Decreased libido refers to a lower sex drive or loss of interest in engaging in sexual activity. There are a number of potential causes of decreased libido to consider:
Hormonal changes such as menopause in women, testosterone deficiency in both men and women, high prolactin levels, and thyroid disorders can all negatively impact sex drive.
Medications like antidepressants, birth control pills, blood pressure medications, etc. can have sexual side effects leading to decreased desire.
Medical conditions such as high blood pressure, heart disease, diabetes, chronic pain disorders, cancer, and autoimmune diseases are associated with lowered libido.
Psychological issues like depression, anxiety, stress, past traumatic experiences, body image issues, relationship problems, etc. impact desire significantly.
Aging over time, testosterone levels naturally decline in both men and women, which can slow down sex drive. Estrogen drops post-menopause also decreasing desire.
Some key symptoms of low libido to look out for:
Lack of interest or no initiation of sexual activity
Not feeling aroused or "turned on"
No sexual thoughts, fantasies, or nighttime arousal
Sex feels boring, anxiety-provoking, or lacking pleasure
Genital numbness and lack of sensation
Strategies that can potentially help boost low sex drive include:
Communicating openly with your partner
Trying sensate focus exercises
Engaging in lifestyle changes like exercise, improved diet, limiting alcohol intake, and quitting smoking
Making time for sexual activity and prioritizing intimacy
Exploring factors causing relationship conflicts or disconnection from partner
Considering hormone replacement or testosterone therapy
Switching contraceptive or antidepressant medications
Seeking sex therapy and counseling
The key is identifying the underlying cause for your decreased libido through an evaluation of your symptoms, medical, and sexual history. Once the origin becomes clear, targeted and multidimensional treatment plans can be made to help regain desire, arousal, and sexual functioning. With time, support, and effort, most cases of low libido can be improved significantly.