What Causes Low Libido—And What You Can Do About It

It’s not just in your head—and you’re not alone. At some point in life, nearly every woman experiences a shift in sexual desire. Whether it’s a sudden drop or a slow fade, low libido can feel confusing, frustrating, or even isolating.

But here’s the truth: libido is complex, and there are many completely valid reasons why yours might change. And just as importantly—there are ways to address it.

Let’s break down what causes low libido and how Harlem GYN can help you feel more like yourself again.

Common Causes of Low Libido in Women

1. Hormonal Changes

Estrogen, testosterone, and progesterone all play a role in your desire and arousal. During perimenopause, menopause, postpartum, or after stopping hormonal birth control, those levels can shift—and so can your sex drive.

2. Stress and Mental Health

Your brain is your biggest sex organ. If you’re dealing with anxiety, depression, or even just chronic stress, desire can take a backseat. Sleep deprivation, burnout, and multitasking also weigh heavily on libido.

3. Relationship Dynamics

Intimacy is about connection. Unresolved conflicts, lack of communication, or emotional distance can affect how much you want to be physically close.

4. Medical Conditions and Medications

Certain conditions like thyroid disorders, diabetes, or chronic pain can impact sexual desire. Medications such as antidepressants or blood pressure meds may also play a role.

5. Vaginal Discomfort or Dryness

When sex becomes physically uncomfortable—due to dryness, trauma, or changes after childbirth—it’s no surprise that desire diminishes. Many women silently endure these changes, but you don’t have to.

What You Can Do About It

At Harlem GYN, we approach low libido with compassion, curiosity, and comprehensive care. Here are a few ways we can help:

✔️ Talk About It—Openly and Without Shame

Your concerns are valid. We take time to understand your full health picture: emotional, hormonal, relational, and physical.

✔️ Hormonal Evaluation

Through labs and symptom tracking, we can determine if hormonal shifts are at play and explore treatment options—whether that’s hormone therapy or more natural support.

✔️ Address Physical Discomfort

We offer non-surgical vaginal rejuvenation like Votiva, which helps restore moisture, elasticity, and sensation—without hormones or downtime.

✔️ Refer for Mental or Relationship Support

We collaborate with trusted mental health and relationship experts who can support you in the emotional aspects of intimacy and desire.

Low libido doesn’t mean something’s wrong with you.

It means your body, mind, or heart may be asking for more attention, support, or rest. We’re here to help you reconnect—with yourself and your sense of desire—on your terms.

Want to talk about what you're experiencing? Book a private, judgment-free visit with Harlem GYN and let’s start the conversation together.