Obniżone libido
Leczenie
Obniżone libido jest powszechnym problemem dotykającym zarówno mężczyzn, jak i kobiety, z częstością sięgającą nawet 20% populacji męskiej i wyższą u kobiet. Diagnostyka powinna obejmować szczegółowy wywiad, badanie fizykalne oraz ocenę poziomów hormonów, ze szczególnym uwzględnieniem testosteronu (norma poranna >300 ng/dl u mężczyzn) oraz ewentualnych chorób współistniejących i stosowanych leków. Leczenie jest wieloaspektowe i dostosowane do etiologii – obejmuje terapię hormonalną (HTZ u kobiet menopauzalnych, terapia testosteronem u mężczyzn z hipogonadyzmem), farmakoterapię (np. flibanserin, bremelanotyd u kobiet z HSDD, bupropion w depresji, inhibitory PDE5 u mężczyzn z zaburzeniami erekcji) oraz psychoterapię (terapia indywidualna, par, poznawczo-behawioralna, mindfulness). Należy również uwzględnić wpływ leków obniżających libido, takich jak SSRI, leki przeciwnadciśnieniowe czy przeciwpadaczkowe, i rozważyć ich modyfikację.
- Leczenie obniżonego libido
- Metody terapeutyczne w leczeniu obniżonego libido
- Terapia hormonalna
- Farmakoterapia
- Psychoterapia i terapia seksualna
- Zmiana leków
- Zmiany w stylu życia
- Edukacja seksualna i komunikacja
- Specyficzne terapie dla określonych przyczyn obniżonego libido
- Leczenie obniżonego libido związanego z menopauzą
- Leczenie obniżonego libido związanego z niskim poziomem testosteronu
- Leczenie obniżonego libido związanego ze zdrowiem psychicznym
- Leczenie obniżonego libido związanego z problemami w relacji
- Kiedy szukać pomocy medycznej
- Podsumowanie podejścia do leczenia obniżonego libido
Leczenie obniżonego libido
Obniżone libido (zmniejszenie popędu seksualnego) to powszechny problem, który dotyka zarówno mężczyzn, jak i kobiety. Według danych statystycznych problem ten może dotyczyć nawet 1 na 5 mężczyzn i jeszcze większego odsetka kobiet w pewnym momencie ich życia1. Leczenie obniżonego libido zależy od przyczyny tego stanu i często wymaga kompleksowego podejścia uwzględniającego czynniki fizyczne, psychologiczne oraz relacyjne. Jeśli obniżone libido powoduje dyskomfort i wpływa negatywnie na jakość życia lub relacje, warto skonsultować się z lekarzem lub specjalistą w dziedzinie zdrowia seksualnego23.
Diagnostyka i ocena przyczyn obniżonego libido
Pierwszym krokiem w leczeniu obniżonego libido jest dokładna diagnostyka i identyfikacja potencjalnych przyczyn. Lekarz może przeprowadzić wywiad medyczny, badanie fizykalne oraz zlecić badania laboratoryjne w celu oceny poziomów hormonów i wykluczenia chorób, które mogą wpływać na popęd seksualny4. Istotna jest również ocena stosowanych leków, stylu życia, stanu relacji oraz zdrowia psychicznego. W zależności od wyników oceny, lekarz może zalecić odpowiednie leczenie lub skierować pacjenta do specjalisty, takiego jak seksuolog, psycholog, ginekolog, urolog lub endokrynolog5.
Metody terapeutyczne w leczeniu obniżonego libido
Terapia hormonalna
Terapia hormonalna jest jedną z opcji leczenia obniżonego libido, szczególnie gdy przyczyną jest niedobór hormonów. Rodzaj terapii hormonalnej zależy od płci, wieku i indywidualnych potrzeb pacjenta.
Dla kobiet w okresie menopauzy, terapia hormonalna (HTZ) może pomóc w łagodzeniu objawów menopauzy, w tym obniżonego libido6. Terapia może obejmować stosowanie estrogenu lub kombinacji estrogenu i progesteronu/progestyny (EPT). Podawanie estrogenów może mieć formę kremów, żeli, plastrów lub zastrzyków7. Hormonoterapia może poprawić nastrój i przywrócić normalny poziom pożądania seksualnego i funkcji seksualnych u kobiet8.
Dla mężczyzn z niskim poziomem testosteronu, terapia zastępcza testosteronem może być skuteczna. Terapia testosteronem zastępczym może być podawana w różnych formach, takich jak tabletki, plastry, kremy lub zastrzyki9. Należy jednak pamiętać, że terapia testosteronem nie jest zalecana, jeśli poziom testosteronu we krwi nie jest obiektywnie niski, zwykle poniżej 300 ng/dl (we wczesnych godzinach porannych)10.
Stosowanie testosteronu u kobiet budzi kontrowersje i nie jest zatwierdzone przez FDA do leczenia dysfunkcji seksualnych u kobiet, choć istnieją dowody na to, że testosteron może pomóc w leczeniu obniżonego libido zarówno u kobiet w okresie okołomenopauzalnym, jak i pomenopauzalnym1112.
Farmakoterapia
Oprócz terapii hormonalnej, istnieją również inne opcje farmakologiczne w leczeniu obniżonego libido. Dla kobiet przed menopauzą z hipoaktywnym zaburzeniem pożądania seksualnego (HSDD) dostępne są dwa zatwierdzone przez FDA niehormonalne leki:
- Flibanserin (Addyi) – tabletka przyjmowana codziennie, która może zwiększyć zainteresowanie seksem i poprawić zadowolenie z aktywności seksualnej1314.
- Bremelanotyd (Vyleesi) – zastrzyk podawany samodzielnie 45 minut przed spodziewaną aktywnością seksualną15.
W przypadku depresji towarzyszącej obniżonemu libido, lekarz może zalecić buproprion (Wellbutrin), który nie powoduje tak znaczących efektów ubocznych w zakresie funkcji seksualnych jak inne leki przeciwdepresyjne1617.
Istnieją również leki stosowane w leczeniu zaburzeń erekcji u mężczyzn, takie jak sildenafil (Viagra), tadalafil (Cialis) czy wardenafil (Levitra), które mogą pomóc w przypadku, gdy obniżone libido jest związane z trudnościami w osiągnięciu lub utrzymaniu erekcji18.
Psychoterapia i terapia seksualna
Psychoterapia, w tym terapia seksualna, jest bardzo ważną częścią leczenia obniżonego libido, zwłaszcza gdy przyczyny są związane z czynnikami psychologicznymi lub relacyjnymi19. Różne formy psychoterapii mogą być skuteczne w leczeniu obniżonego libido:
- Terapia indywidualna – może pomóc w przepracowaniu myśli, emocji lub stanów takich jak lęk czy depresja, które mogą wpływać na pożądanie20.
- Terapia par – może pomóc partnerom poprawić komunikację, rozwiązać problemy i odbudować intymność21.
- Terapia seksualna – seksuolodzy specjalizują się w pomocy osobom z problemami seksualnymi, w tym obniżonym pożądaniem. Mogą oferować wsparcie, edukację i praktyczne porady22.
- Terapia poznawczo-behawioralna (CBT) – badania wykazały, że CBT może być skuteczna w leczeniu różnych typów dysfunkcji seksualnych u kobiet, w tym obniżonego libido23.
- Terapia uważności (mindfulness) – trening uważności może pomóc w leczeniu obniżonego pożądania seksualnego i pobudzenia, a także nabytej anorgazmii24.
Metaanaliza wykazała, że interwencje psychologiczne są skutecznymi metodami leczenia obniżonego pożądania seksualnego, a efekty redukcji objawów były znaczące w porównaniu z grupami kontrolnymi (d=0,91; 95% CI 0,38-1,45; P=0,012)25.
Zmiana leków
Niektóre leki mogą powodować obniżenie libido jako efekt uboczny. Jeśli podejrzewasz, że twój lek wpływa na twoje libido, porozmawiaj z lekarzem o możliwości zmiany dawki lub przejścia na inny lek o mniejszym wpływie na funkcje seksualne26. Leki, które często wpływają na libido, to:
- Leki przeciwdepresyjne, szczególnie selektywne inhibitory wychwytu zwrotnego serotoniny (SSRI)27
- Leki obniżające ciśnienie krwi
- Niektóre leki hormonalne
- Leki przeciwpadaczkowe
- Niektóre leki przeciwbólowe
Jeśli obniżone libido jest efektem ubocznym stosowania antydepresantów, lekarz może zalecić: oczekiwanie, aby sprawdzić, czy libido się poprawi; zmniejszenie dawki, jeśli to możliwe; przejście na antydepresant o mniejszych efektach ubocznych w sferze seksualnej; dodanie bupropionu jako leku uzupełniającego2829.
Zmiany w stylu życia
Zdrowe zmiany w stylu życia mogą znacząco wpłynąć na poziom libido. Zalecane strategie obejmują:
- Regularna aktywność fizyczna – ćwiczenia aerobowe i trening siłowy mogą poprawić nastrój, zwiększyć poziom energii i pozytywnie wpłynąć na funkcje seksualne30.
- Zarządzanie stresem – techniki redukcji stresu, takie jak prowadzenie dziennika, medytacja i inne formy dbania o siebie, mogą pomóc w zwiększeniu libido31.
- Dbanie o zdrowy sen – dobry sen może poprawić ogólny nastrój i poziom energii człowieka, a niektóre badania łączą jakość snu z libido32.
- Zdrowa dieta – przestrzeganie zdrowej diety może korzystnie wpłynąć na libido poprzez promowanie dobrego krążenia i zdrowia serca33.
- Ograniczenie alkoholu i unikanie palenia – nadmierne spożycie alkoholu i palenie tytoniu mogą negatywnie wpływać na libido34.
Edukacja seksualna i komunikacja
Edukacja na temat funkcjonowania seksualnego oraz poprawa komunikacji z partnerem mogą znacząco wpłynąć na poprawę libido:
- Poznanie mechanizmów funkcjonowania seksualnego może pomóc w przezwyciężeniu lęków związanych z aktywnością seksualną35.
- Otwarta rozmowa z partnerem o potrzebach, pragnieniach i obawach może przezwyciężyć wiele barier do zdrowego życia seksualnego36.
- Planowanie aktywności seksualnej może być pomocne – czasami warto zaplanować intymność, ponieważ czekanie na spontaniczne pojawienie się pożądania może nie przynieść efektów37.
Specyficzne terapie dla określonych przyczyn obniżonego libido
Leczenie obniżonego libido związanego z menopauzą
Menopauza może prowadzić do zmian fizjologicznych, które wpływają na libido, takich jak suchość pochwy i zmiany hormonalne. Dostępne opcje leczenia obejmują:
- Miejscowa terapia estrogenowa – kremy, tabletki lub pierścienie dopochwowe z estrogenem mogą pomóc złagodzić objawy suchości pochwy i dyskomfortu podczas stosunku38.
- Systemowa terapia hormonalna – może łagodzić objawy menopauzy, w tym obniżone libido39.
- Ospemifen – niehormonalny lek doustny zatwierdzony do leczenia objawów zespołu genitalno-moczowego związanego z menopauzą, łagodzący suchość pochwy i ból związany z aktywnością seksualną40.
- Lubrykanty i nawilżacze dopochwowe – mogą złagodzić pewne objawy, takie jak suchość pochwy41.
Leczenie obniżonego libido związanego z niskim poziomem testosteronu
Niski poziom testosteronu może przyczyniać się do obniżonego libido zarówno u mężczyzn, jak i kobiet. Opcje leczenia obejmują:
- Terapia testosteronem dla mężczyzn – może być podawana w formie żelu, plastra, zastrzyku lub implantu42.
- Terapia testosteronem dla kobiet – chociaż nie jest zatwierdzona przez FDA do leczenia zaburzeń seksualnych u kobiet, niektórzy lekarze mogą przepisać niskie dawki testosteronu kobietom z obniżonym libido43.
Leczenie obniżonego libido związanego ze zdrowiem psychicznym
Problemy ze zdrowiem psychicznym, takie jak depresja i lęk, mogą znacząco wpływać na libido. Leczenie może obejmować:
- Psychoterapię – różne formy terapii psychologicznej mogą pomóc w leczeniu problemów ze zdrowiem psychicznym, które wpływają na libido44.
- Leki przeciwdepresyjne – niektóre leki przeciwdepresyjne, takie jak buproprion, mogą mieć mniejszy wpływ na funkcje seksualne niż inne45.
- Techniki redukcji stresu – takie jak medytacja, joga czy ćwiczenia oddechowe46.
Leczenie obniżonego libido związanego z problemami w relacji
Problemy w relacji mogą być zarówno przyczyną, jak i skutkiem zmian w aktywności seksualnej. Leczenie może obejmować:
- Terapię par – może pomóc partnerom rozwiązać problemy i poprawić komunikację47.
- Terapię seksualną – może pomóc parom zrozumieć i rozwiązać specyficzne problemy seksualne48.
- Ćwiczenia poprawiające intymność – niefizyczne formy intymności, takie jak trzymanie się za ręce, rozmowa, masaż i pocałunki, mogą pomóc w budowaniu więzi bez presji na seks49.
Kiedy szukać pomocy medycznej
Jeśli obniżone libido powoduje dyskomfort lub wpływa negatywnie na relacje, warto skonsultować się z lekarzem lub specjalistą zdrowia psychicznego. Mogą oni pomóc zidentyfikować przyczyny problemu i zaproponować odpowiednie leczenie50. Lekarz może:
- Zasugerować zmiany w codziennych nawykach
- Zaoferować wsparcie dla relacji
- Sprawdzić, czy występują problemy zdrowotne lub efekty uboczne leków
- Pomóc znaleźć odpowiednie leczenie51
Osoby z obniżonym libido mogą odnieść korzyści z podejścia ukierunkowanego na wiele przyczyn tego stanu. Zalecenia mogą obejmować edukację seksualną, poradnictwo, a czasem leki i terapię hormonalną52.
Podsumowanie podejścia do leczenia obniżonego libido
Leczenie obniżonego libido jest zazwyczaj najskuteczniejsze, gdy uwzględnia wszystkie czynniki wpływające na seksualność. Idealne podejście obejmuje kompleksową ocenę czynników wpływających na seksualność i zastosowanie kombinacji metod leczenia, które pozwolą na złagodzenie tych czynników53.
Problemów z libido nie należy ignorować, ponieważ mogą one nie ustąpić bez odpowiedniego leczenia. Ignorowanie obaw związanych z brakiem pożądania seksualnego może negatywnie wpłynąć na zdrowie emocjonalne i relacje54.
Warto pamiętać, że problemy seksualne, w tym obniżone libido, są powszechne i dotykają wielu osób w pewnym momencie życia. Personel medyczny może być doskonałym miejscem do rozpoczęcia rozwiązywania tych problemów55.
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Materiały źródłowe
- #1 Loss of libido | NHS informhttps://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido
Loss of libido (sex drive) is a common problem affecting up to 1 in 5 men and even more women at some point in their life. […] If youre concerned about your libido, especially if your diminished sex drive distresses you or affects your relationship, make an appointment to see your GP to discuss any underlying causes and possible medical or psychological treatments. […] Your GP may feel you will benefit from psychosexual counselling. This is a form of relationship therapy where you and your partner can discuss any sexual or emotional issues that may be contributing to your loss of libido. […] Speak to your GP if youre concerned the menopause may be having an effect on your libido. They may be able to offer you a trial of hormone replacement therapy (HRT) if its suitable for you. […] Speak to your GP if youre worried that medication youre taking is responsible for your reduced sex drive. They can review your medication and switch your prescription to something less likely to affect your libido if necessary.
- #2 Low sex drive (loss of libido)https://www.nhs.uk/conditions/loss-of-libido/
There are many possible reasons for having a low sex drive (loss of libido). Treating the cause should help increase your sex drive. […] Treatment for a low sex drive depends on what’s causing it. […] A GP can advise you about help you can get and any treatments that might improve your sex drive. […] Possible treatments Relationship counselling […] Medicines to treat the problem, such as vaginal lubricants or medicines to help you get an erection […] Hormone replacement therapy (HRT) […] Antidepressants or cognitive behavioural therapy (CBT) […] Changing to a different medicine or type of contraception, or discussing treatment options if you have a health condition.
- #3 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: a sex therapist, a psychologist, a gynecologist, a urologist, an endocrinologist. […] Types of treatment for low libido include: education and communication, stress management, medication change, hormone therapy for menopause, treatment for hypoactive sexual arousal disorder, hormone therapy for low testosterone, individual psychotherapy, couples therapy, sex therapy. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #4 Decreased Libido (Low Sex Drive) | UCSF Department of Urologyhttps://urology.ucsf.edu/patient-care/adult-non-cancer/male-sexual-and-reproductive-health/decreased-libido
Many men experience changes in their sexual drive (also known as libido) over the course of their lives. […] In many cases, low sex desire gets better over time and/or with resolution of stressors. […] Evaluation by a physician may be indicated in the man who has a persistent or recurrent lack of interest in sex that is troubling him and/or his partner(s). […] The first and most important steps in evaluating sexual desire issues in men is getting a good history. […] It is essential to evaluate the mans relationship with his partner(s); key considerations are the length of relationship and any relationships stressors or prior sexuality issues. […] In addition to detailed evaluation of the sexuality concern and the mans relationship, a general medical history and physical examination should be performed.
- #5 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: a sex therapist, a psychologist, a gynecologist, a urologist, an endocrinologist. […] Types of treatment for low libido include: education and communication, stress management, medication change, hormone therapy for menopause, treatment for hypoactive sexual arousal disorder, hormone therapy for low testosterone, individual psychotherapy, couples therapy, sex therapy. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #6 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: a sex therapist, a psychologist, a gynecologist, a urologist, an endocrinologist. […] Types of treatment for low libido include: education and communication, stress management, medication change, hormone therapy for menopause, treatment for hypoactive sexual arousal disorder, hormone therapy for low testosterone, individual psychotherapy, couples therapy, sex therapy. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #7 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive?547f7fb0_page=2
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: […] A sex therapist […] A psychologist […] A gynecologist […] A urologist […] An endocrinologist. […] Types of treatment for low libido include: […] Education and communication. Learning more about how sex and desire work can help reduce anxiety. Talking openly with your partner about your needs and any concerns can also help improve your sex life. […] Stress management. Managing stress can boost your mood and your sex drive. Helpful tools include journaling, exercise, meditation and self-care routines. […] Medication change. If your medication affects your sex drive, your healthcare provider may change your dose or recommend switching to a different one. […] Hormone therapy for menopause. If menopause is lowering your sex drive, hormone therapy (HT) may help. It can include estrogen or a mix of estrogen and progesterone/progestin hormone therapy (EPT). […] Treatment for hypoactive sexual arousal disorder. For women with hypoactive sexual arousal disorder who havent gone through menopause yet, there are two FDA-approved non-hormonal medications. Filbanserin (Addyi) is a pill you take every day. Bremelanotide (Vyleesi) is an injection you give yourself 45 minutes before you expect to have sex. Talk with your provider about the common side effects and whats best for your situation. […] Hormone therapy for low testosterone. For men with low testosterone, treatment may include testosterone replacement. This comes in different forms, like pills, patches, creams or shots. […] Individual psychotherapy. Talking with a therapist can help you work through thoughts, emotions or conditions like anxiety or depression that may affect your desire. […] Couples therapy. A therapist can help you and your partner improve communication, solve problems and rebuild intimacy. […] Sex therapy. Sex therapists specialize in helping people with sexual concerns, including low desire. They can offer support, education and practical advice. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #8 Low Sex Drive in Women: Causes & Treatment, Dr. Thais Aliabadihttps://www.draliabadi.com/gynecology/low-sex-drive/
Low sex drive, Dr. Thais Aliabadi of Los Angeles […] The good news is that it is treatable. Flibanserin (Addyi) is the first medication approved by the U.S. Food and Drug Administration (FDA) for the treatment of low sex drive in women and can be prescribed by an OB/GYN. […] For women with a low sex drive as a result of menopause, hormone replacement therapy may help ease the transition. When menopause lowers the estrogen level in the body, hormone replacement therapy works by reintroducing estrogen through a pill, cream, patch, or spray that adjusts your hormone levels. Hormone therapy can improve mood and help return a woman’s sexual desire and sexual function to normal levels. […] If you are experiencing a decreased desire for intimacy with the onset of perimenopause or menopause, reach out to our office. Dr. Aliabadi and her compassionate team are experts in women’s health care.
- #9 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive?547f7fb0_page=2
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: […] A sex therapist […] A psychologist […] A gynecologist […] A urologist […] An endocrinologist. […] Types of treatment for low libido include: […] Education and communication. Learning more about how sex and desire work can help reduce anxiety. Talking openly with your partner about your needs and any concerns can also help improve your sex life. […] Stress management. Managing stress can boost your mood and your sex drive. Helpful tools include journaling, exercise, meditation and self-care routines. […] Medication change. If your medication affects your sex drive, your healthcare provider may change your dose or recommend switching to a different one. […] Hormone therapy for menopause. If menopause is lowering your sex drive, hormone therapy (HT) may help. It can include estrogen or a mix of estrogen and progesterone/progestin hormone therapy (EPT). […] Treatment for hypoactive sexual arousal disorder. For women with hypoactive sexual arousal disorder who havent gone through menopause yet, there are two FDA-approved non-hormonal medications. Filbanserin (Addyi) is a pill you take every day. Bremelanotide (Vyleesi) is an injection you give yourself 45 minutes before you expect to have sex. Talk with your provider about the common side effects and whats best for your situation. […] Hormone therapy for low testosterone. For men with low testosterone, treatment may include testosterone replacement. This comes in different forms, like pills, patches, creams or shots. […] Individual psychotherapy. Talking with a therapist can help you work through thoughts, emotions or conditions like anxiety or depression that may affect your desire. […] Couples therapy. A therapist can help you and your partner improve communication, solve problems and rebuild intimacy. […] Sex therapy. Sex therapists specialize in helping people with sexual concerns, including low desire. They can offer support, education and practical advice. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #10 Decreased Libido in Men – Men’s Health Issues – Merck Manual Consumer Versionhttps://www.merckmanuals.com/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/decreased-libido-in-men
Decreased libido is a reduction in sex drive. […] Depending on the cause, doctors may suggest psychological counseling, prescribe a different medication, or recommend testosterone replacement therapy (TRT). […] If the cause is psychological, various psychological therapies, including behavioral therapies, can help. Counseling can help the couple address relationship issues. […] If the testosterone level is low, TRT can be given, in the form of a patch or gel applied to the skin or as an injection. […] TRT is not recommended unless a man’s blood level of testosterone is objectively low, typically below 300 ng/dL (in early morning). […] If a medication appears to be the cause of low testosterone levels, a doctor may consider treating the man with a different medication. […] Importantly, TRT causes the patient’s testicles to „shut down” and atrophy, or shrink, over time. This results in reduction/cessation of sperm production, and infertility results. Therefore, men who want to father biological children in the future should not be on exogenous testosterone.
- #11 Can low libido be treated? – Mayo Clinic Presshttps://mcpress.mayoclinic.org/women-health/treatment-for-low-libido/
Yes, but usually they aren’t used alone instead they are used in addition to another treatment option. […] If you haven’t gone through menopause, there are two FDA-approved medications to help increase libido. One is a daily pill and the other is a self-administered injection before you plan to have sex. […] If you have gone through menopause, testosterone hormone therapy might be prescribed to get you feeling in the mood. However, testosterone isn’t approved by the Food and Drug Administration for sexual dysfunction in women, and its use in women is controversial. […] Additionally, the antidepressant bupropion (Wellbutrin SR, Wellbutrin XL) is sometimes prescribed to women with sexual concerns, though it’s not FDA-approved for this purpose. […] It might be tempting to try an over-the-counter herbal supplement on your own. Avlimil is an herbal supplement blend that claims to rev up your sexual drive. Zestra is a botanical massage oil that claims to help increase feeling of arousal.
- #12 Sexual Health | The Menopause Societyhttps://menopause.org/patient-education/menopause-topics/sexual-health
Understanding these factors and sharing oneâs sexual concerns with a healthcare professional can improve desire and sexual satisfaction. An evaluation by a professional can help identify any underlying medical or psychological causes of low sexual desire. […] Many sexual problems can be successfully treated with prescription therapies. […] Some women with vaginal dryness or pain with sexual activity may benefit from prescription ET, either low doses applied directly to the vulva and vagina or higher doses taken systemically. […] The nonhormone oral medication ospemifene (a selective estrogen-receptor modulator) is approved to treat symptoms of genitourinary syndrome of menopause, thus alleviating vaginal dryness and pain associated with sexual activity. […] There is evidence that testosterone may help with low sexual desire in both perimenopausal and postmenopausal women. […] Treatment of a partnerâs sexual problems may be important to improving a womanâs sexual function and satisfaction.
- #13 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive?547f7fb0_page=2
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: […] A sex therapist […] A psychologist […] A gynecologist […] A urologist […] An endocrinologist. […] Types of treatment for low libido include: […] Education and communication. Learning more about how sex and desire work can help reduce anxiety. Talking openly with your partner about your needs and any concerns can also help improve your sex life. […] Stress management. Managing stress can boost your mood and your sex drive. Helpful tools include journaling, exercise, meditation and self-care routines. […] Medication change. If your medication affects your sex drive, your healthcare provider may change your dose or recommend switching to a different one. […] Hormone therapy for menopause. If menopause is lowering your sex drive, hormone therapy (HT) may help. It can include estrogen or a mix of estrogen and progesterone/progestin hormone therapy (EPT). […] Treatment for hypoactive sexual arousal disorder. For women with hypoactive sexual arousal disorder who havent gone through menopause yet, there are two FDA-approved non-hormonal medications. Filbanserin (Addyi) is a pill you take every day. Bremelanotide (Vyleesi) is an injection you give yourself 45 minutes before you expect to have sex. Talk with your provider about the common side effects and whats best for your situation. […] Hormone therapy for low testosterone. For men with low testosterone, treatment may include testosterone replacement. This comes in different forms, like pills, patches, creams or shots. […] Individual psychotherapy. Talking with a therapist can help you work through thoughts, emotions or conditions like anxiety or depression that may affect your desire. […] Couples therapy. A therapist can help you and your partner improve communication, solve problems and rebuild intimacy. […] Sex therapy. Sex therapists specialize in helping people with sexual concerns, including low desire. They can offer support, education and practical advice. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #14 Addyi® (flibanserin): HSDD Treatment for Certain Premenopausal Womenhttps://addyi.com/
Addyi is the only FDA-approved pill proven to increase a woman’s sex drive. […] Addyi is a 100% hormone-free pill for Hypoactive Sexual Desire Disorder (HSDD) proven to help certain premenopausal women: have more interest in sex, have more satisfying sex, lower the stress (from low libido). […] For the last 10 years, Addyi has been the #1 prescribed treatment for HSDD in women who have not gone through menopause, who have not had problems with low sexual desire in the past, and who have low sexual desire no matter the type of sexual activity, the situation, or the sexual partner. […] Women with HSDD have low sexual desire that is troubling to them. Their low sexual desire is not due to: a medical or mental health problem, problems in the relationship or medicine or other drug use. […] In clinical trials women on Addyi experienced MORE interest in sex, MORE satisfying sex, LESS stress (from low libido).
- #15 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive?547f7fb0_page=2
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: […] A sex therapist […] A psychologist […] A gynecologist […] A urologist […] An endocrinologist. […] Types of treatment for low libido include: […] Education and communication. Learning more about how sex and desire work can help reduce anxiety. Talking openly with your partner about your needs and any concerns can also help improve your sex life. […] Stress management. Managing stress can boost your mood and your sex drive. Helpful tools include journaling, exercise, meditation and self-care routines. […] Medication change. If your medication affects your sex drive, your healthcare provider may change your dose or recommend switching to a different one. […] Hormone therapy for menopause. If menopause is lowering your sex drive, hormone therapy (HT) may help. It can include estrogen or a mix of estrogen and progesterone/progestin hormone therapy (EPT). […] Treatment for hypoactive sexual arousal disorder. For women with hypoactive sexual arousal disorder who havent gone through menopause yet, there are two FDA-approved non-hormonal medications. Filbanserin (Addyi) is a pill you take every day. Bremelanotide (Vyleesi) is an injection you give yourself 45 minutes before you expect to have sex. Talk with your provider about the common side effects and whats best for your situation. […] Hormone therapy for low testosterone. For men with low testosterone, treatment may include testosterone replacement. This comes in different forms, like pills, patches, creams or shots. […] Individual psychotherapy. Talking with a therapist can help you work through thoughts, emotions or conditions like anxiety or depression that may affect your desire. […] Couples therapy. A therapist can help you and your partner improve communication, solve problems and rebuild intimacy. […] Sex therapy. Sex therapists specialize in helping people with sexual concerns, including low desire. They can offer support, education and practical advice. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #16 Can low libido be treated? – Mayo Clinic Presshttps://mcpress.mayoclinic.org/women-health/treatment-for-low-libido/
Yes, but usually they aren’t used alone instead they are used in addition to another treatment option. […] If you haven’t gone through menopause, there are two FDA-approved medications to help increase libido. One is a daily pill and the other is a self-administered injection before you plan to have sex. […] If you have gone through menopause, testosterone hormone therapy might be prescribed to get you feeling in the mood. However, testosterone isn’t approved by the Food and Drug Administration for sexual dysfunction in women, and its use in women is controversial. […] Additionally, the antidepressant bupropion (Wellbutrin SR, Wellbutrin XL) is sometimes prescribed to women with sexual concerns, though it’s not FDA-approved for this purpose. […] It might be tempting to try an over-the-counter herbal supplement on your own. Avlimil is an herbal supplement blend that claims to rev up your sexual drive. Zestra is a botanical massage oil that claims to help increase feeling of arousal.
- #17 Depression & Low Sex Drive: New Treatments for Womenhttps://resources.healthgrades.com/right-care/sexual-health/depression-and-low-sex-drive-new-treatments-for-women
Ironically, adding another type of psychiatric medication may improve sex drive: Patients who take bupropion (Wellbutrin, Forfivo) in addition to their SSRI antidepressant often experience a return of sexual desire. […] At least one small study suggests that wearing a transdermal testosterone patch (like a nicotine patch) can relieve SSRI-induced loss of sexual desire. […] Vaginal dehydroepiandrosterone (DHEA) may also improve sexual function in postmenopausal women who are experiencing antidepressant-associated decreased sex drive. […] Some evidence suggests that two nutritional supplements, maca root and saffron, may relieve antidepressant-related sexual dysfunction. […] Cognitive behavioral therapy (CBT), or âtalk therapyâ is a proven treatment strategy for depression, but therapists also use it to treat decreased sexual desire and arousal. For women with both depression and low sex drive, CBT and mindfulness-based cognitive therapy (MBCT) can have a powerful impact.
- #18 Loss of Libido: Causes and Treatment | Doctorhttps://patient.info/doctor/loss-of-libido
The aim of testosterone replacement therapy for hypoandrogenic states is to improve symptoms and signs of testosterone deficiency, including decreased libido, erectile dysfunction, depressed mood, anaemia, and loss of muscle and bone mass, by increasing serum testosterone levels to the physiological range. […] Medication (such as sildenafil) may be valuable if there is erectile dysfunction.
- #19 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive?547f7fb0_page=2
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: […] A sex therapist […] A psychologist […] A gynecologist […] A urologist […] An endocrinologist. […] Types of treatment for low libido include: […] Education and communication. Learning more about how sex and desire work can help reduce anxiety. Talking openly with your partner about your needs and any concerns can also help improve your sex life. […] Stress management. Managing stress can boost your mood and your sex drive. Helpful tools include journaling, exercise, meditation and self-care routines. […] Medication change. If your medication affects your sex drive, your healthcare provider may change your dose or recommend switching to a different one. […] Hormone therapy for menopause. If menopause is lowering your sex drive, hormone therapy (HT) may help. It can include estrogen or a mix of estrogen and progesterone/progestin hormone therapy (EPT). […] Treatment for hypoactive sexual arousal disorder. For women with hypoactive sexual arousal disorder who havent gone through menopause yet, there are two FDA-approved non-hormonal medications. Filbanserin (Addyi) is a pill you take every day. Bremelanotide (Vyleesi) is an injection you give yourself 45 minutes before you expect to have sex. Talk with your provider about the common side effects and whats best for your situation. […] Hormone therapy for low testosterone. For men with low testosterone, treatment may include testosterone replacement. This comes in different forms, like pills, patches, creams or shots. […] Individual psychotherapy. Talking with a therapist can help you work through thoughts, emotions or conditions like anxiety or depression that may affect your desire. […] Couples therapy. A therapist can help you and your partner improve communication, solve problems and rebuild intimacy. […] Sex therapy. Sex therapists specialize in helping people with sexual concerns, including low desire. They can offer support, education and practical advice. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #20 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive?547f7fb0_page=2
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: […] A sex therapist […] A psychologist […] A gynecologist […] A urologist […] An endocrinologist. […] Types of treatment for low libido include: […] Education and communication. Learning more about how sex and desire work can help reduce anxiety. Talking openly with your partner about your needs and any concerns can also help improve your sex life. […] Stress management. Managing stress can boost your mood and your sex drive. Helpful tools include journaling, exercise, meditation and self-care routines. […] Medication change. If your medication affects your sex drive, your healthcare provider may change your dose or recommend switching to a different one. […] Hormone therapy for menopause. If menopause is lowering your sex drive, hormone therapy (HT) may help. It can include estrogen or a mix of estrogen and progesterone/progestin hormone therapy (EPT). […] Treatment for hypoactive sexual arousal disorder. For women with hypoactive sexual arousal disorder who havent gone through menopause yet, there are two FDA-approved non-hormonal medications. Filbanserin (Addyi) is a pill you take every day. Bremelanotide (Vyleesi) is an injection you give yourself 45 minutes before you expect to have sex. Talk with your provider about the common side effects and whats best for your situation. […] Hormone therapy for low testosterone. For men with low testosterone, treatment may include testosterone replacement. This comes in different forms, like pills, patches, creams or shots. […] Individual psychotherapy. Talking with a therapist can help you work through thoughts, emotions or conditions like anxiety or depression that may affect your desire. […] Couples therapy. A therapist can help you and your partner improve communication, solve problems and rebuild intimacy. […] Sex therapy. Sex therapists specialize in helping people with sexual concerns, including low desire. They can offer support, education and practical advice. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #21 Low Sex Drive | Intimate Wellness Institutehttps://iwiva.com/intimate-wellness/low-sex-drive/
Stress management: Stress management involves using techniques to improve how you respond to life stressors. These techniques can prevent or ease stress-induced symptoms, such as low libido. Stress management may involve journaling, exercise, meditation and other forms of self-care. […] Individual psychotherapy: Psychotherapy (talk therapy) is a term for a variety of treatment techniques that aim to help a person identify and change unhealthy emotions, thoughts and behaviors. Therapy with a mental health professional can help you address medical conditions, mental health conditions or situations that may be contributing to a decrease in libido. […] Couples therapy: In couples therapy, you and your partner work with a mental health professional to improve the overall quality of your relationship, work on resolving underlying problems and learn how to increase intimacy and physical affection. This can help with issues related to libido. […] Sex therapy: Sex therapists are qualified psychologists, doctors or healthcare professionals who have specialized training in helping people with problems relating to sex, including a loss of sexual desire.
- #22 Low Sex Drive | Intimate Wellness Institutehttps://iwiva.com/intimate-wellness/low-sex-drive/
Stress management: Stress management involves using techniques to improve how you respond to life stressors. These techniques can prevent or ease stress-induced symptoms, such as low libido. Stress management may involve journaling, exercise, meditation and other forms of self-care. […] Individual psychotherapy: Psychotherapy (talk therapy) is a term for a variety of treatment techniques that aim to help a person identify and change unhealthy emotions, thoughts and behaviors. Therapy with a mental health professional can help you address medical conditions, mental health conditions or situations that may be contributing to a decrease in libido. […] Couples therapy: In couples therapy, you and your partner work with a mental health professional to improve the overall quality of your relationship, work on resolving underlying problems and learn how to increase intimacy and physical affection. This can help with issues related to libido. […] Sex therapy: Sex therapists are qualified psychologists, doctors or healthcare professionals who have specialized training in helping people with problems relating to sex, including a loss of sexual desire.
- #23 Low libido: Causes in men and womenhttps://www.medicalnewstoday.com/articles/324861
Low libido, or reduced sexual desire, can affect both men and women. […] Low libido can have an underlying medical cause, or it may be due to lifestyle factors. […] The treatment for low libido will often depend on the cause of the problem. […] For some people, talk therapy or sex therapy can help. Therapy can help people deal with trauma, improve their self-esteem, and strengthen their relationship with their partner. […] Research has found that cognitive behavioral therapy (CBT) and mindfulness can be beneficial for some women with sexual dysfunction, such as low sex drive. […] For women, a doctor may prescribe estrogen therapy for a low libido that is due to menopause or other hormonal causes, although research has not yet proven it to be effective for this symptom. […] If a man has low testosterone and bothersome symptoms, a doctor may recommend testosterone replacement therapy. […] If low libido is having a significant effect on a persons life, they should speak to a doctor. […] If low libido is affecting a persons life, they should discuss this with a doctor to find the best treatment options.
- #24 Sexual Dysfunction in Women: A Practical Approach | AAFPhttps://www.aafp.org/pubs/afp/issues/2015/0815/p281.html
Sexual dysfunction in women is a common and often distressing problem that has a negative impact on quality of life and medication compliance. […] Treatment depends on the etiology. Estrogen is effective for the treatment of dyspareunia associated with genitourinary syndrome of menopause. Testosterone, with and without concomitant use of estrogen, is associated with improvements in sexual functioning in naturally and surgically menopausal women, although data on long-term risks and benefits are lacking. […] Psychotherapy or sex therapy is useful for management of the psychological, relational, and sociocultural factors impacting a woman’s sexual function. […] Group cognitive behavior therapy has been shown to effectively treat low sexual desire. […] Mindfulness-based interventions have been shown to effectively treat low sexual desire and arousal, and acquired anorgasmia.
- #25 Psychological Treatment of Low Sexual Desire in Women: Protocol for a Randomized, Waitlist-Controlled Trial of Internet-Based Cognitive Behavioral and Mindfulness-Based Treatmentshttps://pmc.ncbi.nlm.nih.gov/articles/PMC7556380/
A meta-analysis found psychological interventions to be effective treatments for low sexual desire and effects for symptom reduction were large compared to waitlist controls (d=0.91; 95% CI 0.38-1.45; P=.012). […] Psychological interventions for low desire often comprise a variety of components such as psychological and sexual education, couples exercises, guided masturbation, communication training, cognitive behavioral as well as mindfulness-based techniques. […] Among the most common treatments for low desire are cognitive behavioral therapy (CBT) and mindfulness-based therapy (MBT). […] Internet-based interventions for sexual dysfunctions in women, van Lankveld reviewed 5 studies and found that these interventions were effective in improving sexual functioning and emotional intimacy in couples.
- #26 Low sex drive (loss of libido)https://www.nhs.uk/conditions/loss-of-libido/
There are many possible reasons for having a low sex drive (loss of libido). Treating the cause should help increase your sex drive. […] Treatment for a low sex drive depends on what’s causing it. […] A GP can advise you about help you can get and any treatments that might improve your sex drive. […] Possible treatments Relationship counselling […] Medicines to treat the problem, such as vaginal lubricants or medicines to help you get an erection […] Hormone replacement therapy (HRT) […] Antidepressants or cognitive behavioural therapy (CBT) […] Changing to a different medicine or type of contraception, or discussing treatment options if you have a health condition.
- #27 Low sex drive in women – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
If low sex desire concerns you, talk with your gynecologist or another member of your healthcare team. […] Your healthcare professional can look for reasons that your sex drive isn’t as high as you’d like. […] Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling, and sometimes medicine and hormone therapy. […] Talking with a sex therapist or counselor skilled in addressing sexual concerns can help with low sex drive. […] Your healthcare professional reviews any medicines you take. The review is done to see if any of the medicines tend to cause sexual side effects. […] If your antidepressant might be the cause of your low sex drive, your healthcare professional may recommend that you: Wait to see if your sex drive improves.
- #28 Low sex drive in women – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
If low sex desire concerns you, talk with your gynecologist or another member of your healthcare team. […] Your healthcare professional can look for reasons that your sex drive isn’t as high as you’d like. […] Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling, and sometimes medicine and hormone therapy. […] Talking with a sex therapist or counselor skilled in addressing sexual concerns can help with low sex drive. […] Your healthcare professional reviews any medicines you take. The review is done to see if any of the medicines tend to cause sexual side effects. […] If your antidepressant might be the cause of your low sex drive, your healthcare professional may recommend that you: Wait to see if your sex drive improves.
- #29 Sexual Dysfunction in Women: A Practical Approach | AAFPhttps://www.aafp.org/pubs/afp/issues/2015/0815/p281.html
Directed masturbation is recommended for lifelong anorgasmia. […] Transdermal testosterone, with or without concomitant estrogen therapy, has been shown to be effective for short-term treatment of low sexual desire or arousal in natural and surgically induced menopause. […] The unique predisposing, precipitating, and maintaining factors for a woman’s sexual dysfunction will determine the treatment plan. […] Strategies for managing antidepressant-induced dysfunction include reducing the dose if possible, switching to an antidepressant with fewer sexual adverse effects, or adding bupropion (Wellbutrin) as an adjunct. […] Sexual pain with deeper vaginal penetration suggests the possibility of a musculoskeletal component. […] Group cognitive behavior therapy may be effective for low sexual desire. […] Mindfulness-based interventions have been shown to effectively treat several types of female sexual dysfunction, including low sexual desire and arousal, and acquired anorgasmia. […] Directed masturbation training is the treatment of choice for lifelong anorgasmia.
- #30 Low sex drive in women – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
Along with recommending counseling, your healthcare professional may prescribe a medicine to boost your libido. Options for women who have not yet reached menopause include: Flibanserin (Addyi). […] This condition might make sex not comfortable and, in turn, reduce your desire. Some hormone medicines that aim to relieve GSM symptoms could help make sex more comfortable. […] Estrogen comes in many forms. […] Testosterone plays a key role in female sexual function, even though testosterone level is much lower in women than in men. […] Talking about low sex drive with a healthcare professional can be hard for some people. […] Healthy lifestyle changes can make a big difference in your desire for sex: Regular aerobic exercise and strength training are great for you in general. […] Finding ways to cope with stress tied to work, money and daily hassles can enhance your sex drive.
- #31 Low Sex Drive | Intimate Wellness Institutehttps://iwiva.com/intimate-wellness/low-sex-drive/
Stress management: Stress management involves using techniques to improve how you respond to life stressors. These techniques can prevent or ease stress-induced symptoms, such as low libido. Stress management may involve journaling, exercise, meditation and other forms of self-care. […] Individual psychotherapy: Psychotherapy (talk therapy) is a term for a variety of treatment techniques that aim to help a person identify and change unhealthy emotions, thoughts and behaviors. Therapy with a mental health professional can help you address medical conditions, mental health conditions or situations that may be contributing to a decrease in libido. […] Couples therapy: In couples therapy, you and your partner work with a mental health professional to improve the overall quality of your relationship, work on resolving underlying problems and learn how to increase intimacy and physical affection. This can help with issues related to libido. […] Sex therapy: Sex therapists are qualified psychologists, doctors or healthcare professionals who have specialized training in helping people with problems relating to sex, including a loss of sexual desire.
- #32 How to boost your libido: 10 natural methodshttps://www.medicalnewstoday.com/articles/323918
Good sleep can improve a person’s overall mood and energy levels, and some research also links sleep quality to libido. […] Following a nutritious diet can benefit people’s sex drive by promoting good circulation and heart health and removing specific foods that can decrease libido. […] Regular exercise can help libido in many ways. […] Therapy is an effective strategy for increasing low libido. Individual counseling can help address negative views about sex, self-esteem, and secondary causes of low libido, such as depression and anxiety. […] Various studies show that cognitive behavioral therapy (CBT) can also help to improve sexual dysfunctions. […] If a person is concerned about decreased libido, a doctor can offer advice and information about potential causes and treatments. […] Low libido is a complex issue with relationship, psychological, and physical components. Understanding the cause can help a person find the best treatment. […] While low libido, or a sudden shift in libido, can be a sign of a health condition, it is safest to talk with a doctor before trying libido boosters.
- #33 How to boost your libido: 10 natural methodshttps://www.medicalnewstoday.com/articles/323918
Good sleep can improve a person’s overall mood and energy levels, and some research also links sleep quality to libido. […] Following a nutritious diet can benefit people’s sex drive by promoting good circulation and heart health and removing specific foods that can decrease libido. […] Regular exercise can help libido in many ways. […] Therapy is an effective strategy for increasing low libido. Individual counseling can help address negative views about sex, self-esteem, and secondary causes of low libido, such as depression and anxiety. […] Various studies show that cognitive behavioral therapy (CBT) can also help to improve sexual dysfunctions. […] If a person is concerned about decreased libido, a doctor can offer advice and information about potential causes and treatments. […] Low libido is a complex issue with relationship, psychological, and physical components. Understanding the cause can help a person find the best treatment. […] While low libido, or a sudden shift in libido, can be a sign of a health condition, it is safest to talk with a doctor before trying libido boosters.
- #34 Exploring Sexual Health And Libido: Causes Of A Loss Of Sex Drive | BetterHelphttps://www.betterhelp.com/advice/general/loss-of-sex-drive-what-are-the-possible-causes-and-what-can-i-do/
Fluctuations and loss of sex drive can be common among most people, affecting roughly 20% of men (or AMAB people assigned male at birth) and nearly 50% of women (or AFAB people assigned female at birth). […] Loss of sex drive can include a decrease in desire for any sexual activity, including masturbation. Symptoms can also include a disinterest in thoughts of sex or sexual fantasies. […] If you experience concerns related to loss of sex drive, there are strategies that couples and individuals can use to help resolve them. […] Hormonal imbalances and changes may account for the loss of sex drive someone experiences. […] If stress can be contributing to the cause of sexual dysfunction, online therapy and medical intervention can be helpful to many. […] Various physical health conditions, including chronic pain, irritable bowel disease (IBD), thyroid disorders and diabetes can lead to a loss of sex drive or lowered sex drive.
- #35 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive?547f7fb0_page=2
Low libido (low sex drive) means you feel less interest in sex. Its common and can be short-term or last a while. […] But if it bothers you or affects your well-being, talk to a healthcare provider. […] The right treatment depends on whats causing your low sex drive. Several treatment options are available. Your provider may treat you directly, or refer you to a specialist, like: […] A sex therapist […] A psychologist […] A gynecologist […] A urologist […] An endocrinologist. […] Types of treatment for low libido include: […] Education and communication. Learning more about how sex and desire work can help reduce anxiety. Talking openly with your partner about your needs and any concerns can also help improve your sex life. […] Stress management. Managing stress can boost your mood and your sex drive. Helpful tools include journaling, exercise, meditation and self-care routines. […] Medication change. If your medication affects your sex drive, your healthcare provider may change your dose or recommend switching to a different one. […] Hormone therapy for menopause. If menopause is lowering your sex drive, hormone therapy (HT) may help. It can include estrogen or a mix of estrogen and progesterone/progestin hormone therapy (EPT). […] Treatment for hypoactive sexual arousal disorder. For women with hypoactive sexual arousal disorder who havent gone through menopause yet, there are two FDA-approved non-hormonal medications. Filbanserin (Addyi) is a pill you take every day. Bremelanotide (Vyleesi) is an injection you give yourself 45 minutes before you expect to have sex. Talk with your provider about the common side effects and whats best for your situation. […] Hormone therapy for low testosterone. For men with low testosterone, treatment may include testosterone replacement. This comes in different forms, like pills, patches, creams or shots. […] Individual psychotherapy. Talking with a therapist can help you work through thoughts, emotions or conditions like anxiety or depression that may affect your desire. […] Couples therapy. A therapist can help you and your partner improve communication, solve problems and rebuild intimacy. […] Sex therapy. Sex therapists specialize in helping people with sexual concerns, including low desire. They can offer support, education and practical advice. […] If your low sex drive is bothering you, talk to a healthcare provider or mental health expert. They can help you figure out whats going on and how to treat it.
- #36 Low sex drive in women – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
Couples who learn to talk in an open, honest way often keep up a stronger emotional connection. […] Schedule sex into your calendar. […] If you have genitourinary syndrome of menopause, these products may ease certain symptoms, such as vaginal dryness. […] Always talk with a healthcare professional before using them. […] Low sex drive can be challenging for you and your partner. […] It’s natural to feel frustrated or sad if you aren’t able to be as sexy and romantic as you want or used to be. […] If your healthcare professional doesn’t mention the subject, you can bring it up. […] What treatments are available?
- #37 Expert tips to boost your libido | Jean Haileshttps://www.jeanhailes.org.au/news/expert-tips-to-boost-your-libido
„Treatment may be as simple as a topical oestrogen for vaginal dryness if this causing the issue, or more involved, such as relationship or sexual counselling.” […] „Your libido levels are connected to your physical, mental and emotional health,” she says. „It’s difficult to feel a desire for sex when you’re exhausted, depressed or unwell.” […] „Most herbal medicines that are 'aphrodisiac’ actually treat your overall health, working to improve your physical and mental wellbeing rather than specifically increasing your sexual urge.” […] „Women should source their information about natural therapies from an accredited naturopath or herbalist.” […] „If you have low libido, and provided you are in a good relationship and usually enjoy sex, it’s okay to plan for intimacy because sometimes if you wait, you may never feel the desire.”
- #38 Low sex drive in women – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
Along with recommending counseling, your healthcare professional may prescribe a medicine to boost your libido. Options for women who have not yet reached menopause include: Flibanserin (Addyi). […] This condition might make sex not comfortable and, in turn, reduce your desire. Some hormone medicines that aim to relieve GSM symptoms could help make sex more comfortable. […] Estrogen comes in many forms. […] Testosterone plays a key role in female sexual function, even though testosterone level is much lower in women than in men. […] Talking about low sex drive with a healthcare professional can be hard for some people. […] Healthy lifestyle changes can make a big difference in your desire for sex: Regular aerobic exercise and strength training are great for you in general. […] Finding ways to cope with stress tied to work, money and daily hassles can enhance your sex drive.
- #39 Loss of female libido | healthdirecthttps://www.healthdirect.gov.au/loss-of-female-libido
Loss of libido is a reduction of interest or desire to have sex. […] You can see a doctor with an interest in women’s health or a counsellor for help. […] Treatment of low libido depends on the underlying cause. If there is a medical cause your doctor can suggest ways to manage it. […] Your doctor or a counsellor may also suggest some changes to your lifestyle or relationship. […] Talk to your doctor about medicines that might help. If you are perimenopausal or menopausal your doctor may suggest trying menopausal hormone therapy. […] Things to try that can help improve your libido include: sex education and counselling; lifestyle changes such as making sure you exercise, eat well and reduce alcohol or drug use. […] Having a healthy lifestyle, with good nutrition and enough sleep may help prevent loss of libido during menopause.
- #40 Sexual Health | The Menopause Societyhttps://menopause.org/patient-education/menopause-topics/sexual-health
Understanding these factors and sharing oneâs sexual concerns with a healthcare professional can improve desire and sexual satisfaction. An evaluation by a professional can help identify any underlying medical or psychological causes of low sexual desire. […] Many sexual problems can be successfully treated with prescription therapies. […] Some women with vaginal dryness or pain with sexual activity may benefit from prescription ET, either low doses applied directly to the vulva and vagina or higher doses taken systemically. […] The nonhormone oral medication ospemifene (a selective estrogen-receptor modulator) is approved to treat symptoms of genitourinary syndrome of menopause, thus alleviating vaginal dryness and pain associated with sexual activity. […] There is evidence that testosterone may help with low sexual desire in both perimenopausal and postmenopausal women. […] Treatment of a partnerâs sexual problems may be important to improving a womanâs sexual function and satisfaction.
- #41 Low sex drive in women – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
Couples who learn to talk in an open, honest way often keep up a stronger emotional connection. […] Schedule sex into your calendar. […] If you have genitourinary syndrome of menopause, these products may ease certain symptoms, such as vaginal dryness. […] Always talk with a healthcare professional before using them. […] Low sex drive can be challenging for you and your partner. […] It’s natural to feel frustrated or sad if you aren’t able to be as sexy and romantic as you want or used to be. […] If your healthcare professional doesn’t mention the subject, you can bring it up. […] What treatments are available?
- #42 Low Libido Treatment – Norman, OK: Ageless Restorationhttps://www.balancehormoneoklahoma.com/contents/men/low-libido-treatment
Aging, chronic illness, depression for men, all these conditions and more can result in sexual dysfunction, or low libido. Low libido is defined as a decrease in sex drive brought on by medical, emotional, or psychological issues, and while it is more commonplace than you might think (43 percent of women and 31 percent of men are affected by it), it can still be a difficult topic to discuss. […] However, when a medical condition negatively impacts the quality of your life and your relationships, its important to seek professional help to address it. […] In conclusion, yes, low libido is a serious condition. […] For men suffering from low libido brought about by low testosterone levels, there is hope: testosterone replacement therapy (TRT). […] TRT works to increase your testosterone levels, thus improving your sex drive. TRT comes in multiple forms, including: Gels, Injections, Implants, Troches.
- #43 Menopause Symptoms | Loss of Sex Drive | My Menopause Centrehttps://www.mymenopausecentre.com/symptoms/loss-of-sex-drive/
Loss of sex drive is extremely common, but not widely talked about. It is often linked to vaginal symptoms like dryness and irritation, mood changes and lower testosterone levels. […] If sex drive is an issue for you, we recommend speaking to a sex and relationship therapist. You might want to try either relationship therapy or psychosexual therapy, depending on the root of the loss of sex drive. […] Vaginal oestrogens can be brilliant for helping vaginal symptoms and are prescribed by doctors. When you put oestrogen directly into your vagina, your body only absorbs a tiny amount, but it can have a really positive effect on vaginal symptoms of the menopause. […] Hormonal Replacement Therapy isn’t just good for hot flushes, it can help improve your sex drive too. HRT can help with many menopause symptoms, so it’s worth reading about. […] There is evidence that it helps some women with desire and arousal. Unfortunately, there is no licensed testosterone preparation for women in the UK, but tiny amounts of male testosterone can be prescribed.
- #44 How Does Cancer Affect Sexual Desire in Men? | American Cancer Societyhttps://www.cancer.org/cancer/managing-cancer/side-effects/sexual-side-effects/treatment-and-desire-and-response.html
Talk with your doctor or cancer care team if your feelings are getting in the way of being intimate with a partner. […] Sometimes friends and partners withdraw when a person has cancer. This can be out of fear or uncertainty. It can help to talk with your partner about how each of you is feeling. […] Counseling and sex therapy may be good options. […] There are also health care professionals who can help you understand and manage the emotions that affect your sex life. Options include: Talking with a counselor or sex therapist. […] Sex therapy is psychotherapy or counseling that focuses on solving a sexual problem. […] Finding a well-qualified mental health professional is important.
- #45 Depression and Sexual Desire | AAFPhttps://www.aafp.org/pubs/afp/issues/2000/0815/p782.html
Testosterone testing and supplementation should be considered in women who experience a decline in libido after starting estrogen therapy. […] It is important to assess the patient for psychologic and interpersonal factors that commonly affect depression and sexual desire. […] Consistent evidence shows that, with the exception of bupropion (Wellbutrin), trazodone (Desyrel) and nefazodone (Serzone), antidepressant medications may cause a decline in libido or sexual functioning despite improvement of depression. […] When libido remains low after depression has been treated, the other issues discussed above should be considered. […] Several options exist for managing medication-induced sexual dysfunction. […] If treating the depression does not improve libido, other causes of sexual dysfunction should be considered, such as hormone deficiencies, chronic disease, drug and alcohol abuse, or use of other medications. […] Evidence supports several treatment options in patients who experience sexual dysfunction or decreased libido as a consequence of anti-depressant use. […] Addressing sexual desire when treating depression may improve compliance and overall outcome.
- #46 How to boost your libido: 10 natural methodshttps://www.medicalnewstoday.com/articles/323918
Libido, or sex drive, naturally varies between individuals. If people wish to boost their libido, they can try various effective natural methods including managing anxiety, taking herbal supplements, and more. […] Anxiety and stress can also make it more difficult for someone to get or maintain an erection, deterring a person from having sex. […] People can take several steps to manage their anxiety and boost their mental health, including: practicing good sleep hygiene, making time for a favorite hobby, exercising regularly, eating a nutritious diet, working to improve relationships, talking with a therapist. […] Focusing on improving the relationship can increase each partner’s sex drive. […] Having better sexual experiences may increase a person’s desire for sex, thereby boosting their libido.
- #47 Management of Libido Problems in Menopausehttps://pmc.ncbi.nlm.nih.gov/articles/PMC6220606/
Menopausal and postmenopausal women can experience decreases in both libido, orgasm, and frequency of coitus most commonly because of physiologic changes due to menopause, less commonly due to depression or marital discord. […] Estrogen, with or without androgen, can ameliorate the physiologic changes of menopause affecting sexuality. […] Depression can be treated with psychotherapy, with or without antidepressant drugs. […] Marital discord is best treated with couples therapy. […] The marital difficulties can either be the cause or the consequence of changes in sexual activity. […] In the latter case the marital discord resolves with the return of regular coital activity. […] Medication and illness in the postmenopausal years can affect sexuality and can complicate existing physiologic changes associated with menopause.
- #48 Management of Libido Problems in Menopausehttps://pmc.ncbi.nlm.nih.gov/articles/PMC6220606/
Menopausal and postmenopausal women can experience decreases in both libido, orgasm, and frequency of coitus most commonly because of physiologic changes due to menopause, less commonly due to depression or marital discord. […] Estrogen, with or without androgen, can ameliorate the physiologic changes of menopause affecting sexuality. […] Depression can be treated with psychotherapy, with or without antidepressant drugs. […] Marital discord is best treated with couples therapy. […] The marital difficulties can either be the cause or the consequence of changes in sexual activity. […] In the latter case the marital discord resolves with the return of regular coital activity. […] Medication and illness in the postmenopausal years can affect sexuality and can complicate existing physiologic changes associated with menopause.
- #49 Loss of Libido | OncoLinkhttps://www.oncolink.org/support/sexuality-fertility/sexuality/loss-of-libido
Libido is your desire for sex or sexual drive. Loss of libido is when you have a less than normal sex drive for you. It is common to have loss of libido while getting cancer treatment. […] Managing loss of libido depends on what is causing it. Some things that might help if you are having loss of libido are: Be intimate without the pressure to have sex. You can hold hands, talk, massage, and kiss. Talk openly with your partner. Limit alcohol. Exercise regularly, if you can. Exercise increases blood flow, energy, and endorphins. Do not smoke. Cigarette smoking reduces blood flow throughout the body. Rest and avoid heavy meals before sexual activity to help with fatigue. […] Your care provider may also prescribe medications to help. Do not take medication to improve your libido without talking to your provider because this could have an impact on certain types of cancer or cancer treatment. […] If you or your partner is upset by loss of libido, talk to your care provider. It can be hard to discuss sexuality, but your providers are here to help!
- #50 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive
See your healthcare provider if low sex drive is hurting your well-being or your relationship. They can suggest changes in your daily habits, offer support for your relationship, check for health issues or side effects from medications, help you find the right treatment. […] Whatever youre feeling, if youre distressed about your libido, talking with a healthcare provider or mental health professional can be a helpful first step toward feeling better.
- #51 Low Libido (Low Sex Drive) Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/15216-low-libido-low-sex-drive
See your healthcare provider if low sex drive is hurting your well-being or your relationship. They can suggest changes in your daily habits, offer support for your relationship, check for health issues or side effects from medications, help you find the right treatment. […] Whatever youre feeling, if youre distressed about your libido, talking with a healthcare provider or mental health professional can be a helpful first step toward feeling better.
- #52 Low sex drive in women – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561
If low sex desire concerns you, talk with your gynecologist or another member of your healthcare team. […] Your healthcare professional can look for reasons that your sex drive isn’t as high as you’d like. […] Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling, and sometimes medicine and hormone therapy. […] Talking with a sex therapist or counselor skilled in addressing sexual concerns can help with low sex drive. […] Your healthcare professional reviews any medicines you take. The review is done to see if any of the medicines tend to cause sexual side effects. […] If your antidepressant might be the cause of your low sex drive, your healthcare professional may recommend that you: Wait to see if your sex drive improves.
- #53 Management of Libido Problems in Menopausehttps://pmc.ncbi.nlm.nih.gov/articles/PMC6220606/
For depression or anxiety disorders to be the cause of decrease in libido, onset of the psychiatric illness must be established and correlated with the onset of sexual symptoms. […] Evaluation for problems of libido requires in-depth evaluation for depression and anxiety as well as for marital discord. […] The ideal treatment for women in midlife is complete evaluation of the factors affecting sexuality and use of a combined treatment approach to ameliorate these factors.
- #54 Can low libido be treated? – Mayo Clinic Presshttps://mcpress.mayoclinic.org/women-health/treatment-for-low-libido/
Speaking of those side effects, Avlimil has been linked to the growth of some breast cancers. Zestra might cause a burning sensation in the genital area. That’s why it really is best to start with your healthcare provider, rather than going the do-it-yourself route. […] Your sexual quality of life and sexual health, including libido, are important components of your overall well-being. These are things you can and should discuss with your healthcare provider. But raising the topic of sexual desire during an appointment might feel scary, awkward, uncomfortable and easier to just avoid. […] But sexual problems like low libido may not go away if you don’t address them. Ignoring your concerns over a lack of desire to have sex or think about sex can negatively impact your emotional health and your relationships. […] With 4 in 10 women experiencing problems with sex at some point, you aren’t alone. Your healthcare team is a great place to start addressing these problems. They may refer you to a health professional who specializes in sexual health concerns.
- #55 Can low libido be treated? – Mayo Clinic Presshttps://mcpress.mayoclinic.org/women-health/treatment-for-low-libido/
Speaking of those side effects, Avlimil has been linked to the growth of some breast cancers. Zestra might cause a burning sensation in the genital area. That’s why it really is best to start with your healthcare provider, rather than going the do-it-yourself route. […] Your sexual quality of life and sexual health, including libido, are important components of your overall well-being. These are things you can and should discuss with your healthcare provider. But raising the topic of sexual desire during an appointment might feel scary, awkward, uncomfortable and easier to just avoid. […] But sexual problems like low libido may not go away if you don’t address them. Ignoring your concerns over a lack of desire to have sex or think about sex can negatively impact your emotional health and your relationships. […] With 4 in 10 women experiencing problems with sex at some point, you aren’t alone. Your healthcare team is a great place to start addressing these problems. They may refer you to a health professional who specializes in sexual health concerns.