Sexual symptoms infrequently discussed by leading menopause creators on TikTok

A cross-sectional content analysis published in Menopause examined how influential TikTok creators discuss menopause-related sexual dysfunction. Researchers identified the 100 most-viewed videos using the keyword “menopause” from April through October 2025, then selected 10 creators based on follower counts and engagement metrics. They analyzed 834 eligible videos posted by these creators during that period, coding symptom mentions and content framing.

Libido changes appeared in 7.9% of videos, vaginal dryness in 3.5%, dyspareunia in 2.0%, arousal difficulties in 1.3%, and orgasmic challenges in 0.1%. More frequently discussed symptoms included mood changes (31.2%), hot flashes (13.5%), and bone or joint pain (12.9%). Symptom validation or empowerment accounted for 51.6% of content, followed by management strategies (19.3%) and product endorsements (13.2%). Only one of the 10 creators was a medical professional.

The findings highlight limited discussion of sexual symptoms within this selected group’s menopause content. The authors suggest that this limited visibility may reduce recognition of sexual dysfunction as a clinical concern. However, the analysis measured content rather than viewers’ knowledge, help-seeking, or health outcomes. Its restriction to 10 influential creators, one search keyword, and a defined posting period also limits generalization to menopause information across TikTok.