Periwell
Category: GenitourinaryClinical Profile

Reduced Libido

A profound drop in sexual desire, arousal, and enjoyment.

Biological Mechanism

Libido is complex, driven by bio-psycho-social factors. Biologically, the decline in testosterone and estrogen blunts spontaneous desire, dulls tactile sensation, and reduces blood flow to the clitoris. Psychologically, anxiety, fatigue, and dyspareunia (painful sex) extinguish the desire for intimacy.

Common Misdiagnoses

Relationship issues, Depression

Evidence-Based Treatments

  • 01Testosterone therapy

    Specifically indicated for Hypoactive Sexual Desire Disorder in postmenopausal women.

  • 02Vaginal estrogen

    Removes the pain component of intercourse.