Causes of low libido in women


Lack of interest in sex, low or absent sex drive (a.k.a. libido) may affect any individual and is the most common sexual complaint in women or vulva owners.  Low libido is formally referred to as Hypoactive Sexual Desire Disorder (HSDD).  HSDD can have multiple causes including physical, psychological, hormonal, and lifestyle factors.

Here are some common causes of low libido:


Fluctuations in hormone levels, particularly estrogen and testosterone, affect sexual desire.  Pregnancy, breastfeeding, and menopause may contribute to low libido due to hormone fluctuations in estrogen. Conditions such as Polycystic Ovary Syndrome (PCOS) can cause hormonal fluctuations, contributing to low libido.  Low testosterone, especially in men is a common cause of low libido. 


Certain medications may decrease libido as a side effect. Selective serotonin reuptake inhibitors – which are the most common type of antidepressants- are notorious for decreasing sexual desire.  Additionally, some blood pressure medications and some birth control pills may cause a decrease in libido as a side effect. 

Psychological factors: 

Mental health issues such as depression, anxiety, stress, & relationship problems can significantly impact sex drive. Poor body image, low self-esteem, history of sexual trauma, cultural or religious beliefs can also negatively impact sexual desire. 


Exhaustion from physical or emotional stress or sleep deprivation may lead to chronic fatigue – which can diminish sexual desire. 

Medical conditions: 

Multiple chronic medical conditions can reduce sexual desire including but not limited to diabetes, hypothyroidism, cardiovascular disease, cancer, and chronic pain. 

Lifestyle factors: 

Unhealthy lifestyle habits such as excessive alcohol use, smoking, and drug abuse can decrease sex drive.

Every individual is unique, and the causes of low libido can vary. If you are experiencing persistent, distressing low libido, Down There Urology specialists can help you. Schedule your consultation today and make the first step towards better sexual wellness.

Share this post: