id: sexual-desire-function
title: "Reduced sexual desire and function in menopause"
kind: symptom
summary: "NICE NG23 reports that local (vaginal) oestrogen improves vaginal symptoms and sexual function, and describes offering local vaginal oestrogen to women with urogenital atrophy, including those already using systemic HRT."
evidence_strength: insufficient
status: published
sources:
  - url: https://www.nice.org.uk/guidance/ng23
    title: "Menopause: identification and management (NG23)"
    publisher: "National Institute for Health and Care Excellence (NICE NG23)"
    date: "2015"
    study_type: "guideline"
signals:
  - sig-20260710-sexual-function-effect
  - sig-20260710-sexual-function-guideline
confidence: medium
first_seen: "2026-07-10"
last_updated: "2026-07-10"
notes: "'Reduced sexual desire and function' needs an entities entry (kind: symptom); id not invented. Evidence cited only via guideline (→ insufficient study quality). Related entities: vaginal-estrogen (intervention) and genitourinary-syndrome-menopause (symptom); the vaginal-estrogen-for-GSM intervention would be a distinct entry."