Female loss of libido: what to know

Desire naturally changes across life stages. Pregnancy, breastfeeding, perimenopause, pain during sex, vaginal dryness, poor sleep, and ongoing stress can all affect interest. Low mood or exhaustion may accompany burnout or depression. Hormonal conditions such as hypothyroidism and health problems such as type 2 diabetes can also contribute. Some antidepressants, contraceptives, and other medicines may alter desire. The pattern matters: note when the change began, whether it is constant, and whether there is pain, dryness, sadness, anxiety, or a medication change.

Start with a private record of symptoms, sleep, stress, menstrual or menopausal changes, medicines, and any discomfort. Share it with a GP or gynaecology clinician. They may discuss mood, relationships, sexual pain, contraception, and medical conditions, and decide whether an examination or blood tests are appropriate. Treatment depends on the cause and may include addressing dryness or pain, reviewing medicines, supporting mental health, improving sleep, or managing an underlying condition. A calm conversation with a partner can reduce pressure and clarify what feels comfortable.

Arrange an appointment if reduced desire persists, worries you, causes relationship distress, or occurs with painful sex, bleeding after sex, marked vaginal dryness, persistent fatigue, weight or temperature changes, or low mood. Seek urgent help if low mood includes thoughts of self-harm, or if severe pelvic pain or heavy bleeding develops.

Could a medicine, contraceptive, thyroid problem, diabetes, mood change, or pain be contributing? What examinations or tests would clarify the cause? Which options could help with dryness or painful sex?