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0:{"buildId":"AhVsB6nYmdkpXB8rVSX1H","rsc":["$","$1","c",{"children":[[["$","article",null,{"className":"page-module__hUlLAq__container","children":[["$","script",null,{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"BlogPosting\",\"headline\":\"Reigniting the Spark: HSDD and Testosterone Therapy After 45\",\"image\":[\"https://nexawell.blog/images/blog/libido-older-testosterone.png\"],\"datePublished\":\"2026-04-24T19:00:00.000Z\",\"dateModified\":\"2026-04-24T19:00:00.000Z\",\"author\":[{\"@type\":\"Person\",\"name\":\"NexaWell Medical Team\",\"url\":\"https://nexawell.blog/about\"}],\"publisher\":{\"@type\":\"Organization\",\"name\":\"NexaWell\",\"logo\":{\"@type\":\"ImageObject\",\"url\":\"https://nexawell.blog/favicon.ico\"}},\"description\":\"It's not 'just menopause.' It's a neuro-chemical drop in desire. Why testosterone is the missing link for women's libido.\"}"}}],["$","a",null,{"href":"/","className":"page-module__hUlLAq__backLink","children":[["$","svg",null,{"xmlns":"http://www.w3.org/2000/svg","width":20,"height":20,"viewBox":"0 0 24 24","fill":"none","stroke":"currentColor","strokeWidth":2,"strokeLinecap":"round","strokeLinejoin":"round","className":"lucide lucide-arrow-left","aria-hidden":"true","children":[["$","path","1l729n",{"d":"m12 19-7-7 7-7"}],["$","path","x3x0zl",{"d":"M19 12H5"}],"$undefined"]}]," Back to Home"]}],["$","header",null,{"className":"page-module__hUlLAq__header","children":[["$","span",null,{"className":"page-module__hUlLAq__category","children":"Health"}],["$","h1",null,{"className":"page-module__hUlLAq__title","children":"Reigniting the Spark: HSDD and Testosterone Therapy After 45"}],["$","div",null,{"className":"page-module__hUlLAq__meta","children":[["$","span",null,{"children":["By ","NexaWell Medical Team"]}],["$","span",null,{"children":"April 25, 2026"}]," • ",["$","span",null,{"children":"25 min read"}]]}]]}],["$","div",null,{"className":"page-module__hUlLAq__imageWrapper","children":["$","$L2",null,{"src":"/images/blog/libido-older-testosterone.png","alt":"Reigniting the Spark: HSDD and Testosterone Therapy After 45","width":800,"height":400,"className":"page-module__hUlLAq__heroImg"}]}],["$","div",null,{"className":"page-module__hUlLAq__content","children":[[["$","h2","h2-0",{"children":"\"I Love My Husband, But...\""}],"\n",["$","p","p-0",{"children":["You still find him attractive. You ",["$","em","em-0",{"children":"want"}]," to want sex. But the physical urge is gone. It’s like the cable is cut.\nThis distress—the fact that it bothers you—is the key diagnosis for ",["$","strong","strong-0",{"children":"HSDD (Hypoactive Sexual Desire Disorder)"}],"."]}],"\n",["$","p","p-1",{"children":"In your 40s and 50s, this is rarely \"psychological.\" It is almost always hormonal."}],"\n",["$","hr","hr-0",{}],"\n",["$","h2","h2-1",{"children":"1. The Missing Hormone: Testosterone"}],"\n",["$","p","p-2",{"children":"We think of Testosterone as the \"Man Hormone.\" Wrong. It is the \"Desire Hormone\" for everyone."}],"\n",["$","ul","ul-0",{"children":["\n",["$","li","li-0",{"children":[["$","strong","strong-0",{"children":"The Drop"}],": By age 45, a woman's testosterone production has dropped by 50%."]}],"\n",["$","li","li-1",{"children":[["$","strong","strong-0",{"children":"The Impact"}],": Testosterone drives the ",["$","em","em-0",{"children":"fantasy"}]," and the ",["$","em","em-1",{"children":"initiation"}],". Without it, you might enjoy sex once it starts, but you will never think to start it."]}],"\n"]}],"\n",["$","h3","h3-0",{"children":"The Fix: Testosterone Therapy"}],"\n",["$","ul","ul-1",{"children":["\n",["$","li","li-0",{"children":[["$","strong","strong-0",{"children":"Is it legal?"}],": It is off-label for women in the US, but standard care in the UK/Australia."]}],"\n",["$","li","li-1",{"children":[["$","strong","strong-0",{"children":"The Dose"}],": Women need 1/10th the dose of men."]}],"\n",["$","li","li-2",{"children":[["$","strong","strong-0",{"children":"The Form"}],": A pea-sized amount of cream/gel applied to the thigh daily."]}],"\n","$L3","\n"]}],"\n","$L4","\n","$L5","\n","$L6","\n","$L7","\n","$L8","\n","$L9","\n","$La","\n","$Lb","\n","$Lc","\n","$Ld","\n","$Le","\n","$Lf","\n","$L10"],"$L11"]}]]}],"$L12"],["$L13"],"$L14"]}],"loading":null,"isPartial":false}
3:["$","li","li-3",{"children":[["$","strong","strong-0",{"children":"The Result"}],": It takes 3-6 months to work. But patients report the \"pilot light\" flickers back on."]}]
4:["$","hr","hr-1",{}]
5:["$","h2","h2-2",{"children":"2. The FDA-Approved Meds (Addyi & Vyleesi)"}]
6:["$","p","p-3",{"children":"If hormones aren't for you, there are now drugs specifically for HSDD."}]
7:["$","h3","h3-1",{"children":"Addyi (Flibanserin)"}]
8:["$","ul","ul-2",{"children":["\n",["$","li","li-0",{"children":[["$","strong","strong-0",{"children":"What it is"}],": The \"Female Viagra\" (a misnomer). It’s actually a daily pill that works on brain neurotransmitters (Dopamine/Norepinephrine)."]}],"\n",["$","li","li-1",{"children":[["$","strong","strong-0",{"children":"The Pro"}],": It increases desire over time."]}],"\n",["$","li","li-2",{"children":[["$","strong","strong-0",{"children":"The Con"}],": You cannot drink alcohol with it (though restrictions have loosened)."]}],"\n"]}]
9:["$","h3","h3-2",{"children":"Vyleesi (Bremelanotide)"}]
a:["$","ul","ul-3",{"children":["\n",["$","li","li-0",{"children":[["$","strong","strong-0",{"children":"What it is"}],": An injectable pen (like an EpiPen) you use 45 minutes ",["$","em","em-0",{"children":"before"}]," sex."]}],"\n",["$","li","li-1",{"children":[["$","strong","strong-0",{"children":"How it works"}],": It directly stimulates dopamine receptors to create arousal."]}],"\n",["$","li","li-2",{"children":[["$","strong","strong-0",{"children":"The Pro"}],": You only use it when you need it."]}],"\n"]}]
b:["$","hr","hr-2",{}]
c:["$","h2","h2-3",{"children":"3. The Physical Barrier (GSM Pain)"}]
d:["$","p","p-4",{"children":"We cannot talk about libido without talking about pain.\nIf sex hurt last time (due to dryness/atrophy), your brain will subconsciously block desire to protect you from pain."}]
e:["$","ul","ul-4",{"children":["\n",["$","li","li-0",{"children":[["$","strong","strong-0",{"children":"The Rule"}],": You must treat the Vaginal Dryness (see our previous post) ",["$","em","em-0",{"children":"before"}]," you can treat the Libido. You cannot fix the engine if the tires are flat."]}],"\n"]}]
f:["$","h2","h2-4",{"children":"Conclusion"}]
10:["$","p","p-5",{"children":"A low libido is not a moral failing. It is a biological event. Whether you need a spark plug (Testosterone) or a jump start (Vyleesi), science has caught up."}]
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