These creams can be administered nightly in doses about one eighth of the usual vaginal cream dose needed to obtain serum levels and treat systemic menopausal effects such as hot flashes or palpitations. Useful for vaginal dryness when a patient should not take estrogen particularly when there is a history of breast cancer. One study reports effective treatment of vaginal atrophy using 0.5 mg vaginal estriol for 21 days and then 0.5 mg twice weekly. After one year all patients showed no thickening of the endometrium. Best to use any vaginal hormone therapy for at least three months to determine effectiveness.
Low energy leads to low sex drive.
It should be as exertive as jogging at a slow continuous pace. It may also be possible that you are not sufficiently rewarded by sexual activity to want to continue or keep up your old frequency. If you rarely have orgasms, you may want to see a sex therapist to help you come more easily. A small amount of two percent testosterone in a vanishing cream base applied to the clitoris and surrounding area may increase sexual desire. A small pea sized dab can be tried daily for one week and then two to three times a week as needed for sexual drive.