Decreased Libido

Decreased libido or low sex drive in women is much more common than in men. It is invariably wide reaching and multifactorial. Loss of sexual desire is the most common form of sexual dysfunction among women of all ages. The proportion of women with loss of sexual desire generally increases with age.

The following factors can contribute to a low sex drive in men or women:

  • Relationship dynamics and its associations with sex. 
  • Depression or anxiety.
  • Prescription medication such as antidepressants, blood pressure medication.
  • Overuse of alcohol.
  • Work related stress.
  • Ageing causes reduction in hormone levels.
  • Pregnancy, especially during the third trimester.
  • Low testosterone in men and women.
  • Cardiovascular disease, diabetes, kidney disease, obesity and underactive thyroid.

Sex hormones oestrogen and testosterone are known to increase nitric oxide, which is important for the sexual response. Dopamine is a neurotransmitter that is important for desire and to continue sexual activity. Dopamine are affected by stress and nutritional deficiency. It is derived from protein foods. Oxytocin is another neurotransmitter that is responsible for an increased sense of bonding and important for orgasm.

What can help low sexual interest or response:

  • Counselling, especially if there are relationship, social or stress issues.
  • Stress management, adequate sleep and rest.
  • A good diet with high in organic protein and vegetables.
  • Correcting hormone deficiencies for example bioidentical oestrogen, testosterone and DHEA.

Research suggests that testosterone therapy is safe in women. It improves cardiovascular risk profile. Testosterone therapy should always be balanced with female hormone therapy to avoid signs of hirsutism.

Testosterone therapy in men has been shown to significantly improve erectile dysfunction and boost libido.

For further advice and to arrange an appointment please call the Medical Clinic on 01243 771455.