During menopause, the decline in estrogen and testosterone can diminish one’s sex drive, arousal, and interest in sex. However, not all postmenopausal women report a loss of sex drive and, in fact, lower levels of stress and anxiety due to motherhood may actually lead to improved intimacy and libido during this stage of life. Low estrogen levels do contribute to vulvovaginal atrophy (characterized by dryness, itching, irritation, and reduced vaginal lubrication),reduced vaginal blood flow, and the capacity for arousal and orgasm.[1] Treatment with estrogen therapy seems to improve many of these symptoms.[2]
Does low estrogen cause sexual dysfunction?
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•Last Updated: April 23, 2025
Low estrogen levels during menopause can lead to diminished sex drive, arousal, and interest in sex and also can contribute to vulvovaginal atrophy and reduced vaginal blood flow. However, some postmenopausal women may experience improved intimacy and libido, and estrogen therapy can help alleviate many of these symptoms.