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    Menopause and sex
    An_253442 posted:
    I am 59 yrs old - my last period was approx 7-8 yrs ago. I did not take hormones as I didn't have much trouble with the usual symptoms. My husband and I have resumed intimacy after a time of abstinence - he is 63. I enjoy the closeness this brings but have little or no feelings of arousal. Could a doctor comment on hormone replacement therapy (bio-identical ?) in relation to sexual arousal? I have loved not having a period! Thank you
    Mary Jane Minkin, MD responded:
    Dear An_253442,
    Unfortunately, there is no one answer for how to increase libido and arousal. I will suggest that you go to the website, which is the website of the North American Menopause Society, which has some good information on libido. First question: are you comfortable? Is there enough vaginal lubrication for you? because if there isn't, you can easily fix that; there are many bioidentical vaginal estrogens available to increase vaginal moisture which will get you comfortable (vaginal tablets, creams and rings)-over the counter you can try a product like Replens. Although some folks do suggest that systemic estrogen (and there are many pharmaceutical bioidentical estrogens available, as patches and gels) might help with libido, more folks tend to suggest testosterone, which needs to be obtained from a compounding pharmacy, and you gynecologist can get you a prescription for either of these approaches. One product that is available over the counter is Zestra, which you can obtain via the web; this is a product that you apply to the vulva before intercourse, and is supposed to enhance sexual responsiveness.
    This is an important discussion to have with your health care provider; and if she or he doesn't want to discuss this issue, again, on the website, you can find a menopause provider near you.
    Good luck,
    Mary Jane

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    For more information, visit the North American Menopause Society website