. Because of this, these causes can be difficult to pinpoint. Often, psychological causes of lost libido dissipate naturally, but if these symptoms don't improve, a woman may need to seek help from a therapist or a doctor. Psychological causes of lost libido include:

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  • Stress
  • Anxiety
  • Relationship conflicts (communication, trust, and intimacy problems)
  • Depression
  • Low self-esteem

Physiological causes of lost libido

Hormonal changes that women experience during menopause are the primary physiological cause of lost libido. These hormones include:

  • Luteinizing hormone (LH). The hormone responsible for ovulation appears in greater quantities during menopause.

  • Testosterone. This sex hormone appears in lower quantities during menopause.

What Can Counteract Lost Libido?

Researchers and doctors are still seeking to better understand the intricacies of lost libido, but there are several effective strategies women can use to counteract this symptom of menopause and its physiological and psychological causes.

Psychological strategies

Frequently, some careful self-reflection and lifestyle changes can greatly affect psychological causes of lost libido, either through adjusting a stressful schedule or making time for an enjoyable hobby. However, more serious problems like depression or relationship conflicts may be better addressed through counseling or therapy. Keep in mind that in most cases a combination of psychological and physiological treatments is the best option to manage lost libido.

Physiological strategies

Since hormonal fluctuations are the most probable cause of lost libido during menopause, a strategy that aims to re-balance hormone levels is often the best solution. Although there are several ways to manage lost libido, the best is often to combine lifestyle changes with alternative medicines.

Treatments for Lost Libido

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In addition to therapy and counseling, there are three levels of treatments for the physiological causes of lost libido that a woman can use to regain control of her sex life. These are:

  • Lifestyle changes
  • Alternative medicines
  • Medications

The safest approach is to start with the least risky and most natural method and then progress to the next level if symptoms don't improve. Women should start with healthy lifestyle adjustments and natural herbal supplements to balance hormone levels before turning to prescription medications, which tend to carry higher risks and have more side effects.

For more information on loss of libido and how to treat it, follow the links below.

Treatments for Low Female Libido

Low libido is a common symptom of menopause. Click here to learn more.

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  • National Health Service UK. (2014). Sex after the menopause. Retrieved February 25, 2016, from
  • Office on Women's Health. (2010). Menopause and sexuality. Retrieved February 25, 2016, from