Reasons for loss of libido in females

Desire may change during pregnancy, after childbirth, while breastfeeding or around menopause as hormone levels and body comfort change. Vaginal dryness or pain can make intimacy difficult and reduce interest. Tiredness, burnout, anxiety and depression can also affect desire; depression is a condition that can present with reduced interest in sex. Some medicines, including certain antidepressants, may contribute. Thyroid problems and type 2 diabetes can affect energy, mood, nerves or blood flow. Relationship strain, lack of privacy, previous difficult experiences and worries about body image may add to the picture.

Notice when the change began, whether it is linked with a new medicine or life event, and whether pain, dryness, low mood or fatigue is present. A clinician can review your health, medicines and menstrual or menopausal history, then decide whether an examination or tests are useful. Treatment may involve addressing dryness or pain, adjusting a medicine safely, supporting mood, improving sleep, or managing a condition such as hypothyroidism. Do not stop prescribed treatment without advice. A confidential conversation with a partner or counsellor may help when stress or relationship concerns are involved.

Arrange an appointment if low desire is persistent, distressing, follows a medicine change, or occurs with pain, bleeding after sex, marked fatigue, changes in periods, thirst, weight change or low mood. Seek urgent help for thoughts of self-harm, or for severe pelvic pain or heavy unexpected bleeding.

Could my medicines, thyroid, blood sugar, hormones, mood or pain be contributing? What treatments could help dryness or discomfort? Would a medication review, examination or tests be appropriate?