So, I have been on an Estradiol Patch and 200 MG Prometrium for about 3 years now. My OBG had me on continuous progesterone and I didn’t know there is an alternative. Although the worst of the Menopause symptoms were fixed my libido tanked to nothing and my husband and I have been miserable. I have been searching for answers (OB was not very helpful although he would prescribe things I wanted to try out-I had to research and suggest) and have FINALLY found a possible answer! I stumbled across a study that indicates Progesterone is associated with low libido and it is not normal to have a continual high level. Pre menopause it fluctuates during our menses, duh! I read Menopause Power written by an endocrinologist who recommends cyclical HRT-continuous estradiol but 12 days of Progesterone. Then I discovered NorthWestern clinic in Chicago that specializes in Menopause and did a virtual consult with them which confirmed cyclical was fine, it would result however in the return of a monthly bleed. So 3 months ago, I started doing cyclical and for the first time in years, I’ve wanted sex again. Fingers crossed that this is the answer. So far so good, maybe it will help others.