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Decreased Sexual Desire

Decreased sexual desire in women, also known as Hypoactive Sexual Desire Disorder, is a condition marked by a persistent lack of interest in sex that causes you distress or impacts your quality of life. Although a woman’s sexual desire will fluctuate naturally over the years, due to age and relationship status and other factors, when the problem causes significant stress or distress you should seek treatment from the medical experts at Skyline Urology to see if we can help.

Decreased sexual desire should not be confused with a similar condition known as Female Sexual Arousal Disorder, which refers to a persistent inability to become aroused sexually in spite of adequate physical stimulation. Women with decreased sexual desire may in fact be able to become aroused if they engage in sex, but lack any interest in doing so.


These symptoms are a strong indication that you may suffer from Hypoactive Sexual Desire Disorder, or Decreased Sexual Desire:

  • Feels no desire for any kind of sexual activity, including masturbation
  • Engages in sexual fantasy seldom, if ever
  • Has shown a marked decrease in sexual desire from a previous level of desire
  • Feels distressed and unhappy with low sex drive

It is important to note that if this condition does not cause you distress, and similarly does not negatively impact your life or your relationships in any significant way, this may not be an issue that needs treatment. There is no consensus from medical professionals on what a “normal” sex drive should be, so your feelings on your sexual desire are an important indicator that this is a problem which needs to be resolved.


There are a myriad of factors which impact a woman’s desire to have sex – a complex interaction between hormonal levels, physical well-being, emotional health, and relationship issues.

Some of the physical causes of decreased sexual desire could include:

  • Sexual dysfunctions such as painful intercourse or orgasmic disorder
  • Diseases of many kinds including heart disease, diabetes, and neurological issues
  • Medications, especially those for depression and anxiety
  • Surgery, particularly for urological or breast issues
  • Drug and alcohol abuse
  • Fatigue or insomnia
  • Hormonal changes due to menopause or pregnancy

There are many psychological causes for decreased sexual desire as well, including:

  • Mental health problems, such as anxiety or depression
  • Stress, such as financial stress or work stress
  • Poor body image
  • Low self-esteem
  • History of physical or sexual abuse
  • Poor communication of sexual needs and preferences
  • Relationship issues, or conflict with sexual partner

Evaluation and Diagnosis:

Our Skyline Urology Women’s Health experts employ the latest diagnostic and clinical expertise to diagnose and treat your sexual and reproductive concerns, and we will work closely with you to help you achieve a level of sexual desire which is satisfactory to you.

Your physician will likely begin with a thorough physical examination, including a pelvic exam, to rule out urological disease and other issues. They may also order diagnostic tests such as blood tests, ultrasound, or CT scans if physical causes or disease are suspected to play a part in your condition. There will be a detailed evaluation of your current medications, as well as psychological issues and sexual history, determine the factors influencing your condition.


If your decreased sexual desire is caused by disease or a treatable physical condition, your Skyline Urology expert will work to eliminate that cause using cutting edge treatment modalities and therapies.

If you are suffering due to hormonal issues, hormone therapy may be introduced through topical creams or ingested medication. Medications which may be impacting your sex drive could be substituted for others without sexual side effects.

If you will benefit from a specialist such as a specialized counselor or sex therapist, your Women’s Health team will help you connect with the psychological support which will help you.