This is such a great discussion, really interesting to read the advice on this

You’re pelvic floor muscles play a big role in the sensation of your pelvic floor and around the vagina. The tone and tension of the vagina and the sensation of the vagina can be affected by the condition of your pelvic floor muscles. Exercising your pelvic floor we know can help improve sensation of the vagina and also can improve orgasms and arousal. if you would like a Pelvic Floor assessment this is available at Physioadvantage and I can give you advice on how to exercise your pelvic floor which will help improve your sensation and flow to the area and hopefully therefore contribute to your Mojo!! Thank you, Leila

Losing our 'mojo' can be really frustrating, and often impacts men too. There are so many factors that are at play during the menopause transition including stress, self-confidence taking a hit, exhaustion from balancing many things in life, poor sleep....the list can go on! The reduction in oestrogen at this time is a significant contributing factor and discussing replacement via HRT with a medical professional can help enormously. Testosterone starts to naturally reduce from our 30s and many women find a beneficial effect with using this hormone during the menopausal years, in helping with their sex drive. Many also report that testosterone can help with their fatigue, concentration and mention to us "I have got my mojo back". The British Menopause Society guidelines recommend that every women ensures they are on the correct oestrogen dosing, before commencing testosterone, as without a doubt, oestrogen is the key player that we have lost in our 50s.

At VHK Women's Health clinic, we are keen to listen to your issues, and find the right HRT for you (there is so much choice of regimens now).

Hi there, I agree that it's difficult to maintain our mojos in midlife. There are so many factors involved. Our women's health doctors, Dr Vicky Hobbs and Dr Heidi Kerr may be able to address the hormonal side of things but there are lots of other factors that impact this aspect of our lives. Our own perceptions of our "sexiness" can definitely be improved by a bit of personal reinvention. For example, your shape may have changed in recent years and there's nothing more depressing than putting on the clothes that used to make you feel good and finding they don't fit or flatter anymore. Rethinking your wardrobe (see our previous forum discussion about styling), introducing colours and styles that suit your new shape will help to make you feel more attractive; Wise Woman Jane Brookes advises women (and men) on exactly these aspects of styling. I would also recommend overhauling your skincare regime and introducing some actives such as retinol and vitamin C (be aware that over the counter brands are likely to be low potency but not a bad place to start). At Dr Julia Sen Health and Wellness we offer skin analysis and advice about skincare products in addition to facials and injectibles. Whislt these things may seem superficial, the boost in confidence can make a huge impact on how attractive we feel. Is there intimacy in your relationship? Couples who have great sex tend to be generally more tactile in non-erotic ways and communicate more effectively, which also helps with desire. Unfortunately our lives can be frantic with other things that steal our attention and prioritising time to talk uninterupted and reconnect with your partner is vital to a great sex life. Finally back to basics. Try to ensure you are eating nutritious food with as little processed food as possible; exercising regularly (including core and pelvic floor exercises - Leila Holmes, our fabulous Physio is an expert on this. Leila and Jane and will be speaking at Dodfest on 22nd June (tickets available via https://www.drjuliasen.co.uk/event-details/dodfest-for-wise-women.

Hope to see you there and good luck with the mojo! Best wishes, Julia