Low sexual desire — clinically termed Hypoactive Sexual Desire Disorder when it causes distress — affects roughly 1 in 3 women at some point. Common life stages include postpartum, breastfeeding, perimenopause, and after high-stress periods. Many women accept it as normal, but identifiable and treatable causes are usually present.

The most frequent contributors: declining estrogen and testosterone (especially around menopause), chronic stress and fatigue, relationship dynamics, depression and certain antidepressants (particularly SSRIs), painful sex from vaginal dryness or pelvic muscle tension, body image concerns, and thyroid dysfunction. Often more than one factor is in play, which is why a one-dimensional approach rarely works.

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At THE FIT CLINIC the assessment is comprehensive: hormonal panel, thyroid evaluation, pelvic examination for atrophy or pelvic floor dysfunction, and an open conversation about what has changed. Treatment is then layered — addressing painful sex first if present (MonaLisa Touch for vaginal atrophy, pelvic floor physiotherapy for muscle tension), considering hormone replacement including low-dose testosterone for selected women, reviewing medications that may be contributing, and counselling when relationship or psychological factors are central. Recovering desire is possible — and the right starting point is honest evaluation rather than acceptance.