have been married to my wife for 40 years. She went through menopause in her early 40s. She had breast cancer two years before menopause. The creams didn't really work, sex just wasn't the same. Since she had breast cancer, HRT is out.
As a sex coach who works primarily with women, the lion's share of my work is helping women understand that they are not broken, and helping them find their own individual portal to their unique erotic expression.
I would recommend using cortisol saliva testing if you need to figure out the severity of adrenal fatigue, but leave the other hormone testing to your serum tests, where the studies support more consistency to the results so that you get more for the money you are paying for your health.
Sexual wellness is not defined by how few wrinkles you have or how good you look in lingerie. A healthy sex life is characterized by confidence, security, emotional stability, the dynamics of a relationship and each individual's level of self-discovery.
It is important to get the scientific facts right when it comes to futzing with the body's hormones. Eye of newt and whatever else goes into love potions may be useless but harmless. That's not necessarily so when forcing powerful sex hormones into the body.