At any stage of adult life, a woman’s sexual health can make a difference in her overall quality of life, mood, and even physical well-being. When everything is functioning as it is designed to, women’s sexual wellness is a non-issue in intimate relationships. However, as women age, they are more likely to experience some type of sexual dysfunction, especially during perimenopause and menopause.

It is estimated that up to 80% of women experience some type of sexual dysfunction during perimenopause, menopause, and beyond, such as vaginal dryness, painful sex, or low libido. Unfortunately, most women who experience women’s sexual health concerns don’t know where to go for help.

Because the underlying causes of female sexual dysfunction are often a result of declining hormones during the menopausal transition, addressing these concerns with bioidentical hormone replacement therapy (BHRT) for women can be life-changing.

women's sexual health couple smiling at each other

Women’s Sexual Health Medications

Amitriptyline HCL / Baclofen

Amitriptyline affects serotonin and norepinephrine and baclofen to modulate pain signals and baclofen lowers spinal reflex activity to ease muscle tension.

Bremelanotide Acetate

Bremelanotide is a nonselective melanocortin receptor agonist that activates several receptor types to influence brain pathways involved in sexual response.

Testosterone / L-Arginine / Sildenafil Citrate

L‑arginine and sildenafil work together to increase genital blood flow and sensitivity, while testosterone supports hormones involved in the female sexual response.

Sildenafil Citrate

Sildenafil citrate is a PDE5 inhibitor that may be used to support erectile function and may help manage pulmonary arterial hypertension.

Tadalafil

Tadalafil is a PDE5 inhibitor that may help increase smooth muscle relaxation and blood flow.

Oxytocin

Oxytocin is a natural hormone and neurotransmitter that supports key reproductive functions and influences bonding and social behavior.

Pregnenolone

Pregnenolone is a cholesterol-derived steroid precursor produced in the adrenal glands and brain that supports vital functions like hormone synthesis, nerve protection, and memory.

Estriol and Estradiol

Estriol (E3) and estradiol (E2) are key estrogens that may work together to support hormonal balance, combining estradiol’s stronger activity with estriol’s gentler, shorter‑acting effects.

Lidocaine / Tetracaine

Lidocaine and tetracaine are topical anesthetics that numbs the skin by blocking nerve signals.

Boric Acid (Clear) No Filler

Boric acid is an inorganic compound with bacteriostatic and fungistatic properties that may help maintain an acidic vaginal environment.

Diazepam

Diazepam is a long‑acting benzodiazepine that binds to GABA‑A receptors to calm overactive muscles and reduce involuntary spasms.

Estradiol (E2)

Estradiol is the strongest and most active of the three primary estrogens and may have a role in supporting menstrual, bone, cardiovascular, and overall cellular health.

Estriol (E3)

Estriol is a weak, naturally occurring estrogen that is gaining interest for its unique biological profile and potential immunomodulatory and menopausal‑related benefits.

DHEA

Dehydroepiandrosterone (DHEA) is an adrenal steroid and a key precursor hormone to androgens like testosterone and estrogens such as estradiol, with levels peaking at early adulthood before steadily declining with age.

Testosterone Cypionate / DHEA Grapeseed Oil

A testosterone cypionate/DHEA grapeseed oil injection combines long‑acting testosterone with DHEA, a hormone that the body can naturally convert into other hormones.

Testosterone

Testosterone is a sex hormone that plays a number of important roles in reproductive health and general wellness in both women and men.

Progesterone

Belmar Pharmacy offers bioidentical micronized progesterone compounds. This hormone is crucial during the reproductive years and can benefit perimenopausal and postmenopausal women particularly in areas of endometrial protection, sleep, and mood.

About Women’s Sexual Health Solutions From Belmar Pharmacy

women's sexual dysfunction overview doctor speaking to female patient

Overview

Suffering through women’s sexual health issues isn’t something women should simply learn to endure as an inevitable part of getting older (when most concerns arise). Belmar Pharmacy offers personalized bioidentical hormone replacement therapies (BHRT) that are designed to address women’s sexual wellness – especially during perimenopause, menopause, and postmenopause. These hormone therapies and medications can help with symptoms that lead to vaginal dryness, painful sex, and other common sexual wellness concerns.

Symptoms

Symptoms of female sexual dysfunction are highly personal and vary from woman to woman, but many perimenopausal and menopausal women experience symptoms that include:

  • Low libido/lack of interest in sex
  • Vaginal dryness/less natural lubrication for intimacy
  • Difficulty reaching orgasm
  • Experiencing less pleasurable physical sensations during sex
  • Painful sex/extreme discomfort during sex

While women may experience some or all of these symptoms occasionally, when they last six months or more, it’s usually a sign of underlying issues, such as hormonal imbalance.

Benefits

Women in perimenopause, menopause, postmenopause, or women of any age experiencing sexual wellness issues may benefit from bioidentical hormone replacement therapy (BHRT). Personalized for your individual needs, BHRT often includes progesterone, estradiol, and testosterone. BHRT is designed to address and relieve symptoms of vaginal dryness, low libido, and other women’s sexual health concerns.

Therapies

Belmar Pharmacy offers bioidentical hormone replacement therapy (BHRT) and other medication solutions that can help support female sexual health and wellness during perimenopause, menopause, and postmenopause.

Belmar Pharmacy’s sexual health and wellness therapies can be personalized for a woman’s individual needs. These hormones and medications are available in a variety of dosage forms and include:

Commonly Asked Questions About Women’s Sexual Health

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For many women, the natural decline in hormones (particularly testosterone) during perimenopause and menopause can contribute to low sex drive. Testosterone plays an important role in libido and sexual pleasure. It’s also the hormone women most abundantly produce over the course of their lifetime, but it begins declining as early as a woman’s 30s. Other factors that may contribute to low female sex drive include physical changes, stress, fatigue, vaginal dryness, and other symptoms related to perimenopause and menopause.

Bioidentical hormone replacement therapy (BHRT) addresses the root causes of low libido in women: declining hormones, which naturally occurs with age. BHRT is personalized for individual needs and may help increase a woman’s libido and improve her overall sexual health. Personalized BHRT for women that addresses low libido may include testosterone, oxytocin, progesterone, estradiol, and DHEA.

Belmar Pharmacy offers a variety of dosage forms to enhance women’s sexual wellness and address menopause symptoms. Customized hormone therapies are available in systemic applications, such as oral tablets, capsules, troches, fast-burst sublingual tablets, topical creams and gels, and hormone pellet implants. Belmar also compounds localized therapies like vaginal creams and suppositories to target symptoms such as vaginal dryness and painful sex.

Hormone pellets are designed to release a steady, consistent dose of hormones into your bloodstream during the course of 3 to 4 months. About the size of a grain of rice, and implanted into the fatty tissue of your buttocks by a medical provider, pellet therapies address the many symptoms of perimenopause and menopause, including sexual dysfunction. Optimizing your hormones through hormone pellet therapy may improve libido, vaginal dryness, mood, and the many other symptoms women experience during perimenopause through menopause and beyond.

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