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The menopausal transition is associated with a natural decline in estrogen and nitric oxide production, which can impair endothelial function[6] and reduce genital blood flowkey elements in arousal and sexual response

Read some media coverage about this inclusion in the WHO EML here and here

However, not everyone can tolerate the highest dose due to side effects, so some people remain at lower doses

You may or may not gain weight after stopping these medications