There is Viagra cream for women. I'm cis and lady but MHT kind of muted my response (not to the point I can't get off, it is just not usually as intense), and I don't use it but have seen it marketed, it is used to increase genital sensitivity. Maybe ask your doctor about that too.
I was going to ask though - do you cum in dreams still? Do you feel turned on and frustrated, or just less turned on?