Libido in the menopausal woman

Date Published: 
Tuesday, October 19, 2021

Megan Ogilvie discusses women's libido including menopausal hormone treatment, and testosterone supplementation.



  • 00:00 Intro
  • 00:55 Changes to libido over lifespan.
  • 07:00 Changes to Testosterone over lifespan
  • 09:00 Consensus statement for testosterone supplementation
  • 10:29 Indications for testosterone supplementation
  • 11:45 What is a loss of libido?
  • 13:02 How to ask these personal questions.
  • 14:40 Investigations Do we measure testosterone?
  • 15:56 Do we think about lipids?
  • 16:19 Stepped approach to management
  • 18:20 How is AndroFem used?
  • 22:33 Monitoring
  • 23:25 Is it subsidised?
  • 24:01 Why is prescribing low?
  • 25:47 Any side effects?
  • 26:36 Is there ever a place for compounding testosterone?
  • 28:26 Should we be screening these women for breast cancer?
  • 29:08 More information
  • 29:46 Take home messages


Take-home messages

  • Think about libido first.
  • Libido is not just about testosterone.
  • If women have lost their ovarian function, then testosterone is a reasonable trial of treatment.
  • Use an appropriate product.
  • Monitor and follow up.





Megan Ogilvie

Megan graduated from University of Auckland and completed specialist endocrine training in Auckland. She undertook postgraduate training at St Bartholomew’s Hospital and subsequently at Middlesex Hospital in London. Megan joined Fertility Associates in 2004 working in the areas of both general and reproductive endocrinology with particular interests in polycystic ovarian syndrome (PCOS), amenorrhoea, menopause and gonadal dysgenesis.

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.