It happens. You just don’t enjoy sex as much as you once did and find yourself making excuses. But you wonder: Why is this happening? Is it just a natural part of getting older? You are not alone. A lot of women experience sexual dysfunction, particularly as they enter perimenopause or menopause. Vaginal dryness, painful intercourse, flagging energy, night sweats, insomnia and, yes, difficulty in becoming aroused are all common. You might suspect that declining estrogen levels are the cause, but you may be surprised to learn that these symptoms are more likely linked to low testosterone.

Testosterone therapy can restore sexual desire and increase frequency. It can also brighten your mood, lower your risk of disease, put more spring in your step and help you think more clearly. However, new research is finding that your choice in testosterone therapy matters.