Many women can notice a change in sexual desire during the menopause. This can put a strain on relationships and general wellbeing, even if you don’t have a partner.

Desire is about the feelings and thoughts which make us feel sexual, and as oestrogen and testosterone levels decline, so can desire, along with the impact of other menopause symptoms such as fatigue and anxiety.

We are often led to believe that desire should be instantaneous, but for many women, desire is triggered by arousal. Vaginal dryness and soreness, with less likelihood of orgasm, can reduce arousal and pleasure, which in turn make it less likely to want to have sex.

Low sexual desire is a complex mix of physical and emotional factors, and looking beyond hormones to underlying medical issues, stress and relationship issues is helpful to consider when thinking about treatments.

Replacing hormones through HRT or as vaginal oestrogens can be helpful, alongside vaginal moisturiser and lubricants. Testosterone is important to think about too and can be the missing part for some women.

Talking and sharing with your partner is important and can help to improve intimacy during menopause.