Lost interest in sex? Here's what may be behind it
A drop in sexual desire is common, and it is rarely about just one thing. Hormones, medications, sleep, stress, relationships, and general health all play a part. We look at the whole picture with you, privately and without judgment.
What might be going on
Desire and sexual function depend on hormones, blood flow, nerves, mood, and relationships. When one changes, the others can follow.
- Hormone shifts: lower testosterone in men, or falling estrogen in perimenopause and menopause, which can also cause vaginal dryness
- Medications, including some antidepressants and blood pressure medicines
- Diabetes, heart disease, or obesity; erection problems can also signal heart disease risk
- Stress, poor sleep, low mood, anxiety, or strain in a relationship
How we evaluate it
Dr. Chander starts with a private conversation about your symptoms, history, medications, and relationship. When it fits, we order labs: morning testosterone and related markers for men; estradiol, progesterone, testosterone, thyroid, and metabolic markers for women. We also review sleep, mood, and heart risk.
Treatments we offer
Treatment depends on the evaluation and is not always hormonal. Some preparations are compounded by licensed pharmacies, and compounded medications are not FDA-approved. Options may include:
- Testosterone Therapy for Men — an option when low desire comes with other symptoms and repeat morning labs confirm low testosterone
- Hormone Therapy for Women — estrogen and progesterone for menopausal symptoms; testosterone is sometimes considered for postmenopausal low desire, though no testosterone product is FDA-approved for women
- Hormone Pellet Therapy — long-acting testosterone or estrogen pellets for patients who prefer not to dose daily
When to see your doctor first
Call 911 for chest pain, trouble breathing, fainting, or sudden weakness, confusion, or trouble speaking.
See your primary care doctor or a urologist first for new erection problems, which can signal an underlying health condition. A testicular or breast lump also needs evaluation. Women should see a doctor for unexplained vaginal bleeding, including any after menopause. If low mood or hopelessness is part of this, call or text 988.
When you're ready, book a Complimentary Consultation. The conversation is private and unhurried, and Dr. Chander will tell you plainly if you should be seen elsewhere first.
Treatments we offer for this concern
Each has its own guide: how it works, who it is for, and what the evidence shows.
Testosterone Therapy for Men
Testosterone replacement, HCG, and enclomiphene — labs first, then the delivery method that fits your life.
Learn more →Hormone Therapy for Women
Estrogen, progesterone, and testosterone for perimenopause, menopause, and beyond — in the form you prefer.
Learn more →Hormone Pellet Therapy
Long-acting testosterone and estrogen pellets placed under the skin — steady levels for months at a time.
Learn more →Common questions
Is low libido always a hormone problem?
No. Medications, stress, sleep, mood, health conditions, and relationships all matter, so we evaluate the whole picture first.
Can women take testosterone?
Sometimes. Expert consensus supports considering it only for postmenopausal women with distressing low desire, with careful dosing and monitoring. No testosterone product is FDA-approved for women, so prescribing is off-label.
Is my visit private?
Yes. You meet with a physician in a private room, and your clinical information is kept in our secure medical-record system. Please don't send medical details through the website.
Let's figure out what's behind it.
Book a complimentary consultation — we'll review your symptoms and history and map out the right next step, even if that step is a referral.
THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.