Forty-five percent of women on the far side of menopause report a decrease in sex drive, according to one recent study cited by Jane Brody in this helpful piece in the New York Times. Another 37 percent report no change, and 10 percent say their sex drive has increased. There are, Brody reminds us, sound physical reasons for great diminishment: decreased blood flow to genital organs, a decrease in vaginal lubrication and a decreased response to touch. Also, writes Brody, some women may consider themselves less sexually attractive as their
bodies change with age, or they have partners who have lost interest in
sex or the ability to perform reliably. For those (one third of women with a decreased sex drive try to do something about it) who want to get it back, Brody reports, that the drug Estratest, which combines estrogen and testosterone, works for some. Another choice, says the Times’ writer, is vaginal application of a little
estrogen via a cream, ring or tablet, which keeps the hormone from
passing through the liver and diminishes the amount that enters the
bloodstream.
More advice here in the New York Times.