Brief Answer:
We need to find the cause first.

Detailed Answer:
Hi,

I can understand your concerns.

A woman's desire for sex is based on a complex interaction of many components affecting intimacy, including physical well-being, emotional well-being, experiences, beliefs, lifestyle and current relationship. If you're experiencing a problem in any of these areas, it can affect your sexual desire.

A wide range of illnesses, physical changes and medications can cause a low sex drive, including:

Sexual problems. If you experience pain during sex or an inability to orgasm, it can hamper your desire for sex.

Do you have pain?
Medical diseases. Numerous nonsexual diseases can also affect desire for sex, including arthritis, cancer, diabetes, high blood pressure, coronary artery disease and neurological diseases.

Do you have any disease?

Medications. Many prescription medications — including some antidepressants and anti-seizure medications — are notorious libido killers.

Are you taking any meds?

Lifestyle habits. A glass of wine may make you feel amorous, but too much alcohol can spoil your sex drive; the same is true of street drugs. And smoking decreases blood flow, which may dampen arousal.

Do you have any such habits ?
Surgery. Any surgery related to your breasts or your genital tract can affect your body image, sexual function and desire for sex.

Have you had any surgeries?

Fatigue. Exhaustion from caring for young children or aging parents can contribute to low sex drive. Fatigue from illness or surgery also can play a role in a low sex drive.

do you have fatigue?


Hormone changes

Changes in your hormone levels may alter your desire for sex. This can occur during:

Menopause. Estrogen levels drop during the transition to menopause. This can cause decreased interest in sex and dryer vaginal tissues, resulting in painful or uncomfortable sex.

At the same time, women may also experience a decrease in testosterone — a hormone that boosts sex drive in men and women alike —which may lead to decreased libido. Although many women continue to have satisfying sex during menopause and beyond, some women experience a lagging libido during this hormonal change.

Are you on hormone therapy after menopause ?


Psychological causes

Your problems don't have to be physical or biological to be real. There are many psychological causes of low sex drive, including:

Mental health problems, such as anxiety or depression
Stress, such as financial stress or work stress
Poor body image
Low self-esteem
History of physical or sexual abuse
Previous negative sexual experiences
Relationship issues

For many women, emotional closeness is an essential prelude to sexual intimacy. So problems in your relationship can be a major factor in low sex drive. Decreased interest in sex is often a result of ongoing issues, such as:

Lack of connection with your partner
Unresolved conflicts or fights
Poor communication of sexual needs and preferences
Infidelity or breach of trust

DO YOU HAVE ANY OF THESE?

First i need to know the cause and then i will be able to help you better.

Regards,

Dr Som MD

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