Low Libido
Low libido — a reduced interest in sexual activity — is far more common than people realise, affecting both men and women at all ages. It can have physical, hormonal, psychological, or relationship-related causes. Our doctors provide confidential, non-judgemental assessments and effective treatment options.
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This page provides general health information only and is not a substitute for professional medical advice.
Understanding low libido
Sexual desire varies enormously between individuals and across a lifetime — there is no single "normal" level of libido. Low libido becomes a concern when it represents a significant change from your previous baseline and is causing you distress, or when it is affecting your relationship.
It is important to distinguish between low sexual desire (hypoactive sexual desire disorder) and other sexual difficulties such as arousal problems or pain during sex — as these have different causes and treatments.
Causes
Hormonal causes
- Low testosterone — affects both men and women; the most common hormonal cause
- Menopause and perimenopause — oestrogen and testosterone decline significantly
- Thyroid disorders — both hypothyroidism and hyperthyroidism can reduce libido
- Elevated prolactin — from pituitary conditions or certain medications
Psychological and lifestyle causes
- Depression, anxiety, and stress — among the most common causes in younger people
- Relationship difficulties, poor communication, or unresolved conflict
- Body image concerns and low self-esteem
- Fatigue, overwork, and burnout
- Medications — antidepressants (SSRIs), antihypertensives, and hormonal contraception
- Alcohol and recreational drug use
When to see a doctor
See a doctor if low libido is causing you distress, affecting your relationship, or represents a significant change from your previous experience. A proper assessment — including hormonal blood tests — will identify whether a physical cause is present and guide the most appropriate treatment.
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Treatment options
- Testosterone therapy — for confirmed low testosterone in both men and women; highly effective
- Hormone replacement therapy (HRT) — for menopausal women, restores oestrogen and testosterone levels
- Treating underlying conditions — depression, thyroid disease, or anaemia
- Medication review — switching antidepressants or adjusting contraception where these are contributing
- Sex therapy and relationship counselling — for psychological and relationship-related causes
- Lifestyle changes — reducing stress, improving sleep, reducing alcohol, and regular exercise all improve libido
How eMedClinic can help
Our doctors provide confidential, thorough assessments for low libido — including hormonal blood tests, medication reviews, and referrals for psychological support. We approach the subject with the same professionalism as any other medical concern and are committed to finding a solution that works for you.
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