Low Libido

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What Is Low Libido?

Low libido refers to a reduced interest or desire for sexual activity, which can affect both men and women at different stages of life. While fluctuations in sexual desire are normal, persistent low libido may indicate underlying physical, hormonal, psychological, or lifestyle-related factors.

What Are the Causes of Low Libido?

Low libido, or reduced sexual desire, can arise from a wide variety of biological, psychological, and social factors. Identifying the underlying cause is essential for effective treatment. 

Common causes of low libido may be from hormonal changes due to menopause or perimenopause. Declining estrogen and testosterone levels can reduce sexual desire and cause vaginal dryness, leading to discomfort during intercourse. During postpartum and breastfeeding – hormonal shifts, fatigue, and stress could lower libido after childbirth. In addition to hormonal factors, there are many emotional and psychological elements that affect one’s libido. For example, high stress levels can increase cortisol, which suppresses sex hormones. Depression is also a common cause of low libido, which is sometimes worsened by antidepressant medication. Body image issues and low self-esteem play a large role too – feeling self-conscious about your body could impact confidence and desire. 

Underlying medical conditions such as chronic illnesses like diabetes, thyroid disorders, and autoimmune diseases can affect sexual function. Pain conditions such as dyspareunia, endometriosis, and vulvodynia may also contribute to low libido. One’s lifestyle and environmental factors play a vital role in contributing to one’s sexual desire or lack thereof. For example, poor sleep and diet contribute to hormonal imbalances and low energy levels, and substance use – excessive alcohol consumption, smoking, or drug use can all interfere with sexual desire. 

What Are the Treatments and Therapies for Low Libido?

If low sexual desire is persistent and affects your well-being or relationships, consulting a gynecologist, endocrinologist, or sexual health specialist can help determine the cause and provide personalized treatment options.

Treatment may include:

  • Hormone Replacement Therapy (HRT)

  • FDA-approved medications such as Flibanserin or Bremelanotide.

  • Testosterone used off label to manage low libido which may be causing distress.

  • Psychological therapy, counseling, sex therapy, or couples therapy.

  • Lifestyle changes – exercise, diet, stress reduction, and sleep hygiene. 

  • Addressing Medical Conditions –  If low libido is a symptom of an underlying medical issue, such as diabetes, hypothyroidism, or chronic illness, treating the condition can help improve sexual desire.

It's essential to consult a healthcare provider before starting any treatment to ensure it's appropriate for your specific situation.

How Can Well by Messer Help You with Low Libido?

Well by Messer is a holistic metabolic health and wellness center, offering a multidisciplinary approach to various health conditions, including comprehensive evaluations and treatments for individuals experiencing low libido. Under our team of endocrinologists, led by Dr. Caroline Messer, we conduct comprehensive evaluations to identify and address underlying endocrine issues contributing to low libido. In addition to our endocrinologist team, gynecologist, Dr. Alyssa Dweck, a certified menopause provider, focuses on gynecology, menopause, and sexual health. She offers specialized care for women experiencing hormonal changes that can affect libido. By leveraging their multidisciplinary expertise, Well by Messer provides personalized care plans to effectively address low libido, enhancing patients' overall well-being and quality of life.

Meet the Well by Messer (WBM) Team

Under the leadership of top endocrinologist in New York, Dr. Caroline Messer, our caring and talented team of board-certified endocrinologists, gynecologists, psychologists, nutritionists, and personal trainers will be dedicated to supporting your success at our metabolic centers in Manhattan.

Book your appointment today and begin your journey towards metabolic success