My wife and I are interested in beginning natural hormone replacement therapy. I am 58 and she is 56. I’m easy: I have all the symptoms of late onset hypogonadism. However, my wife is in relatively good health in menopause. Her symptoms for the most part are vaginal dryness and painful intercourse. We have stopped having sex due to her pain. The other symptoms she does have is muscular pain, though, with no loss of energy. My question is , and knowing you can’t prescribe: should she pursue the testosterone for women and/or the progesterone?
Thank you.



Hello L.H.,

Thank you for your query.

Has your wife discussed the vaginal dryness and painful intercourse with her doctor?

If desire is not the issue and it’s the physical discomfort of the vaginal dryness that causes pain during intercourse, this can be easily addressed.

Twice weekly use of localised natural hormone  vaginal creams or pellets  will fix the problem in 99% of cases – Ovestin cream and Vagifem pellets are the products that I’d recommend she discusses with her doctor. Both natural estrogens that work locally and are safe and very effective.

From what you’ve indicated, I suspect she needs neither testosterone nor progesterone.

I suggest she uses localised estrogen cream or vaginal tablets first.

If she wants to look at testosterone then I suggest she have her blood levels tested first.

Please see the  booklets below which cover both these issues.

Please do not hesitate to contact me if you or she have any questions.

Kind regards,


Medical Director


For more information on progesterone  in women , see

Hormone Solutions’s recommended reading: Natural Progesterone Cream

Take the online Female Progesterone Deficiency Self-Assessment  quiz  here.

prog test


For more information on testosterone in women, see: 

Hormone Solutions’s recommended reading: Testosterone In Women

Take the online Female Sexual Function Self-Assessment quiz  here.


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