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Medical Issues that Cause Problems With Libido

Low libido may just be a little slump, not really a big deal if it is short term, and not bothersome to you. The medical definition of a disorder is that it has to be bothersome to you.

If you libido is bothersome to your spouse, but not you; that is a relationship issue, and the cure is approached differently.

Most gynos would argue that low libido is a reason to see a health provider who has training in evaluation, which many gynos do.

Low libido can be a source of other medical conditions, as there are a number of significant medical issues that actually can first manifest in the bedroom: depression being one of the most common! So the cure, again, is not as much about sexuality function or desire as facing the solution to depression.

Low libido has also been termed medically HSDD (hypoactive sexual desire disorder), several terms are now used in an overlapping way. They are all under FSD (female sexual dysfunction).

Libido is not necessarily consistent, and to have a medical diagnosis HSDD these feelings have to be persistent, over three months.

Physicians make the diagnosis of HSDD in a number of ways, and one way to determine if you have this your gyno may want to actually administer a test called an FSFI and assign you a score.

Medications, transient illnesses such as viral illnesses, and social stresses can affect today’s sex drive, and don’t necessarily amount to HSDD, nor need treatment.

Female sexual dysfunction is complicated and understanding if your anatomy, your pelvic nerve function, your hormone levels, your pelvic blood flow, and your breasts are responding correctly can be the start of understanding a cure.

Often treating pain of intercourse, or lack of orgasms is the first step to getting your desire back. But these are the main reasons to see the doctor with libido changes:

1. Pain with intercourse

2. Bleeding with intercourse

3. Sex aversion

4. Changes or decrease in orgasms

5. Complete absence of libido over a couple of months of time

6. If a chronic medication use is going to interfere with sexuality so that you can come up with a plan

At Women’s Health Practice we have Emsella, ThermiVa, MonaLisa Touch therapies as options for treatment as well as hormonal management with traditional or BioTE therapy.


Suzanne Trupin, MD, Board Certified Obstetrician and Gynecologist and owner of Women's Health Practice, Hada Cosmetic Medicine, and Hatha Yoga and Fitness

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