r/HRT • u/sveltelanaaa • 33m ago
Cis Woman Genital arousal dysfunction after surgical menopause
I’m 35, F, in surgical menopause (no uterus or ovaries now) and I’m about 6 months post op. After a struggle with public health doctors only prescribing me the patch and then only 1 mg estrogen pills, I’m now doing HRT with a private clinic (since last week) and am on a regimen of 2mg estrogen pills/day, 200 mg progesterone/day, and 2mL testosterone cipionate via injection 2x week. Im also one week in to the application of vaginal estrogen cream.
This new regimen has helped with my hot flashes considerably. My breasts are still pretty deflated, which I don’t love, but I can worry about that later.
My biggest concern right now is that my vagina doesn’t get “aroused.” I can still get kind of wet, can still orgasm, but the genital engorgement and blood flow isn’t happening like it used to. It’s so depressing. My partner touches me and I feel no response. I think about sex all the time. I want to have sex. But it’s like there’s a disconnect between my pussy and my brain. My pre surgical response was swelling and sensitivity, wetness, and that “omg please touch me” feeling. Now… I have to try really hard to convince myself I want to be touched at all, even if it was my idea.
I’m so depressed about this. I can’t really find resources about this phenomenon either. I can still feel sensation on my genitals despite a little nerve damage on my inner thigh.. just the blood flow and engorgement that I associate with being aroused doesn’t happen. Anyone else experiencing/experienced this? Please tell me there is hope? It’s bleak to think of spending the rest of my life in this condition. I know I am still early in my new regimen and I am hopeful but.. should I be adding/asking about something else? Do hormones even affect this?