One of the main reasons was the patients’ personal feelings towards menopause and the body changes. Many still view it as a negative part of their sexuality wearing away. Many women seek to be treated with HRT to cure a lack of sexual desire
Recent trials were done at The Department of Urology at Aalborg university Hospital in Denmark, on perimenopausal and postmenopausal women. Controlled tests were done using various estrogen/progesterone and progesterone/testosterone therapies. The results concluded that these therapies had a positive affect in the healing vaginal dryness and dyspareunia. It had shown to have positive affects on low libido, in that it created arousal but not desire.
Doctors prescribe that women on HRT should be on it for the shortest time possible, and not continue with it after menopause. FSD (Female Sexual Dysfunction) has been long under investigation, and it is multi faceted as it is divided into 4 main groups: desire, arousal, orgasm and pain problems. HRT has only shown a short term affect on the physiological side such as orgasm and arousal. The rest are mainly influenced by emotional and psychological factors. It is also important to note that all four or three work together, and having the one treated does not mean low libido is healed.
Inquiring for professional help would be to consult a therapist or join group therapy with your partner depending on your relationship status.
HRT has shown to be most ineffective for treating FSD in menopausal women, as the source for these problems depend largely on psychological factors rather than physical.