Decreased libido, or lowered sex drive, can significantly impact one's quality of life and relationships. While temporary fluctuations are normal, an ongoing lack of interest in sexual activity may signal an underlying issue.
Potential Causes
Hormonal changes - Low testosterone, high prolactin levels, and conditions like hypothyroidism or menopause can dampen libido. Perimenopause starts up to 10 years before menopause and can also trigger sexual issues.
Medications - Antidepressants (particularly SSRIs and MAOIs), blood pressure meds, sedatives, and others may have sexual side effects like decreased desire.
Psychological factors - Depression, anxiety, poor body image, exhaustion or chronic stress can negatively impact sex drive. Trauma or difficult relationship dynamics can also play a role.
Medical conditions - Diabetes, high cholesterol, obesity, and arthritis can interfere with sexual functioning and desire. Pain or limited mobility may also contribute.
Social/cultural influences - Negative attitudes or messages about sex from family, friends, faith communities or the media can repress natural sexual feelings.
Treatments and Lifestyle Adjustments