Low Libido — Menopause Providers Across Canada

Changes in sexual desire are a common but often under-discussed aspect of menopause. Many women experience a decrease in libido during perimenopause and menopause, influenced by hormonal shifts, physical discomfort, emotional factors, and lifestyle stress. Declining estrogen and testosterone levels can affect sexual desire, arousal, and overall responsiveness. At the same time, symptoms such as vaginal dryness, sleep disruption, and fatigue can further reduce interest in intimacy. Low libido is not just a physical issue—it is often multifactorial. Relationship dynamics, mental health, and body image can all play a role. For some women, this change is distressing; for others, it may feel neutral or expected. There are several ways to address low libido, depending on the underlying causes. Hormonal therapies, pelvic health treatments, and medical interventions may help in some cases. Counseling or sex therapy can also be valuable, particularly when emotional or relational factors are involved. Open conversations—with both partners and healthcare providers—can be an important step in addressing this symptom. Sexual health is a meaningful part of overall well-being, and support is available. The providers listed below offer services to help women explore and address changes in libido with care and expertise.