When your husband has a loss of libido

Sex drive can change with work strain, burnout, anxiety, depression, poor sleep, relationship tension, pain, erectile difficulties, or concerns about performance. Hypothyroidism and type 2 diabetes can also affect energy, mood, circulation, or sexual function. Some medicines, including certain treatments for mood or blood pressure, may contribute.

Ask how he feels rather than assuming the change reflects attraction or commitment. Note when it began, whether desire varies by situation, and whether there are changes in erections, ejaculation, mood, sleep, energy, thirst, urination, or weight. Loss of libido is a symptom, not a diagnosis.

Choose a calm private moment and use non-blaming language, such as asking what has changed and what support would feel comfortable. Remove pressure for sex while keeping affection and honest communication open. Encourage a GP appointment if the change persists, causes distress, or comes with other health symptoms. A clinician can review medicines, mental health, general health, and sexual concerns confidentially.

Do not start testosterone, supplements, or online sexual treatments without an assessment. Lifestyle basics such as regular sleep, movement, balanced meals, and reducing excess alcohol may help overall wellbeing, but they do not replace evaluation when symptoms continue.

Arrange prompt medical advice for sudden loss of desire with severe headache, neurological changes, chest symptoms, or serious illness. Seek mental-health support urgently if he has thoughts of self-harm. A routine appointment is appropriate for persistent low desire, erectile changes, marked fatigue, low mood, excessive thirst, or other new symptoms.

Could a medicine, mood problem, thyroid condition, diabetes, sleep issue, or sexual difficulty be contributing? Would an examination or blood tests help? What treatment or counselling options fit his goals?