---
title: "When should low libido during menopause be treated"
description: "Learn when low libido during menopause should be treated, common causes like vaginal dryness and pain, and when HSDD evaluation may be needed."
url: "https://www.myalloy.com/knowledge-base/when-should-low-libido-during-menopause-be-treated"
---

# When should low libido during menopause be treated

> Learn when low libido during menopause should be treated, common causes like vaginal dryness and pain, and when HSDD evaluation may be needed.

## When should low libido during menopause be treated?

Low libido during menopause is worth treating when it’s **bothering you**, affecting your relationship, or making sex uncomfortable or unappealing. Here at Alloy, we think of low desire as something to address when it’s causing distress, not just because libido has changed.

A lot of the time, the first step isn’t a libido drug, it’s treating the things that commonly shut desire down during menopause, like vaginal dryness, pain with sex, hot flashes, night sweats, poor sleep, stress, mood symptoms, or medication side effects. When those are treated, sexual interest often improves too. If dryness or pain is part of it, [estradiol vaginal cream](https://www.myalloy.com/solutions/estradiol-vaginal-cream) can help restore tissue health, and [O-mazing cream](https://www.myalloy.com/solutions/o-mazing) may help with arousal and orgasm.


**Estradiol Vaginal Cream**

3-month supply

Effective relief for vaginal dryness, itching, burning and the prevention of frequent UTIs.

[Start Now](https://secure.myalloy.com/experience?categories%5B%5D=vaginal-health%2Csexual-health&sku-ids%5B%5D=b05fc1ea-c11f-4fa7-bb93-0f0494a62cff&skip-category-select=true&type=intake)

If low desire lasts **more than 6 months**, causes significant personal distress, and there isn’t a clear outside cause, it may fit **HSDD**, hypoactive sexual desire disorder. That’s usually the point where a sexual health specialist should evaluate you for more targeted treatment. Alloy physicians don’t prescribe medications specifically for HSDD, but at Alloy, we can help treat menopause symptoms that often feed into low libido through [menopause hormone therapy](https://secure.myalloy.com/medical-intake) and other symptom-based care.


[Start a Consult](https://secure.myalloy.com/experience?categories%5B%5D=mht&skip-category-select=true)

For a fuller explanation, these are the most useful reads:
[Why libido drops during menopause](https://www.myalloy.com/blog/why-is-my-libido-low-understanding-sexual-desire-and-the-connections-to)
and [our low libido symptom page](https://www.myalloy.com/symptoms/low-libido).

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This answer was created using the following resources:

- [Paroxetine](https://www.myalloy.com/solutions/paroxetine)
- [Why Is My Libido Low? Understanding Menopause & Sexual Desire](https://www.myalloy.com/blog/why-is-my-libido-low-understanding-sexual-desire-and-the-connections-to)
- [Do You Need Menopause Hormone Therapy?](https://www.myalloy.com/blog/signs-you-need-menopausal-hormone-therapy)
- [Testosterone cream for women - does it help in menopause?](https://www.myalloy.com/blog/testosterone-cream-for-women-does-it-help-in-menopause)
- [Testosterone for Women: Are Pellets Safe in Perimenopause?](https://www.myalloy.com/blog/are-testosterone-and-testosterone-pellets-safe-to-use-in-perimenopause)
- [Can’t Orgasm After Menopause? Causes & Tips to Get It Back](https://www.myalloy.com/blog/why-cant-i-orgasm-anymore-after-menopause)
- [Low Estrogen Symptoms: Top Causes and Treatments](https://www.myalloy.com/blog/low-estrogen-symptoms-top-causes-and-treatments)

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