dr. tiefer) lubrication. (dr.rtz) .lubrication, saying that there are, and encouraging that. çovertalkÑ (peter) you mentioned menopause. you mentioned estrogen. (dr. schwartz) right. (peter) what about giving estrogen? (dr. surgeon) estrogen does help because it lubricates the vagina, it improves blood flow to the genital organs. but sometimes you might also need a little testosterone, so. (peter) but do you give estrogen by pill, do you give it by cream, how do you give it? (dr. surgeon) well, there's lots of different ways to give it. pills, patches, gels, creams, lotions, vaginal ring. but i also use testosterone. not in everybody. but in some women, especially if they have had their ovaries removed, especially if there has been a distinct drop off in their sexual responsiveness, in their desire, when they become menopausal. i don't usually treat premenopausal women with testosterone, because, again, there are all of those multifactorial things that filter into their decrease in desire. and desire is the, is th