5 Ways to Improve Sex Drive in Midlife! | Empowering Midlife Wellness

Decreased sexual desire is the most common complaint I hear regarding our changing sexuality in perimenopause and menopause. Today I'm talking about the diagnosis, causes and potential treatments of decreased sexual desire in women. I'll go over 5 categories of potential treatments, including the science as well as my own personal experience (and that of my thousands of patients) regarding what works and what doesn't. Most importantly, this is not something that we need to just accept as part of getting older, and there are truly effective ways to make it better if you want to!
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[@walterheinen5298]

Listening as a husband. Thank You!!

[@csstudio3648]

I switched to a keto/carnivore diet, lost 50lbs., got divorced recently and my sex drive is back. I started going to the gym 4x a week doing weights and Pilates and walking 3-4× a week as well. My energy levels and sleep also improved. I'm in my mid 60s and thankful for this transformation. I did use estradiol cream for a bit but no longer seem to need it.

[@paulohlsson27]

Hi CS studio, how's your day going with you?

[@divergentmind2023]

started taking progesterone and i went from average 2-3 hours sleep to 6-11 my testosterone is low and i am trying to convence my doc to give me some to see what it would do for me. love your videos thank you for sharing ❤

[@zeljkafreslmicovic4825]

I'm heading to the start of menopause in 53. My sex drive is here as I believe in love & sex till the end. I do not use supplements, medicines, HRT/BHRT as I'm pretty healthy and I have shatavari, red clover and lady's mantle tinctures, teas and powders in my stash always. (have a degree in ayurveda and for me health is a hallmark of whole life, habits, emotions, body, nutrition, sleep etc.). I have one question though; when I'm having sex now I get so sleepy and relaxed afterwards that I need a minimum one hour to be back in active mode. I usually take a shower, putting some of natural cosmetics and put clean and fine clothing. Sometimes, I do not like my body as before as it is slightly had changed. 😉 Your information is such a valuable asset!

[@emilyv5366]

This needs to be taught to all women. Sex drive changes are normal and husbands need to understand this. We need to understand this as well to stop beating ourselves up. My drive disappeared after my second child was born which coincided with the onset of my perimenopause around age 35. I'm 44 and worse now than ever. About to loose one (maybe both ovaries) due to cysts and torsion. This will put me in surgical menopause and almost guarantees a dead sex drive (with the loss of most of my testosterone) here in Canada doctors do not treat witg T (unless you find a unicorn doctor). I'm scared and frustrated because I desperately want to test my testosterone and try a low dose... I am on estrogel and some of my peri symptoms have improved but it hasn't done much to treat the shell of a person I feel like.... urgh Please can we get our natural hormones back!

[@micasilver210]

Dr. Rachel Rubin and Dr. Louise Newsom on YT- education on GSM!!

[@Katepwe]

Do a search on The North American Menopause Society website for a midlife trained practitioner in your area.

[@Katepwe]

@@paulohlsson27why are replying to these….you should stop, it’s creepy.

[@paulohlsson27]

@@Katepwe smiles. How are you spending your spare time?

[@carriepepper1896]

What are the hormones that come in the pellets made from?

[@marywilburn8916]

Great info Dr Susan! Is there an optimal testosterone level range for post menopausal women?

[@drsusan]

No one has ever established an optimal level, but we try to keep it at the upper end of where females would fall physiologically - so in our practice we generally keep levels somewhere between 60 and 100 but it differs for different patients. There's no one number that's right for everybody. We absolutely don't want levels too high- when we get levels that are 200 or higher patients run into difficulty with side effects like acne or the skin hair growth, etc. so that is certainly not a good idea.

[@paulohlsson27]

Hi Mary, how's your day going with you?

[@rondacompton7206]

@@drsusan My testosterone got to over 800 at one point!

[@crybebebunny]

My drive has increased or stayed the same as my partner's has decrease. That gets me very upset.

[@DebbieDooo]

Same!! If this was reversed it would never be tolerated!! What the heck is happening with 50 year old men??

[@drsusan]

That's very frustrating. Of course it takes two people to have a great sexual partnership, so I need to take care of their own health issues as well, and see their urologist to take care of their part!

[@keslerlahens]

can you explain in what way?

[@crybebebunny]

If mine has increased by 1 his has decreased by 2 so now we are 3 apart.

[@donnawhitecotten361]

Dr. Susan, Is there a certain type of blood pressure meds that cause low sex drive more than others?

[@drsusan]

I'm not aware of a medication that is a particular culprit, but having a low or high blood pressure itself can be the culprit

[@paulohlsson27]

Hi Donna, how's your day going with you?

[@margot6041]

If you google it, many meds listed are comments on male erections. But women's clitoris also becomes erect, and it makes sense that it affects women too.

[@amandagabaldon7111]

❤❤❤❤❤❤

[@Ziggimomspal68]

I’m 68 & widowed with a boyfriend of sorts. He’s younger than me, and has a tough time keeping up with me but so far it’s okay. I do need help with the dryness issue though.

[@graceperiod5352]

Goes without saying lol

[@paulohlsson27]

Hi Carnela, how's your day going with you?

[@keslerlahens]

does your boyfriend have an health issue or is he stress or preoccupied by every day activities?

[@Ziggimomspal68]

@@keslerlahens he’s fine, just not 25 lol…he needs recovery time, and I typically don’t.

[@jaynewilkinson4447]

I say yes to first 5. I've been using testosterone since last year. Still no s4x drive. Not interested at all.any help

[@drsusan]

As you can see, it's a very complex situation and there's no one treatment for every person, but I'd be delighted to see you if you can find yourself in Houston!

[@jaynewilkinson4447]

@@drsusan I live in england

[@paulohlsson27]

Hi Jayne, how's your day going with you?

[@jaynewilkinson4447]

@@paulohlsson27 not good x

[@paulohlsson27]

@@jaynewilkinson4447 very sorry about that, what happened?

[@ModernClassicLifeStyle]

Can taking estrogen (estrodial) on its own without testosterone help improve sex drive, i.e. if atrophy goes away, feeling better could that be enough? I started pellets with both and I am wondering if I really need the testosterone.

[@drsusan]

Well, absolutely getting rid of vaginal pain and dryness can certainly increase desire, so give it a try and if that solves the problem, then problem solved!!

[@paulohlsson27]

how's your day going with you?

[@bellguts2766]

I’ve been using the biote pellets and taking supplements. My problem is him, my husband wants me to continue with this expensive regiment but he isn’t interested in sex so why am I doing this?

[@bellguts2766]

I have the same problem. I talked him into getting viagra from his Dr for his problem but he won’t take them so why am i doing this? I’ve gained 15 lbs on these supplements and they aren’t cheap. I think I’ll quit it all.

[@cleanqueen75]

I have no sex life. My husband has no sex drive. Plus my husband of 42 years has gained so much weight that it’s a turn off for me.

[@drsusan]

I'm sorry to hear that. That sounds very frustrating.

[@cleanqueen75]

@@drsusan my husband used to take testosterone shots which helped a lot but then he was diagnosed with secondary polycythemia so his hemotologist said no more shots because it raises his hematocrits and hemoglobin.

[@Katepwe]

@@paulohlsson27you should probably quit replying to these questions, it’s creepy.

[@gaudymartinez4644]

Get to the FUCKING POINT !!!!!