|L-arginine: Take 1,000 mg 1-2 times daily in combination with 250 mg of B-5 and 250-350 mg of choline once daily to promote better blood flow to the pelvic organs and tissue. See Dr. Lark below on vaginal dryness. She believes perimenopausal women may have lower libido because intercourse is painful.
||Topical testosterone cream can be "extremely effective." ALG advises getting a baseline salivary hormone ** test to determine hormonal deficiencies. Useful herbs: damiana, horny goat weed and maca, a Peruvian herb that may also help with hot flashes, night sweats and fatigue.
||Lower libido may result as a woman "reprioritizes her life and the manner in which she uses her energy" and redefines relationships to "serve the person" she is becoming. Women in love with their life tend to have high libido despite hormonal changes. Lack of libido may stem from low estradiol or testosterone. Check hormone levels with salivary hormone test. If one of these hormones is low, supplement with oral estradiol or patch; take testosterone as capsule or vaginal cream. In early perimenopause, ¼ teaspoon of natural progesterone cream twice daily may help.