I never truly lost libido but had to treat vaginal dryness with estradiol cream. I tried adding testosterone and found it not worth the out of pocket cost, nor did I feel any benefit.. I use 1mg estradiol patch 2x weekly and 100 micronized progesterone nightly. I do have a back up 1mg estradiol pill that I sometimes use when my skin becomes irritated by the patch. They say you can alternate where you apply the patch to avoid skin irritation, but I have found only one spot that I prefer. I am soon to be 65, started bhrt at age 56.