Where’d my libido go? Causes of low sex drive in women

Other > libido for women


This word is so often uttered, but it can turn out to be a real mystery for many women. Because, have you ever wondered why your desire fluctuates constantly?

Culture Attitudes Toward Female Libido Impact on Women's Experience
Western Societies Open discussion, female empowerment Greater acceptance and awareness
Traditional Societies Modest or restrictive views Possible stigma or suppression
Modern Media Often sexualized portrayal Influences self-image, expectations
Religious Beliefs Varying views on sexuality May inhibit or encourage openness

Why it sometimes seems to escape you, without being able to control it?

6. Dehydroepiandrosterone (DHEA)

The main symptom of low sex drive is wanting sex less often or less strongly than you used to. Not feeling interested in any kind of sex, even masturbating by yourself Feeling upset or worried about your lower interest in sex Many things can lower your libido — including your physical and mental health, aging, relationships and stress levels. Some health conditions that may affect your sex drive include: Mental health and life stress can also lower your desire for sex. Problems with your relationship, like a lack of trust or closeness Stress from work, family or daily life Depression, low self-esteem, feelings of hopelessness or physical fatigue Anxiety, which raises stress hormones that can lower sex drive Past sexual trauma, like abuse or assault Antidepressants, antipsychotic medications, chemotherapy drugs and blood pressure medications can decrease your sex drive. Drinking too much alcohol or improperly using drugs can both impact your sex drive.

Hormone therapy

Smoking can suppress your testosterone levels, which can lower your libido. Either too much or too little physical activity can cause a decrease in sex drive. There are also several conditions and situations that affect you based on your reproductive anatomy. In women, libido (sex drive) can drop for many reasons, including: As estrogen levels drop, so can your desire for sex. Pain during sex, vaginal dryness or trouble reaching orgasm can make sex feel stressful. Moments of stress, hormonal changes, simple fatigue.. Women's libido is influenced by a multitude of factors. This article aims to shed some light on this and explain all the reasons behind these fluctuations. We warn you, you're going to become an expert on the subject - go ! Or rather, think of it as a vital energy, which can manifest itself in different ways in each of us.

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We often perceive it as the driving force behind our intimate lives, as it influences our desire to share moments of pleasure with our partner. In women, sex hormones play an important role in the proper functioning of the female libido, through: the level of estrogen (produced by the ovaries) which promotes vaginal lubrication; androgens (male hormones produced in small quantities) which encourage sexual arousal. Men, on the other hand, see their libido more influenced by testosterone. Female libido is complex and generally multifactorial.

Health Conditions That Affect Libido—and How to Treat Them

Cleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards. Female Sexual Dysfunction ( Med Clin North Am. Loss of Female Libido ( Last reviewed 5/2024. Hormone therapy for sexual function in perimenopausal and postmenopausal women ( Cochrane Database Syst Rev. Decreased increase libido in women Libido in Men ( Reviewed/Revised 9/2024. Contrary to popular belief, female desire is not fixed! For example, be aware that stress, fatigue or hormonal changes can impact your desire to engage in sexual activity.

Can Medications Cause Low Libido?

This comes in different forms, like pills, patches, creams or shots. Talking with a therapist can help you work through thoughts, emotions or conditions — like anxiety or depression — that may affect your desire. A therapist can help you and your partner improve communication, solve problems and rebuild intimacy. Sex therapists specialize in helping people with sexual concerns, including low desire. They can offer support, education and practical advice.

Improve Sleep Quality

If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out what’s going on and how to treat it. Here are some things you can try on your own: Trusted sources can help you understand what affects sex drive. Open, honest conversations can make a big difference. You can exercise, eat well and cut back on alcohol. Women's libido is constantly evolving, influenced by the stages of life they go through.

  • Yoga can improve flexibility and libido.
  • Estrogen therapy is sometimes prescribed for low libido.
  • Lifestyle adjustments can restore sexual interest.
  • Sexual health clinics offer personalized advice.
  • Female libido is a complex interplay of many factors.
  • Some women find that fragrances or lotions increase arousal.
  • Overexertion and fatigue lower sexual desire.
  • Open conversations about desires improve intimacy.
  • Libido may increase with new or stimulating experiences.
  • Self-awareness about sexuality can enhance desire.

You've figured it out: female libido is closely linked to the fluctuations in sex hormones that occur throughout the menstrual cycle. If you're at the beginning of your cycle (during your period), you may experience a drop in libido. Or, conversely, a much higher sexual appetite.

From Mayo Clinic to your inbox

Managing stress can boost your mood and your sex drive. Helpful tools include journaling, exercise, meditation and self-care routines. If your medication affects your sex drive, your healthcare provider may change your dose or recommend switching to a different one. If menopause is lowering your sex drive, hormone therapy (HT) may help. It can include estrogen or a mix of estrogen and progesterone/progestin hormone therapy (EPT).

Questions your doctor may ask

For women with hypoactive sexual arousal disorder who haven’t gone through menopause yet, there are two FDA-approved non-hormonal medications. Filbanserin (Addyi®) is a pill you take every day. Bremelanotide (Vyleesi®) is an injection you give yourself 45 minutes before you expect to have sex. Talk with your provider about the common side effects and what’s best for your situation. For men with low testosterone, treatment may include testosterone replacement. Around day 14 of the cycle, the time of ovulation, we often notice a peak in libido. The body is then at its most fertile, and our sexual desire follows suit, becoming more intense.

  • Women may experience increased libido during ovulation.
  • Libido varies widely among women and over time.
  • Meditation and mindfulness can improve sexual desire.
  • Safe sex practices contribute to a positive libido.
  • Libido can be affected by relationship quality.
  • Some women experience libido enhancement from acupuncture.
  • Vitamin D deficiency may be linked to low libido.
  • Obesity can impact hormone levels and desire.
  • Libido is influenced by both physical and emotional health.
  • Women’s libido can be improved through counseling.

Our hormone production reaches high levels, which tickles our sexual arousal, and fuels a need for intimate connection. This rise in desire is therefore a natural response of the body that promotes reproduction. Even if, of course, it is not always conscious or linked to a pregnancy plan. After ovulation, the luteal phase begins, with a drop in estrogen and an increase in progesterone! Some women may experience a decrease in sexual desire. This lack of libido leads to the famous premenstrual symptoms such as: So, we may feel less like being sexually active. And that's okay: sexual pleasure isn't on command and will return later. Pregnancy, unsurprisingly, is a period of significant hormonal upheaval. And as such, it impacts female libido in various ways. Often, the first trimester is not the most opportune time for life as a couple, in particular because: Your body is doing its best to adapt to its new condition. And you may temporarily feel a certain lack of desire. Add to that the anxiety associated with all these physical changes, and the arrival of the baby.. But, again, don't panic: this is completely normal! In the second trimester, your intimate relationship may evolve. Some women notice a boost in libido.

Medication Type Common Drugs Effect on Libido
Antidepressants SSRIs (e.g., Prozac) Usually decrease
Birth Control Pills Various formulations Can lower desire
Hormone Therapy Estrogen or testosterone patches May increase libido
Blood Pressure Medications Beta-blockers Potential decrease

The ups and downs of the first three months are over, and you feel in good shape.

Drug Therapy

Low Sex Drive ( Last reviewed 6/2022. Loss of Libido ( Last updated 1/2023. Sexual function in women with polycystic ovary syndrome: a systematic review and meta-analysis ( Hum Reprod Update. Cleveland Clinic’s primary care providers offer lifelong medical care. From sinus infections and high blood pressure to preventive screening, we’re here for you. Sexual desire may even become more intense due to increased blood flow to the vagina and more abundant vaginal secretions.

Factors that can affect sex drive

Hormone changes, discomfort and stress during this time can lower your libido. Temporary conditions, like yeast infections or urinary tract infections (UTIs), can make sex uncomfortable. Conditions like endometriosis, PMS and polyendocrine metabolic ovarian syndrome (PMOS) can all negatively impact libido. Some hormonal birth control (contraception) methods can lower your sex drive. Combined hormonal contraception, including the combined pill, vaginal ring or birth control patch For men, a drop in sex drive can happen for several reasons, including: Low testosterone: This sex hormone controls many aspects of libido.

5. Environmental Factors

Levels can drop with age or due to a medical condition. Sexual problems: Trouble keeping or getting an erection (erectile dysfunction), or premature or delayed ejaculation, can lower desire or cause anxiety around sex. To find out what’s causing your sex drive, your provider will ask about your: If they think a health issue might be impacting your sex drive, they may do tests like: Blood tests for things like hormone levels The right treatment depends on what’s causing your low sex drive. Your provider may treat you directly, or refer you to a specialist, like: Types of treatment for low libido include: Learning more about how sex and desire work can help reduce anxiety. Talking openly with your partner about your needs and any concerns can also help improve your sex life. Then finally comes the third trimester, the final stretch! Some will feel fulfilled, eager for intimacy. Others will notice a complete lack of libido, too encumbered by their baby—or too tired.

  • Libido can fluctuate due to menstrual cycle phases.
  • Certain medications might lower female sexual desire.
  • Hormonal therapies can help restore libido in some women.
  • Psychological factors like depression impact libido.
  • Body image issues can decrease sexual desire.
  • Herbal supplements such as ginseng may enhance libido.
  • Physical intimacy fosters emotional and sexual connection.
  • Sexual fantasies can be a natural part of desire.
  • Lifestyle factors like smoking reduce libido.
  • Chronic illnesses may negatively affect female libido.

Still others will be concerned about the baby's safety and physical comfort.

Is Low Libido Different After Childbirth?

If you have issues like diabetes or heart disease, work with your doctor to keep them well-managed. See your healthcare provider if low sex drive is hurting your well-being or your relationship. Check for health issues or side effects from medications It can feel awkward or uncomfortable to talk to a medical professional about your sex life — but you’re not alone. Many people go through changes in their sex drive. It’s nothing to be ashamed of.

Understanding Your Arousal

Sex is a natural — and often important — part of your health and well-being. Maybe you’re feeling concerned, overwhelmed or just aren’t sure what’s going on. Whatever you’re feeling, if you’re distressed about your libido, talking with a healthcare provider or mental health professional can be a helpful first step toward feeling better. Sign up for our Health Essentials emails for expert guidance on nutrition, fitness, sleep, skin care and more. Learn more about the Health Library and our editorial process. All of this influences whether or not they want to have sex. Menopause marks a significant transition in many women's sex lives.