Oh, boy! 44% of women ages 45-64 say they have problems with desire, arousal, and/or orgasm.  After you’ve gotten some decent sleep, food, and exercise and you’ve made sure that the inside of your vagina  is properly estrogenized (Vagifem), another thing to try is Zestra (drugstores).  Zestra’s botanical oils, applied externally a few minutes before any lubricant, have a way of jazzing up your sensitivity.  To jazz up the mind, try an erotic romance novel like Ann Jacob’s “A Mutual Favor,” a mix of great characters and steamy love.  The lowest possible dose of bioidentical estradiol, prescribed by your doctor as Evamist, may simultaneously cool hot flashes and raise hot feelings.