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[KateF]

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

[CLKD]

HORMONESS 

Maybe take more time?  Layback and think of anything else but ....... I take ages but with  and time ;-)

[Ladybt28]

Hi KateF??.are you on testosterone as part of your hrt regime? Has it ever been discussed.  I had similar problems and the oestrogen and progesterone didn't fix it on their own.  I was given testosterone - 1 blob 3 times a week 6 months after I started the other stuff and my libido gradually came back and the sensations and ideas which had disappeared completely have come back.

[Yorkshire Girl]

HRT hasn't helped me either I also don't suffer from virginal dryness. My Testosterone level was virtually non existent, I was eventually given Testogel. It's worth going to your GP for a referral.

[Hurdity]

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  - everything's excellent in that department - having disappeared completely to a damp squib.

"virginal dryness"  - I love these phone autocorrect typos!!! The mind boggles at these poor dried up virgins  .

Hurdity x

[KateF]

Thank you for your detailed responses...xx

[Yorkshire Girl]

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  - everything's excellent in that department - having disappeared completely to a damp squib.

"virginal dryness"  - I love these phone autocorrect typos!!! The mind boggles at these poor dried up virgins  .

Hurdity x

  I noticed my mistake after I posted but couldn't be bothered to change it!!!

[KateF]

Hi Hurdity, sorry for my ignorance but what exactly do you mean by ?...go back to a cycle for a bit....??.
Thank you x