What should you know about lack of sex drive?

Lack of sex drive can be linked to hormonal changes, discomfort, stress, mood, medicines or relationship factors, and support is available. A change in desire may happen temporarily or continue for longer, and it can affect interest in sexual activity, arousal or intimacy in different ways.

During menopause, changing oestrogen levels may contribute to vaginal dryness, irritation or discomfort during sex. These symptoms can make intimacy less appealing without meaning that anything is wrong with your relationship or your feelings for a partner. Menopause can also involve sleep disruption, night sweats, hot flushes and mood changes, all of which may reduce energy or interest.

Desire can also be affected by anxiety, low mood, ongoing stress, pain, tiredness, concerns about body image, difficulties in a relationship or a recent life change. Some medicines and health conditions may play a part. A low sex drive is a symptom to understand in context, not a diagnosis by itself.

Notice when the change began and whether it follows pain, vaginal dryness, sleep problems, a mood change, a new medicine or a stressful event. If dryness or discomfort is present, a clinician can discuss suitable lubricants, moisturisers and treatment options. Do not stop a prescribed medicine without medical advice.

A calm conversation with a partner can reduce pressure and make room for forms of intimacy that feel comfortable. A doctor, gynaecologist or sexual-health clinician can review symptoms, medicines and relevant health conditions, then help you choose an approach that fits your needs.

Arrange a medical appointment if reduced desire is persistent, upsetting, causing relationship strain or making sex uncomfortable. Seek advice sooner for bleeding after sex, unexplained pelvic pain, unusual discharge, sores, or a sudden change accompanied by severe low mood. A clinician can look for treatable causes and discuss confidential support.

You could ask: Could menopause, a medicine or another health issue be contributing? What can help with vaginal dryness or pain? Which treatment options are appropriate for me? Would support for mood, stress or intimacy be useful? What symptoms should prompt a follow-up appointment?