How does hormone replacement therapy restore vaginal sensation?
Hormone replacement therapy (HRT) can restore vaginal sensation by replenishing oestrogen levels, improving tissue health, elasticity, blood flow, and lubrication.
Detailed Medical Explanation
HRT supplies oestrogen—either locally (vaginal tablets, creams, rings) or systemically (patches, tablets)—to counteract the effects of declining hormones after menopause. This restores vaginal wall thickness, blood flow, and moisture, reducing dryness and discomfort. Improved tissue health leads to increased sensitivity and pleasure during sex. HRT should be prescribed based on individual needs and risks. NHS: HRT.
Clinical Context
HRT is a proven option for women with menopausal symptoms affecting vaginal and sexual health. Ongoing review by a menopause specialist ensures safety and effectiveness.
Evidence-Based Approaches
NICE and BMS guidelines strongly support the use of HRT for genitourinary symptoms of menopause (NICE CKS).