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A somewhat controversial therapy, testosterone is nonetheless also highly successful, Mr Doig points out, adding that many of his patients have benefited greatly from this form of hormone intervention. Adds Mr Doig: "Essentially, the libido tends to diminish in part due to oestrogen loss as women age. But there are other contributing factors such as the daily demands, the physical after-effects of childbirth, and post-natal depression." It's a multi-faceted problem that needs to be addressed at both physical and psychological levels, Mr Doig says. "Women should have the opportunity of enjoying sexual relationships well into their 70s. There are several issues involved when this doesn't happen and this needs to be sensitively explored." "Sex became a chore over the past few years until I responded to HRT," says Natalie*, aged 63 and married for 34 years. 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