Loss of libido


Loss of libido refers to a decrease in sexual desire or interest in sex. It is a common problem that affects both men and women of all ages. Causes of the condition can include psychological factors such as depression, stress, relationship problems, or a lack of sexual stimulation. Physical factors such as hormonal changes, medications, or health conditions can also contribute. Treatment options vary and include lifestyle changes, counseling, medications, or supplements.


The most common symptoms of loss of libido include a lack of interest in sexual activity, a decrease in sexual fantasies and decreased arousal during sexual activity. Other symptoms may include a disinterest in being intimate with a partner, difficulty achieving orgasm and decreased energy levels in relation to sexual activities. Emotional symptoms may also be present, such as feeling anxious or depressed about the lack of interest in sexual activities.


The known causes of Loss of libido can include physical or psychological factors, or a combination of both. Physical factors can include medical conditions, hormonal imbalances, side effects of medications, and drug or alcohol use. Psychological factors can include depression, stress, relationship problems, anxiety, past trauma, or body image issues. Other underlying causes can include fatigue, changes in lifestyle, or underlying medical conditions.

Risk factors

The primary risk factors for loss of libido include:

  1. Health conditions and/or medications: Certain medical conditions or medications can affect libido, including depression, thyroid issues, diabetes, cancer, and certain antidepressants.
  2. Stress, fatigue, and changes in lifestyle: When a person is overwhelmed, tired, or lacking the support they need to make time and energy for intimacy, it can affect libido.
  3. Relationship issues: Poor communication, unresolved conflict and a lack of connection can all lead to a decreased level of desire for intimacy.
  4. Alcohol or drug use: Alcohol and drugs can both decrease libido, even in the short-term.
  5. Age: Testosterone levels naturally decrease with age, which may in turn affect libido.
  6. Hormone imbalance: A hormone imbalance, such as an estrogen deficiency, can cause a decrease in libido.
  7. Mental health issues: Mental health issues such as depression, anxiety, and body image issues can all lead to a decrease in libido.


Typically, loss of libido is diagnosed through a physical exam and a conversation between the patient and their doctor. The doctor will ask questions about the patient’s symptoms and possible causes. Depending on the patient’s answers, the doctor may order blood tests to check for underlying illnesses, as well as psychological evaluations to determine if any underlying mental health issues may be causing the loss of libido. Additionally, the doctor may prescribe certain medications to help treat the underlying cause of the loss of libido.


The various subtypes of Loss of libido can include the following:

  1. Primary Loss of Libido: This is when a person experiences a sudden and pronounced loss of sexual desire that is not due to any other underlying cause or medical condition.
  2. Secondary Loss of Libido: This is when a person experiences a gradual reduction in their sexual desire that is likely due to an underlying medical condition or other external factor such as stress, anxiety, depression, relationship problems, hormonal imbalance, medications, or substance use disorder.
  3. Low Sexual Desire Disorder: This is when a person has a decreased interest in sexual activity that causes distress or interpersonal difficulty and is not due to any external factor, such as fatigue or a medical condition.
  4. Situational Loss of Libido: This is when a person experiences a temporary decrease in sexual desire, typically in response to a specific situation. This may include performance anxiety, fear of rejection, or fear of intimacy.
  5. Postpartum Loss of Libido: This is when a woman experiences a decrease in sexual desire due to the physical and emotional changes associated with pregnancy and childbirth.


Treatment options for loss of libido may include lifestyle changes, lifestyle therapies, medications, and psychotherapy.

Lifestyle changes may include avoiding drinking too much alcohol, avoiding the use of marijuana or other recreational drugs, reducing stress, and getting adequate amounts of sleep.

Lifestyle therapies may include couples counseling, mindfulness training, and sexual communication skill building.

Medications may include testosterone supplements, birth control pills, and antidepressants.

Psychotherapy may include cognitive-behavioral therapy, psychodynamic therapy, and sex therapy.


  1. Talk to a healthcare provider to find out if any medications or underlying conditions may be causing Loss of libido.
  2. Use relaxation techniques such as yoga, mindfulness and meditation to reduce stress.
  3. Eat healthy and balanced meals to ensure the body is getting all essential nutrients it needs to stay energized and motivated.
  4. Get regular exercise to promote a healthy hormone balance in the body and to reduce stress.
  5. Talk to a therapist or counselor to help process any emotional issues that may be contributing to a decreased libido.
  6. Make sure to get enough sleep since lack of sleep can contribute to low libido.
  7. Limit use of drugs and alcohol as these can negatively impact libido.
  8. Consider taking natural supplements like maca, zinc, and ashwagandha to help boost the libido.

Gender differences?

Yes, there are gender-specific differences in the presentation and management of Loss of libido. Men with loss of libido are more likely to have physical symptoms such as erectile dysfunction and fatigue, while women with this condition may be more likely to report psychological symptoms such as depression and anxiety. Additionally, men may experience a decrease in sexual desire due to medical conditions such as low testosterone levels, while women may experience loss of libido due to hormonal fluctuations, relationship issues, psychological distress, and lifestyle factors. Treatment approaches may also differ between genders, with psychological interventions such as cognitive-behavioral therapy and medication more often used to help men, while women may benefit from hormone therapy, lifestyle interventions, and relationship counseling.


Nutrition is an important factor to consider when managing loss of libido, as many of the nutrients found in food can play a role in energy levels, hormone production, neurotransmitter production, and overall mood. Lack of essential vitamins and minerals can directly contribute to a decreased libido, as it can lead to fatigue, depression, and other symptoms that can impair the sex drive. Eating a balanced diet including lean proteins, healthy fats, complex carbohydrates, and a wide variety of fruits and vegetables can ensure that the body has the nutrition it needs to boost the libido. Additionally, it is important to be mindful of portion sizes, as overeating and becoming overweight can also contribute to low libido.

Physical Activity

Physical activity is known to have a positive effect on libido. Regular exercise can increase energy and reduce stress, both of which can have a positive effect on libido. Additionally, physical activity can increase endorphins, which are hormones that help to boost mood, energy, and relaxation. Exercise also helps to improve blood circulation, which is essential for a healthy sex life. Furthermore, physical activity can release “happy” hormones like serotonin, which can help to reduce stress and anxiety and increase self-confidence, which can all positively affect libido.

Further Reading

  1. https://patient.info/doctor/loss-of-libido
  2. https://www.uptodate.com/contents/sexual-problems-in-women-beyond-the-basics
  3. https://www.webmd.com/sex-relationships/features/loss-of-libido-in-men
  4. https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/symptoms-causes/syc-20374554
  5. https://www.healthline.com/health/low-testosterone/conditions-that-cause-low-libido
  6. https://www.verywellmind.com/what-is-the-libido-2795329
  7. https://www.medicalnewstoday.com/articles/324861

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