---
title: "Spice Up Your Life: Doctor-Approved Advice for Improving Your Sexual Health"
description: "What does low libido have to do with menopause? Learn more about common symptoms during menopause & get options for relief."
url: "https://www.myalloy.com/blog/spice-up-your-life-doctor-approved-advice-for-improving-your-sexual-health"
---

# Spice Up Your Life: Doctor-Approved Advice for Improving Your Sexual Health

By Alloy Staff

## Summary

**Genitourinary Syndrome of Menopause (GSM)** commonly affects women during **perimenopause** and menopause, causing symptoms such as vaginal dryness, decreased arousal, and painful sex due to declining estrogen levels. Effective strategies for improving sexual health include consistent use of **vaginal estrogen** to restore tissue quality, topical sildenafil (O-mazing cream) to enhance blood flow and sensation, and silicone-based lubricants to reduce discomfort during sexual activity. Treatment can significantly improve libido, arousal, and overall sexual well-being.

[Find Your Plan](https://secure.myalloy.com/experience)

If you’re in perimenopause or menopause, you may have noticed some, shall we say, unwelcome changes in your [sexual health](https://www.myalloy.com/sexual-health) and libido. I’m talking, of course, about the Genitourinary Syndrome of Menopause (GSM), which includes symptoms like vaginal dryness, decreased arousal, decreased lubrication, and painful sex.

You’re not alone! GSM affects up to 80% of women. But, that doesn’t make it any better. 

#### 
What’s going on?


Declining estrogen levels lead to decreased blood flow and sensation to the vulva and clitoris. When sex is less pleasurable (or painful), your brain (the BIGGEST sex organ)  wants to avoid sex, and desire decreases. 

#### What can I do about it?


Prevent pain and discomfort, and improve arousal. You’ll stop the negative feedback loop to your brain, and this can help your libido. Here’s what I recommend.

###### 1. Vaginal Estrogen


Locally applied vaginal estrogen can help improve the tissue quality of the vagina, vulva, clitoris, urethra, and bladder. It also improves vaginal lubrication and hydration and increases blood flow and sensation. It’s NOT systemic (you can use it even if you’re not a candidate for MHT) and highly effective. It can take some time to reach its maximum effect, so it’s important to use it consistently. And, unlike vaginal inserts or rings, you can use it internally and externally.

[Get Vaginal Estradiol](https://www.myalloy.com/vaginal-cream)

###### 2. O-mazing Cream


O-mazing contains topical sildenafil (also known by its brand name, Viagra), which increases blood flow and clitoral engorgement, stimulates natural lubrication, and heightens physical sensation leading to a stronger, more fulfilling orgasm. Just apply 15-30 minutes before sexual activity!

[Get O-mazing](https://www.myalloy.com/solutions/o-mazing)

#### The Bottom Line:

1. Always treat GSM symptoms with vaginal estrogen and use it consistently. It may take up to 12 weeks to fully restore the tissue and then you need to stay consistent for life! 
2. Enhance arousal and orgasm with O-mazing. 
3. Lube! Use a silicone-based lubricant (water-based lubes may irritate delicate menopausal skin) with any sexual activity to decrease friction and discomfort. I recommend [Uberlube](https://uberlube.com/).

#### Want to learn more about sexual health and menopause? 


[Read our medical advisor Dr. Kelly Casperson’s book!](https://kellycaspersonmd.com/you-are-not-broken-book/) And, check out her [webinar](https://www.youtube.com/watch?v=PqSpJFSYBUc) with Alloy co-founder Monica Molenaar!

[Get started today with an assessment](https://secure.myalloy.com/checkout-experience/intake/discuss-menopausal-symptoms?flowId=recommendation) to explore ALL of our menopause solutions. All of Alloy’s doctors are menopause-trained, and once you become a member, we’ll ship everything right to your door and you’ll have unlimited messaging with your doctor.

## Related Content

1. [https://www.myalloy.com/sexual-health](https://www.myalloy.com/sexual-health)
2. [https://www.myalloy.com/vaginal-cream](https://www.myalloy.com/vaginal-cream)
3. [https://www.myalloy.com/solutions/o-mazing](https://www.myalloy.com/solutions/o-mazing)

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