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Low Sexual Desire

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When your desire to finish laundry trumps the desire for sex 

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Causes

  • Medications like antidepressants, especially SSRIs like Prozac, Paxil, and Lexapro, are huge culprits. Anti-anxiety and sleep medications like Valium, Xanax, and Ativan can also tank your desire.

  • Low testosterone - due to the menopausal transition.

  • Exhaustion is a major contributor here; sex is not always the first thing on the mind after a long day of work or taking care of the kids...or both. 

  • Lack of sleep.  

  • STRESS.  

  • Relationship issues play a big role. Problems communicating = trouble in the bedroom. 

  • Illness or recovery from surgery.

  • Pain or dryness with sex can affect desire for sex. 

  • Thyroid disorder.

  • Depression/anxiety/poor body image.

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The Pill and Low T

Most birth control pills contain the female hormones estrogen and progestin. Many pills lower your testosterone. That’s the hormone that makes you want to have sex. You probably think of testosterone as a guy hormone. Women have it, too, just not as much. Most women who take the pill still make enough testosterone to have a healthy love life. But if you’re low to begin with, your sex drive could take a hit.

 

 

Treatment

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LIFESTYLE

  • Sleep - 8 hours a night. 

  • Choose Dark Chocolate - which is an excellent source of bioflavonoids, and supports the circulatory system, allowing for engorgement of sexual organs, arousal, and lubrication.

  • Stress reduction - pour some Dr. Teal's Epsom salt in a hot bath and RELAX.

  • Hydration.

  • Exercise - take a walk, get out, see some nature, and turn off your technology. 

  • Have a date night once in a while; that's right, you heard me, doctor's orders. 

  • Acupuncture - it can't hurt, well, maybe it can hurt a little. 

  • Couples therapy.

  • Sex therapy. Rachel Wright provides sex therapy for couples.

  • Be-Fore play - get yourself in the mood before your partner is even in the bedroom. Read something that turns you on, watch something that turns you on, self-stimulate. Build up desire before you are with your partner. That way, you are both ready to go. 

  • Have sex when you are not totally exhausted.

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HERBS

  • Maca from the native Peruvian maca root plant has been used for centuries to enhance fertility and sex drive.  

  • Korean red ginseng (KRG) may encourage blood flow to your genitals, which might improve arousal, orgasm, and vaginal health. 

  • Red clover may help with vaginal health, libido, and sexual function. 

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LUBRICATION

-Available online. You do NOT need a prescription.​

  • Wet Platinum Premium Lubricant: A silicone-based lubricant with minimal chemical additives. Be aware that silicone-based lubricants will stain sheets.

  • Überlube Luxury Lubricant: Silicone-based lubricant with Vitamin E.

  • Organic Glide: Oil-based lubricant made with olive fruit oil, argania kernel oil, and resveratrol ferment extract. Very popular with my patients because it lasts a long time and works well.

  • Good Clean Love: This vegan-friendly water-based lubricant is free of parabens.

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MEDICATION

  • Vaginal DHEA: Nature’s Naturopathic ReNewed Vaginal Suppositories.

  • Intrarosa: A prescription vaginal DHEA used in women after menopause to treat moderate to severe pain during sexual intercourse caused by changes in and around the vagina that happen with menopause.

  • Bupropion.

  • ADDYI: Indicated for the treatment of premenopausal women with acquired, generalized hypoactive sexual desire disorder (HSDD). 

  • Vyleesi: Injection treatment for premenopausal women with hypoactive sexual desire disorder (HSDD).

  • Oxytocin: Regulates the arousal level of our nervous system.

  • FSC Cream/Scream Cream/Screaming O Cream. 

  • DIM Detox: Frees up bound testosterone and optimizes estrogen balance.

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MACHINES 

  • Clitoral stimulators - try the Satisfyer or the Womanizer. Both are available on Amazon, very popular on social media. These can be very helpful. 

  • Vibrator --- applied to the clitoris, labia, and vagina.

  • Vaginal dilators.

  • Clitoris Vacuum Therapy. The Eros Device FDA-approved treatment for women’s sexual arousal and orgasmic disorders. It is a small, hand-held device that can be used by the patient at home with or without her partner. It works by applying a gentle vacuum to the clitoris, restoring blood flow to the genital area. Repeated use may improve or restore natural sexual response. The Eros is available by prescription only. 

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