Reasons for low libido

Sexual desire varies between people and across life stages. Low desire can accompany burnout, anxiety or depression; depression is a condition that can present with reduced sexual interest. Menopause, pregnancy and postpartum changes may affect hormones, sleep, comfort and body image. Pain during sex, vaginal dryness, erectile difficulties in a partner or worries about pregnancy can reduce interest. Some medicines may alter desire or arousal. Hypothyroidism may contribute through tiredness and mood changes, while type 2 diabetes can affect energy, nerves and circulation. A recent illness, poor sleep or ongoing conflict may combine with these factors.

Consider whether the change followed a new medicine, illness, relationship difficulty or major stress. Write down associated symptoms such as pain, dryness, irregular periods, fatigue, low mood, thirst or changes in weight. A healthcare professional can review medicines and medical history and decide whether examination or tests are appropriate. Treatment focuses on the contributing factor: this might mean managing pain, supporting mood, improving sleep, treating a thyroid or blood-sugar problem, or discussing a medicine adjustment. Never change a prescribed medicine without guidance.

Book an appointment when low libido lasts, causes distress, affects a relationship, or comes with pain, bleeding after sex, severe fatigue, period changes or persistent low mood. Seek urgent support for thoughts of self-harm or severe unexpected pelvic symptoms.

Could a medicine or health condition be contributing? Would checking thyroid function, blood sugar or hormones help? What can relieve pain or dryness? Which support might help with mood, stress or relationship concerns?