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Will my libido ever come back? Let's talk about it
- Tamara Beckford
- Jun 11
- 3 min read
Nobody brings this one up in the exam room.
Not because it is not real.
Not because it is not affecting their relationships or their sense of self.
But because the shame around it makes it easier to just not say it out loud.
I have watched women list every symptom they are experiencing.
Brain fog. Sleep disruption. Mood swings. Weight gain.
And then on the way out the door, almost as an afterthought, they pause and say.
Also. I just. I don’t really want to be intimate anymore.
Is that normal?
And I stop them right there.
Because that is not a footnote.
That is not a bonus symptom.
That is data.
Your body is communicating something real and it deserves a real conversation.
Up to 68% of postmenopausal women report a decrease in sexual desire.
That is not a niche problem.
That is most of us.
And yet it is the symptom women are least likely to bring up.
And therefore least likely to get help for.
Not anymore.
This episode changes that.
What’s in the News
The missing piece of the libido conversation is testosterone.
And the research is making a strong case for why that needs to change.
A 2024 study published in the Archives of Women’s Mental Health looked at 510 perimenopausal and postmenopausal women already on HRT but still experiencing low libido, low mood, and brain fog.
All were treated with transdermal testosterone for four months.
More than half reported an improvement in libido.
Nearly half reported improved mood.
Over a third reported clearer cognitive function.
Testosterone declines right alongside estrogen and progesterone during the menopausal transition.
It directly affects desire, arousal, energy, and brain clarity.
And most providers never bring it up.
If testosterone has never been part of your conversation. Ask.
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NEW EPISODE: Low Libido in Perimenopause and Menopause. Let’s Actually Talk About It.
This episode is for you if:
You cannot remember the last time you genuinely wanted intimacy.
You thought something was wrong with you.
You have been carrying this quietly because you did not know who to ask.
Desire is not a luxury.
It is a signal.
In this episode I cover what actually drives desire in women and why the model most of us grew up with is wrong.
The five most common causes of low libido during this transition.
What you can do about it. In layers. Without pressure.
And how to bring this to your provider in a way that gets taken seriously.
Download it. Listen this week.
Then reply and tell me. Was there something in this episode you had never heard anyone say out loud before?
I want to know.
If you know a woman who needs this episode.
And you do.
Please share it with her.
This is one of those topics where just knowing someone is talking about it can change everything.
Two ways to work with me
The care you should have been getting all along. A monthly visit with a physician who actually reads your results. A protocol that evolves as your body does — not reset from scratch every time you walk through the door. GLP-1 therapy available as a clinical add-on where appropriate, at an additional cost. 6-month minimum · then month-to-month · cancel anytime after. Book directly online · No consultation call required
Already have labs and don't know what to do with them? I'll review your hormone labs as a physician and help you develop the language to actually communicate your needs with your current provider. You don't have to keep walking out of appointments more confused than when you walked in.
You deserve clarity. Not just survival.
Talk soon,
Dr. Tamara Beckford
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