Multi-Symptom Decision Tree

Low Libido + Vaginal Dryness

Symptoms: Low libido · Vaginal dryness · Painful intercourse · Decreased arousal. Likely cause: Menopause GSM (genitourinary syndrome).

Likely cause

Menopause GSM (genitourinary syndrome)

See condition page →

First steps

  1. Pelvic exam (in-person or telehealth)
  2. Symptom diary 2 weeks
  3. Discuss relationship + stress context

Treatment options

  • Local estrogen (vaginal cream / ring / tablet)
  • Vaginal moisturizers
  • Testosterone (off-label for libido)
  • Pelvic floor PT

When to see doctor

Symptoms 4+ weeks affecting intimacy or causing pain. Earlier if bleeding with intercourse.

Browse providers for Menopause GSM (genitourinary syndrome)Take the matcher

Other symptom combinations

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Informational only — a symptom pattern is not a diagnosis. Only a clinician can diagnose the cause of your symptoms.