My wife has been taking Vicodin (6 x 10/325) for several years. For the past year this escallated to hydromorphone (8 x 2, 2mg tabs). She raised the issue of having zero libido with her physician. Rather than addressing her opiod "saturation" she now is also taking a plethora of hormones, estradiol, progesterone, testosterone, etc. with no change.
Do they not think of other solutions? I bought a TENS unit, she tried it, and it seems to be as good or better than the pharmacological solution. Let's see if her libido will increase.