Low Libido Isn't One Condition
Desire, arousal and performance are separate systems. Treating the wrong one is why so many patients stay frustrated.
A patient who can perform but has no interest has a different problem than one with interest and no function. The evaluation has to distinguish them.
Hormones and neurotransmitters
Testosterone, estradiol, thyroid and prolactin all influence desire in both sexes. So do dopaminergic and serotonergic tone — which is why some antidepressants blunt libido.
Sleep, stress and load
Chronic sleep debt and elevated cortisol suppress desire reliably. These are treatable and are addressed before escalating pharmacology.
Options for women
Female sexual health has real clinical options, from hormonal evaluation to centrally-acting agents. Our providers treat it as a medical concern, not an afterthought.
Frequently asked
Is low libido normal with age?
Some change is common, but a marked drop is worth evaluating — it is frequently hormonal, metabolic or medication-related and treatable.
Do you treat women?
Yes. Our sexual health program includes protocols designed for women with provider-led hormonal evaluation.
This article is educational and is not medical advice. Treatment decisions are made by a licensed provider after a clinical evaluation.
