Decreased genital sensation or difficulty with arousal

Decreased genital sensation and difficulty with arousal are symptoms of Genitourinary Syndrome of Menopause (GSM) that are rarely discussed in routine medical visits. Yet they represent a significant loss that affects sexual well-being, intimate relationships, and overall quality of life. At Renew Health and Wellness, Dr. Jennifer Redmond, CNP, DNP approaches this aspect of GSM with both clinical expertise and genuine sensitivity - recognizing that sexual responsiveness is a legitimate component of health at every age. The loss of genital sensation is driven by declining levels of estrogen and testosterone - the hormones that maintain nerve density, blood flow, and tissue sensitivity of the vulva, vagina, and clitoris.

Her evaluation assesses both estrogen and testosterone levels alongside a full symptom history, as testosterone is a frequently overlooked contributor to genital sensation and arousal in women. Treatment begins with restoring the local hormonal environment through low-dose vaginal estrogen or intravaginal DHEA, which improves tissue health, blood flow, and nerve function in the genitourinary region. Systemic bio-identical and body-identical hormone therapy - including testosterone when appropriate - addresses arousal and desire at a broader neurological level.

Peptide therapies such as PT-141 may be incorporated to enhance sexual responsiveness through central nervous system pathways. Compounded topical vaginal formulations can further support sensitivity and lubrication. Our on-site mental health therapist is also available to address the psychological and relational dimensions of changed sexual response. At Renew Health and Wellness, the return of sensation and arousal is a realistic treatment goal - not an afterthought. We will build a comprehensive plan to help you achieve it.