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Low Sex Drive in Women

Understanding Low Sex Drive in Women

While low libido is common during menopause and perimenopause, it often gets lost in the shadows of more “classic” symptoms like hot flashes and mood swings. Because it garners less attention, many women don’t even know there’s a connection between low libido and hormone imbalance.

Meanwhile, having a low sex drive can cause significant emotional stress. For most women, their sexuality is a part of who they are. So losing your libido can feel like losing a piece of yourself. And if you’re in a relationship, a fading sex life can feel like fading closeness in general.

Causes of Low Sex Drive

For most women, a loss of libido during menopause can be attributed to hormone imbalance, specifically low levels of estrogen, progesterone, testosterone, and to some degree thyroid.

Each of these hormones has a part to play in maintaining a healthy desire for sex. So when they diminish, sex drive can diminish right along with them.


Estrogen is responsible for heightened sensitivity during sex. It makes sex feel good. And if sex doesn’t feel good, why bother, right? Estrogen is also responsible for healthy vaginal tissue and vaginal lubrication—both of which are necessary for sex to be enjoyable.


Progesterone keeps your libido elevated. If your progesterone levels are low, there’s a good chance the urge to have sex just won’t be there.


Testosterone plays a huge role in sexual response, and also plays a significant role in orgasm. And like estrogen, testosterone affects vaginal lubrication.


Thyroid can be thought of as the hormone that directs traffic within your endocrine system. It serves as a catalyst to make sure all of the hormones listed above function properly.


Stress can cause excess cortisol production. Excess cortisol is relevant because it can result in adrenal fatigue, and adrenal fatigue can cause low libido.

All of the above explains how these hormones directly impact sex drive. But they have an indirect effect, as well. Imbalance in one or all these hormones can cause other symptoms of menopause—symptoms that can leave a woman feeling less than sexy. Symptoms like hot flashes, depression, fatigue, hair loss, insomnia, vaginal dryness, and weight gain.

Treatment For Low Sex Drive in Women

What can you do when intellectually you want sex, but your body won’t cooperate? Call us. The frustration and emotional pain that comes with low libido is completely unnecessary. Our doctors can develop a personalized treatment plan that will help you feel as sexy during menopause as you did in your 20s. You deserve to have a satisfying sex life, and we can help you get yours back.

Experiencing symptoms of menopause or perimenopause? We can help.
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