Female sexual dysfunction is a complex disorder that significantly reduces the quality of life and well-being of women. Female sexual dysfunction is just as common as male sexual dysfunction, but much less attention has been paid to female sexual dysfunction than to male sexual dysfunction due to cultural, religious, lifestyle, and sexual intercourse patterns. Sexual function occurs at all ages in sexually mature women; however, menopausal women are more likely to experience sexual dysfunction due to the changes and interactions of various physical, psychological, and social relationships during menopause. In this article, we will briefly introduce the diagnosis and treatment of concurrent sexual dysfunction in menopausal female patients, so that we can have a preliminary understanding of the disease and pay more attention to it, so as to improve the quality of life. 1.Are you in menopause? The main manifestations of menopause: menstrual disorders or stopping, bouts of baking heat and sweating, easy to lose temper, but sometimes depressed, feeling dizzy and tinnitus, feeling panic and chest tightness, poor sleep, back pain, others accompanied by itchy skin, itchy eyes, obvious facial discoloration, decreased sexual function, decreased libido, painful intercourse, etc. In addition to changes in clinical symptoms, there are also significant abnormalities in blood tests. Due to the decline in ovarian function during menopause, the level of estrogen (E2) decreases significantly, and follicle stimulating hormone (FSH) and luteinizing hormone (LH) increase significantly. Currently, there are about 130 million menopausal women in China, and at least 60% of this population has mild or severe menopausal symptoms, but less than 15% of them seek medical attention. This shows that menopausal women are not sufficiently aware of menopausal syndrome and would rather tolerate the problems than seek medical attention, or they do not realize that it is a disease that requires timely medical attention. There is a trend of early menopause. According to statistics, the age of menopause in China is basically stable at 45 to 55 years old, and the average age of menopause is about 50 years old. 2.Do you have a decline in sexual function? Female sexual dysfunction mainly includes the following aspects: low sexual desire, sexual arousal disorder, orgasm disorder, painful intercourse, sexual aversion. Hypoactive sexual desire refers to the decrease or loss of sexual arousal and sexual fantasy, and this decrease is more than the decrease due to ageing and other factors; subjective arousal disorder is the decrease or loss of the feeling of sexual arousal caused by any form of sexual stimulation; pubic sexual arousal disorder refers to the decrease of vaginal engorgement and vaginal lubrication caused by any form of sexual stimulation, and also refers to the decrease of sexual desire when stroking the genitals; subjective sexual arousal dyspareunia is the absence of orgasm or the delayed onset of orgasm despite a high sexual desire and arousal. Painful intercourse is defined as persistent and recurrent pain that occurs during the initial or complete entry of the penis into the vagina or during intercourse; vaginal cramping is defined as persistent and recurrent pain that occurs when the penis, fingers, or other object enters the vagina despite the woman’s desire to have intercourse; and sexual aversion is defined as an extreme fear or aversion to any form of sexual activity. The Female Sexual Function Index Scale (FSFI) is currently an internationally recognized accurate and rapid screening tool for female sexual dysfunction. This scale has 19 questions that assess various aspects of female sexual function and finally calculates a total score. According to the characteristics of Chinese women, FSFI <25 points is taken as the diagnostic criteria of sexual dysfunction. 3.Why are women in menopause more likely to experience a decline in sexual function? Menopause is the transitional stage when women gradually enter old age from sexual maturity (childbearing period), which is an important and particularly obvious stage of physiological changes in the aging process of human body. The cause of menopausal symptoms is the degeneration of ovarian function, which manifests itself in various hormonal disorders, with a decrease in estrogen secretion from the ovaries and an increase in gonadotropin secretion from the pituitary gland. According to Chinese medicine, when a woman enters menopause, her kidneys are exhausted, her kidney energy is gradually weakened, her punching power is deficient, her yin and yang are out of balance, her organs are deprived of nourishment, her menstruation will be broken and she will become menopausal, her fertility will be reduced and disappear, and as she grows older, her kidney essence will become more deficient. Kidney deficiency is the basis of various pathological changes in women during and after menopause. The Yin and Yang of the kidney is out of balance, will easily spread to other organs, and the punch belongs to the liver (kidney), liver and kidney, liver wood all rely on kidney water nourishment, kidney yin deficiency, essence deficiency can not turn blood, resulting in liver and kidney Yin deficiency. Therefore, it causes a series of menopausal symptoms, including the decline of sexual function. 4.What are the advantages of Chinese medicine in treating female sexual dysfunction? Western medicine hormone replacement therapy is an important means to improve menopausal syndrome and improve the quality of life of menopausal women. However, hormone replacement therapy is a double-edged sword. While it brings improvement, it produces a series of side effects that cannot be ignored, such as: endometrial bleeding, breast swelling and pain, increasing the incidence of stroke, venous thrombosis, breast cancer, endometrial cancer, etc. greatly. Therefore, estrogen replacement therapy is not a better treatment method, and at this time, TCM can demonstrate its superiority and effectively improve the symptoms without bringing side effects, thus being able to improve the quality of life of menopausal women. According to Chinese medicine, the main pathogenesis of the decline of sexual function in women during menopause is the deficiency of liver and kidney and the growth of internal fire. In clinical practice, we often use the method of nourishing the kidney and nourishing the liver, opening up the depression and lowering the fire, and we have achieved better results with the addition and reduction of Er Zhi Wan. Chinese herbal medicine has shown certain advantages in improving libido, increasing vaginal lubrication and improving clinical symptoms such as difficulty in sexual intercourse. Clinically, many patients have benefited from it. Professor Wu Min sees more and more menopausal women every day, and there are many teenage patients who tell us that they are in their early 50s and their sexual function is declining, so they cannot satisfy their husbands' needs in this area, so they worry about their husbands' foreign language, so they can only wipe their tears secretly or buy tonic products indiscriminately. As a result, not only do they fail to achieve "sexual happiness", but they also develop chloasma or acne on their faces. Some women are crippled by feudalism and believe that it is a shameful thing for women to have such problems, and are embarrassed to answer when asked. There are some patients over 40 years old, endocrine disorders, menstrual disorders, increased blood sugar, loss of sex life, when the combination of Chinese and Western medicine, blood sugar control normal, rediscovered "sexual happiness". In addition, psychological factors also have a great impact on the disease, to regulate their own interests, love life, mutual concern between husband and wife, to create a harmonious family atmosphere can also help the treatment of this disease. In conclusion, women entering menopause have deficient kidney qi, deficient kidney yin, water does not contain wood, and liver fire is inflamed, so they need to carry out reasonable food therapy and food nutrition according to their physical characteristics. For example, sea cucumber, silver fungus, lotus seeds, lily, almond, etc. Through the dialectical adjustment of Chinese medicine, many women have been significantly improved in terms of loss of libido, vaginal dryness and painful intercourse.