What should you know about complete loss of libido?

Sexual desire can change with exhaustion, relationship strain, anxiety, depression, or burnout. Hormonal and metabolic conditions such as hypothyroidism or type 2 diabetes may also affect desire, arousal, or energy. Pain, erectile or vaginal symptoms, pregnancy-related changes, menopause, and some medicines can contribute. A change in libido is not a diagnosis by itself, and it does not measure affection or relationship commitment.

Book a private appointment if the change is sudden, distressing, persistent, or affecting a relationship. Note when it began, whether it is constant, recent illnesses, sleep quality, stress, mood, pain, menstrual or hormonal changes, and all medicines or supplements. Avoid stopping antidepressants, contraceptives, or other prescribed medicines without advice. A clinician may discuss physical health, emotional wellbeing, hormones, and relationship context, then suggest tailored support.

Loss of libido is rarely an emergency by itself. Seek prompt help if it appears with severe depression, thoughts of self-harm, sudden neurological symptoms, severe genital or pelvic pain, or symptoms of a serious medicine reaction. Arrange a routine review for persistent tiredness, major mood change, menstrual disruption, or symptoms suggesting a thyroid or blood-sugar problem.

Ask whether your medicines, sleep, mood, hormones, or another condition could explain the change. Ask which examinations or tests are appropriate, whether counselling or sexual-health support may help, and how to discuss the issue with a partner if you wish.