First a little history: never had hardly any testosterone levels to speak of ever.. but post op surgery (15+ years), and I still have non for sure. However, this didn't stop my sex drive.. at all.
Now that I'm back on HRT after being off several years, my sex drive has gone through the roof. An example, last night my labia, etc. were swollen all night while I was trying to sleep. While it wasn't unpleasurable, it sure made sleeping a bit more difficult. Any other post-ops have this? About the only thing that helps is playing with myself, and then only resolved for a few minutes lol.
It'd probably help if I was more active sexually I'm sure.. but then I'm not convinced of this either, its like I'm stuck 'on' forever now.