Hi, since being on HRT, which is coming up to 2 years, my ability to climax has suffered terribly...There has been no change in my libido and I do not suffer from vaginal dryness...Help xx
Hi KateF - I see from your other post you are on Kliovance which means continuous progestogen. Although this is a testosterone based progestogen - and as such some women find it helps with libido etc, others find taking a progestogen all the time very sedating and depressing and that libido is dampened. Progesterone itself definitely has this property - it is oestrogen and testosterone that stimulate our libido. Also oral oestrogens can depress libido too because they stimulate a compound in the body called SHBG ( Google it!) which binds to free testosterone (such that you have) making it unavailable in the body. The first thing I would do is change to transdermal HRT and maybe also go back to a cycle for a bit and a different progestogen - and see how you feel after a few months. Then if no better then think about testosterone as suggested by Ladybt and Yorkshire Girl.
Incdientally testosterone has not really made a difference to my libido - but my response (including sensations) - well
![Roll Eyes ::)](https://www.menopausematters.co.uk/forum/Smileys/extended/rolleyes.gif)
- everything's excellent in that department - having disappeared completely to a damp squib.
"virginal dryness"
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
- I love these phone autocorrect typos!!! The mind boggles at these poor dried up virgins
![Roll Eyes ::)](https://www.menopausematters.co.uk/forum/Smileys/extended/rolleyes.gif)
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Hurdity x