Decreased libido, or lowered sex drive, refers to a reduction in desire for or interest in sexual activity. Potential causes are complex and diverse. Common culprits include:
Hormonal changes - Fluctuations in testosterone, estrogen, prolactin and other hormones often affect libido. Perimenopause, postpartum recovery, and disruptions to reproductive health can trigger hormone shifts.
Medications - Antidepressants, blood pressure drugs, benzodiazepines, and other medications are frequent libido dampeners. The mechanisms behind drug-induced desire changes are complicated.
Psychological issues - Stress, anxiety, depression, trauma, body image concerns, relationship problems, and other mental health conditions routinely suppress arousal and drive. Talk therapy can illuminate connections.
Physical health - Chronic illness, mobility limitations, pain disorders, sleep disturbances, obesity, and poor nutrition status also inhibit sexuality. Optimizing health and wellness habits tends to support desire.
Low testosterone specifically reduces sexual fantasies and activity in men especially. But assessing testosterone levels and weighing hormone therapy merit an informed discussion with a doctor.
In many cases, a combination of factors perpetuates low libido - biological, psychological, interpersonal. Pinpointing those factors takes patience, self-reflection, open communication, and perhaps counseling.
If decreased desire persists despite lifestyle changes, consult a doctor or sex therapist. They can uncover potential causes, provide education, and suggest holistic symptom relief strategies. With insight and support, reviving your sex drive is very possible.