Thank you for your question. There are multiple factors that can affect libido and natural lubrication in women, especially after 40 and after hormonal treatments. Here's a comprehensive approach:
1. Medical Evaluation
Rule out physical causes:
Thyroid issues,
diabetes, anemia, or hormonal imbalances (e.g., low estrogen/
testosterone) can reduce libido.
Gynecological exam: To check for vaginal atrophy or dryness, especially post-childbirth or with age.
2. Lifestyle Changes
Stress management: Encourage relaxation techniques (yoga, mindfulness, adequate sleep).
Regular exercise: Increases endorphins and body confidence.
Healthy diet: Rich in omega-3s (flaxseeds, fish), antioxidants (berries), and hydration.
3. Natural Ways to Boost Libido
Ashwagandha or Maca root (herbal supplements): May support hormonal balance.
Tribulus terrestris: Sometimes used to improve desire.
Vitamin D, B-complex, and zinc: Support sexual health.
4. Enhancing Natural Lubrication
Hydration is key.
Estrogen creams or natural vaginal moisturizers (like Replens or hyaluronic acid gels).
Flaxseed or soy: May help due to phytoestrogens.
Avoid soaps/douches in vaginal area.
5. Psychological & Relational Factors
Open communication about needs and preferences.
Counseling with a sex therapist or couple’s therapist if there’s longstanding disinterest.
6. Medical Options (if needed)