Low Libido
A more thoughtful, personalized approach to low sexual desire — for patients who want real answers around hormones, stress, medications, health changes, and the deeper patterns affecting intimacy and desire.
Low libido is common. A generic answer is not enough.
Desire changes can happen for many reasons. For some patients, the bigger issue is hormonal. For others, it is tied to fatigue, stress, medications, pain, body image, mood, relationship strain, or the broader experience of intimacy.
A strong evaluation helps sort out what is actually driving the change so treatment feels tailored instead of overly simplistic.
When physiology shifts desire
Testosterone changes, menopause-related changes, and other endocrine factors may influence libido in some patients.
Stress and mood matter
Anxiety, burnout, depression, and chronic stress can change desire in ways that feel sudden or cumulative.
Some treatments affect sex drive
Certain medications can contribute to lower sexual interest, which is why medication review matters during evaluation.
Context changes response
Relationship dynamics, sexual pain, body image changes, and unresolved stress can all shape sexual desire.
Desire should be evaluated in context, not in isolation.
Low libido is rarely just one thing. The most useful workup looks at sexual history, emotional health, physical symptoms, relationship context, medications, hormones, sleep, pain, and overall well-being.
Treatment may include hormone-focused care, medication adjustments, counseling support, stress and sleep support, treatment for painful sex or other sexual dysfunction, and a broader sexual wellness plan based on what is actually driving the change.
Clearer diagnosis. More tailored next steps.
- Detailed symptom and sexual history
- Review of stress, mood, and relationship context
- Medication and supplement review
- Hormone and lab testing when appropriate
- Assessment of pain, arousal, and orgasm changes
- Personalized discussion of treatment options
Depending on the cause, treatment may involve hormone-focused care, medication adjustments, psychotherapy or sex therapy, lifestyle changes, treatment for pain or other sexual dysfunction, and a more comprehensive sexual wellness plan.
The goal is to understand why desire changed and what is most likely to help.
Frequently asked questions
Low libido can be linked to hormones, stress, depression, anxiety, medications, chronic illness, relationship strain, sexual pain, and other sexual health concerns.
No. Hormones can matter, but emotional health, medications, stress, relationship issues, sleep, pain, and chronic medical conditions can all contribute.
Yes. Low libido can affect people of all genders and may show up differently depending on life stage, hormones, stress, and overall health.
Treatment depends on the cause. It may include hormone therapy, medication review, counseling, lifestyle changes, treatment for pain or other sexual dysfunction, or a combination approach.
If reduced desire is persistent, distressing, affecting your relationship, or paired with hormone, arousal, pain, or mood changes, it is worth getting evaluated.
Ready for a more personalized conversation?
If you are experiencing low libido in Los Angeles and want a more thoughtful evaluation, request a consultation with Joshua R. Gonzalez, MD.