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Why does menopause affect libido?

Sexual Health

Why does menopause affect libido?

Reviewed by Dr. Shawana Mufti, BHRT & Menopause SpecialistLast reviewed September 24, 2026

Declining estrogen and testosterone can reduce sexual desire, while vaginal dryness and discomfort can make intimacy less appealing. Sleep disruption, mood changes, and body image concerns during this life stage can also play a role.

Libido changes are common and treatable. Options range from lifestyle adjustments and lubricants to hormone therapy, depending on the underlying cause.

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