HRT

Testosterone directly affects the brain and increases libido. Testosterone also affects mood. Women whose hormones are being produced by their own ovaries have a lower rate of depression than women who have had their ovaries removed, even if hormone replacement therapy (HRT) is taken.

Hormone production is a complex process, and it’s not surprising that HRT often falls short in replicating and maintaining normal hormone levels. Many women whose ovaries have been removed aren’t even taking hormones because of the controversy over HRT and the possible link to breast and ovarian cancer. Those who are will still experience a decline in circulating testosterone. Hormone balance is fragile and complex, and hormonal changes can have a significant impact on sexuality.

If you're considering a hysterectomy, especially one that includes the removal of the ovaries, it's important to get a second opinion. Explore all your options and know the risks and benefits of each. If you've already had a total hysterectomy and experienced a significant decline in sexual interest, you might want to talk to your doctor about the possibility of a testosterone gel to help boost your desire.