What is Low Sex Drive?
Low sex drive (or hypoactive sexual desire disorder, HSDD) is a persistent lack of interest in sexual activity that causes personal distress. It is common and can result from physical, emotional, or lifestyle factors.
Common Symptoms
- Little or no interest in sexual thoughts or activities.
- Avoiding intimacy due to lack of desire.
- Difficulty becoming aroused, even with a loving partner.
- Feeling frustrated, guilty, or disconnected.
Possible Causes
Physical Factors
- Hormonal changes: Menopause, breastfeeding, or thyroid disorders.
- Medical conditions: Diabetes, chronic pain, or heart disease.
- Medications: Antidepressants (e.g., SSRIs), birth control pills, or blood pressure drugs.
- Fatigue: Stress, poor sleep, or overwork.
Psychological/Emotional Factors
- Stress, anxiety, or depression.
- Relationship conflicts or unresolved issues.
- Past trauma (e.g., sexual abuse).
- Body image concerns.
Lifestyle Factors
- Alcohol or substance use.
- Lack of privacy or time for intimacy.
Diagnosis
- History: Discuss medications, health conditions, and mental health.
- Hormone checks: Testosterone, oestrogen, or thyroid hormones.
- Emotional well-being Assessment: Depression, anxiety, or relationship issues.
Treatment Options
Medical Treatments
- Hormone therapy:
- Oestrogen creams for vaginal dryness (menopause-related).
- Testosterone therapy (off-label use; evidence mixed).
Psychological Support
- Counselling: Address stress, trauma, or body image.
- Sex therapy: Improve communication and intimacy skills.
- Couples therapy: Resolve relationship conflicts.
Lifestyle Adjustments
- Prioritize sleep and stress management (e.g., yoga, meditation).
- Exercise regularly to boost mood and energy.
Frequently Asked Questions
Q: Is low sex drive normal?
A: Occasional dips are normal, but persistent distress warrants evaluation.
Q: Can it be fixed?
A: Yes! Many women regain desire with treatment and support.
Q: Does aging affect libido?
A: Hormonal changes may play a role, but aging alone doesn’t eliminate desire.
Q: Can my partner help?
A: Open communication and mutual effort often improve intimacy.
Q: How long until I see improvement?
A: Varies—some respond quickly to therapy; others need longer-term strategies.
eGynaecologist Advice:
- Low desire causes distress or strains your relationship, and you must communicate openly with your partner about needs of mutual efforts to improve sex life.
- Low sex drive is treatable with the right approach and holistic care (physical + emotional) often works best.
- Consult your gynaecologist at the earliest opportunity where medical or hormonal causes are likely reasons for low sex drive.
