Bass, I am going thru menopause caused by a hysterectomy. I called my OBGYN who performed the surgery and he prescribed estrogen only initially which took care of the day flushes and night sweats but didn't address my fatigue and low libido. After 2 months or so, we talked about how i had no energy and my libido had gone missing. I begged him to do something for me. I was desperate. I told him I eat right and take care of myself and I am not ready to feel like crap all the time. NO ENERGY, NO DESIRE, LISTLESS, FATIGUED. I wasn't beotchy just not interested in ANYTHING. My doc He is into physical fitness/lifting, appreciates my effort and even comments on how well I take care of myself. I mention this because I think it makes a difference in how he responded to me. It seems it isn't the first drug they offer and it is controlled or regulated (watched closely) by insurance companies.
He then ordered ESTRATEST but my insurance filled with the generic equivalent, ESTROGEN-METHLTESTOS F.S. TAB. There are two dosages, and the doctor will most likely start out on the lowest first and it did take 10 days to load. My research indicated women reported gain of 10 pounds, no change in diet. I did not; I didn't want to use this as an excuse to gain weight, when in fact I would like to cut down to 15/16% bf. however, I did notice slight hair loss due to testosterone. The gal who does my hair says I shouldn't worry, but I also have aLOT of hair. Doc also prescribed ESTRACE 0.01% cream which is applied vaginally twice per week. It absorbs and creates a nice response.
If your wife is not getting proper lubrication, I discovered coconut oil and one of its many uses is lubrication.
I feel for your wife. I was miserable and not because I wanted to be. I know some women are soooo against using drugs. I would not recommend a homeopathic route. I know gals who messed up hormones with herbs and blew up like a helium ballon and are not getting desired results. Theres an increased risk of cancer, but not enough for me to worry about because I feel fabulous again!
I sure hope she has a decent obgyn. of course BW will tell doctor what she is needing. Good Luck!!!