Low Sexual Drive in Women: Causes, Symptoms, Treatment Options in India

Low Sexual Drive Treatment: Sexologist in Patna, Bihar | Dr. Sunil Dubey

If you are a woman experiencing difficulties in your personal or marital life due to health-related issues affecting your sexual desire, there is no need to worry. Located in Patna, Bihar, 'Dubey Clinic' is a medically registered (00532), ISO-certified, and well-equipped sexual health clinic. This sexology clinic helps address sexual health concerns that may be impacting your sexual desire (libido) due to underlying health issues. With a long-standing presence in the field of sexology, the clinic has been serving individuals across India who require personalized care, expert guidance, and comprehensive treatment for their sexual health concerns.

World-renowned Ayurvedacharya Dr. Sunil Dubey is a licensed Ayurvedic physician with expertise in sexual healthcare, medical treatment, counseling, and therapy. He serves as the Director of 'Dubey Clinic,' where a team of sexual health specialists works collaboratively to assist patients. He is dedicated to supporting individuals and couples who seek comprehensive sexual therapy, personalized counseling, and professional care to overcome their sexual health concerns. Dr. Dubey is a well-known sexologist in India, having been honored with the 'Bharat Gaurav Award,' the 'International Ayurveda Ratna Award,' and a 'Gold Medal' for his contributions to the field. He possesses extensive, long-standing experience in this domain, which he applies in his practice at the clinic.

If you are reading this information right now, you are gaining detailed insight into issues related to sexual health. In today’s session, we will discuss a lack of sexual desire (low sexual drive) in women—a sexual health concern that many people in India are grappling with. All the information provided has been verified by us; however, for your own safety, you should always exercise your own judgment before engaging in self-medication or consulting a specialist sexologist.

What is Low Sexual Drive in Women?

In the terminology of sexology, a lack of libido or a diminished sexual desire in women is referred to as 'Hypoactive Sexual Desire Disorder' (HSDD). This relates to the first phase of the sexual response cycle—a stage characterized by an individual’s desire for sexual activity, engagement in sexual fantasies, and a drive toward reproductive-related function. When women experience a lack of libido, they find it difficult to develop an interest in sexual activities, thoughts, or fantasies. In such a state, they typically have little to no interest in sexual activity and show no inclination to participate in sexual acts—neither for their own personal satisfaction nor within the context of their relationship.

From an individual’s perspective, it is common for women to experience changes in their sexual desire throughout their lives. Some women naturally have a lower level of sexual desire, which does not necessarily indicate a medical issue. In fact, it becomes a cause for concern only when this low sexual desire leads to mental distress, affects a woman’s relationships, or causes her personal unhappiness. Since a low level of sexual desire can persist for a long time, it may also have a negative impact on a woman’s mental health and overall quality of life.

In such a situation, it is important to rule out any physical, hormonal, medical, psychological, or lifestyle-related issues that may directly or indirectly affecting a woman's sexual desire (libido). Therefore, seeking medical advice is a good option for addressing this sexual health-related issue in women. Let us explore all the symptoms and causes that lead women to face difficulties related to libido disorder.

Symptoms of Sexual Desire Disorder (HSDD)

In essence, low libido—or issues related to sexual desire—means that a woman’s sexual interest falls below her typical level. This sexual health concern can affect women at any age, and the symptoms can vary from person to person. That said, there are certain common symptoms that many women report. Women may experience this issue in different ways. Here, we will explore these common and other signs that can help a woman identify this issue related to the sexual response cycle.

Common Symptoms

- Decrease in Sexual Interest (Most of Time)
- Fewer Sexual Thoughts or Fantasy (Most of Time)
- Less Desire for initiating Sexual Activity
- Less Interest to intimate touch or fondling
- Reduced Desire for Intimacy
- Difficulty Experiencing Desire
- Emotional and Personal Distress
- No Interest in Discussion on Sexuality

In Patna, our expert sexologist, Dr. Sunil Dubey, notes that in such a situation of low sexual drive, a woman may rarely feel any interest in sexual activity, thoughts, or discussions. Her sexual fantasies may have become entirely detached from her current state of mind. She does not initiate any sexual activity with her male partner, nor does she become aroused by caressing, touching, or fondling. Since her internal state does not prompt her to participate in sexual activity, she does not create opportunities for it. As a result of this persistent situation, she may feel worried, frustrated, or distressed by her diminished sexual desire.

Other Symptoms

Beyond the common symptoms of a lack of sexual desire in women, there may be other signs associated with this sexual health issue. This condition can arise due to factors such as daily lifestyle, fatigue, health issues related to the menstrual cycle, or other sexual health-related concerns. In such cases, women may find it difficult to feel any desire for sexual activity. Let us explore some of the other symptoms linked to this sexual health issue in women.

- Vaginal dryness or pain during intercourse (Dyspareunia)
- Feeling low energy or fatigue due to overwork
- Mood changes, anxiety, and sadness due to family or finances
- Irregular menstruation cycle (periods) or hormonal changes
- Lack of quality sleep or poor sleep pattern

It is important to note that sexual desire naturally fluctuates based on factors such as age, stress, hormones, and life circumstances. For some women, the desire for sexual activity arises spontaneously, while for others, it emerges only after engaging in affectionate or pleasurable activities. If a lack of sexual desire causes significant distress, affects one’s relationships, or negatively impacts overall health and well-being—and this situation persists for several months—then a medical evaluation is warranted.

Causes of Low Sexual Drive or LSD in Women

We should all be well-informed about our health, as sexual activity is directly linked to sexual function and our overall bodily functioning. Health and sexual wellness encompass many aspects. In terms of libido, it is essential to maintain good health and a healthy lifestyle, ensuring that all facets of one's well-being remain in optimal condition. A lack of sexual desire in women—also referred to as 'low libido'—means having a reduced interest in sexual activities. Women of any age may experience such sexual health-related issues due to factors like hormonal changes, mental stress, relationship difficulties, physical health problems, or the effects of medication.

Let us examine all the potential causes for a lack of sexual desire in women—factors that can consistently create difficulties for their sexual health.

Hormonal Imbalance

Low Estrogen Levels: This low level of estrogen hormone can cause vaginal dryness, discomfort during sexual intercourse, and reduced desire, especially during menopause. It is a hormonal cause for low sexual drive-in women.
Low Testosterone Levels: As we know that testosterone plays a major role in female sexual desire, although low levels alone do not necessarily explain low libido rather than underlying conditions.
Menopause: In such condition of menopause or perimenopause; there are changes in hormones, sleep, and vaginal comfort can affect sexual desire in women.
Pregnancy and after Childbirth: In both situations, a women experience hormonal changes, fatigue, and recovery after delivery can reduce sexual interest or mood swing.
Breastfeeding: This is a common situation among women. Hormonal changes that occur during breastfeeding can lead to a decrease in desire and vaginal dryness.

Psychological and Emotional Factors

- Stress related to overwork, financial situation, or family responsibilities.
- Anxiety or depression due to dissatisfaction or personal reason
- Lack of self-confidence or a negative body image
- Past sexual trauma or negative sexual experiences
- Fear of pregnancy or sexually transmitted infections (STIs)
- Mental exhaustion or feeling under excessive pressure

Relationship-related Issues

- A lack of emotional closeness or trust among partner
- Unresolved conflicts or Frequent arguments with one’s partner
- An inability to communicate effectively about sexual needs
- Feeling pressured to engage in sexual activity or performance
- Sexual activity that is uncomfortable, unsatisfying, or unenjoyable

Medical and Physical Factors

- Pain during sexual intercourse (Dyspareunia)
- Vaginal dryness or burning (Lubrication disorder)
- Thyroid-related issues, especially an underactive thyroid
- Diabetes and certain other chronic diseases
- Persistent fatigue or sleep-related problems (apnea)
- Chronic pain or other conditions that affect physical comfort

Some Certain Medicines for Physical Health

There are certain medications taken for long-standing health issues. Some of these drugs can have a negative impact on the body and may also affect one's libido (sexual desire).

- Some certain medicines for Depression affects hormonal level
- Some certain medicines for Contraception affect estrogen and testosterone hormone
- Some certain medicines for High Blood Pressure affect blood vessel, hormonal balance
- Some certain medicines for Pain or Inflammation affects hormonal level

An important point for patients to note is that, even after learning that certain medications can affect their sexual drive (libido), they should not stop taking their prescribed medications without their doctor's consent.

Lifestyle-related Health Concerns

- Not getting enough Sleep
- Persistent Physical Fatigue
- Excessive Alcohol Consumption
- Lack of Physical Activity
- Sedentary Lifestyle or Obesity
- Poor Health or Prolonged Stress

Dr. Sunil Dubey states that, at times, a deficiency of nutrients in the body can be an indirect cause of reduced sexual desire (libido) in an individual. For instance, when a woman has an iron deficiency, she may experience increased fatigue, which can lead to a decline in sexual desire. Based on his counseling experience, he notes that some people assume a vitamin or mineral deficiency is the sole cause of this condition; however, it is important to understand that taking supplements without first identifying the specific deficiency will not help in boosting one's sexual desire (libido).

Diagnosis and Treatment for Low Libido in Women

How to Diagnose Low Libido Condition
Dr. Sunil Dubey, a specialist in sexual health disorders based in Patna, Bihar, states that the potential causes for a decline in libido (sexual desire) depend on factors such as a woman's age, her symptoms, her medical history, and the frequency of her sexual activity (changing in libido).
- Before Marriage: New medicine, health problem, emotional distress, or others
- After Marriage: Stress, Medications, Underlying Health Conditions, and Relationships
- After Childbirth: Hormonal Changes, Fatigue, Sleep deprivation, and Lifestyle
- After 40’s or Menopause: Low Estrogen, Vaginal Dryness, and Dyspareunia
A lack of sexual desire in women is a persistent and distressing condition that negatively impacts their daily life, mental health, sexual life, and relationships. In such a situation, it is essential to identify the root causes of this sexual health issue. Dr. Sunil Dubey says that there is no single test or medication that can identify every issue related to a person's sexual health. When investigating a lack of sexual desire (low sexual drive) in women, certain standard tests and evaluations are recommended.

Medical and Sexual History (Counseling)

- When did the changes in libido (sexual desire) begin, and how long have they persisted?
- Has the decrease in libido been present for a long time, or is it a recent development?
- Are these changes in libido causing personal distress or affecting your quality of life?
- How do these issues related to libido relate to your menstrual cycle, pregnancy, breastfeeding, or menopause?
- In such situations, a woman may experience issues like a lack of lubrication (vaginal moisture), pain during intercourse, or difficulty becoming aroused.
- Stress levels, mood, sleep patterns, and concerns related to relationships.
- Any medications currently being taken, including antidepressants or hormonal contraceptives.

Physical Examination (if needed)

Following a review of a patient’s medical and sexual health history, if any symptoms point to an underlying problem, a physical examination may be advised. In such cases, a sexual health specialist may look for signs of vaginal dryness, pain during intercourse (dyspareunia), hormonal disorders, or other medical issues. The nature of this physical examination can vary from person to person, depending on their specific symptoms and medical history.

Blood Tests (Lab Examination)

Typically, laboratory tests are selected based on symptoms and medical history. These may include:
- Thyroid Function Test: If a thyroid-related health issue (hypo or hyper) is suspected; then blood test.
- Blood Glucose or HbA1c: If diabetes is suspected, then lab test.
- Prolactin Level: If symptoms suggest elevated prolactin levels, such as the absence of menstrual periods or the sudden production of breast milk.
- Other Tests or Physical Examination: Such as a blood count, if anemia (deficiency of blood/red blood cells) or fatigue is suspected; then blood or lab test.

Common Treatment Options for Low Libido

After assessing and reviewing physical and medical conditions, a sexologist helps create a tailored treatment plan for the patient. In this process, the treatment depends entirely on the root causes of the individual's specific issue. Since the approach to addressing low sexual desire (low sexual drive) can vary from person to person, individuals should not compare their own situation with that of others.
- Treating Underlying Medical Conditions like thyroid disorder, diabetes, anemia, depression, or other health-related problems
- Counseling and Psychosexual Therapy for behavior issues, lifestyle-related issues, relationship difficulties, stress, anxiety, past sexual trauma, or sedentary lifestyle
- Treatment for vaginal dryness, dyspareunia, menopause-related vaginal changes, low estrogen hormonal issues
- Treatment for hormonal imbalances if it needed

Personalized Ayurvedic Treatment for Female Sexual Health

Ayurveda, the traditional Indian system of medicine, has long helped people address issues related to sexual health. In cases of reduced sexual desire (low libido), Ayurveda approaches the problem by considering overall health, stress management, sleep patterns, nutrition, and core Ayurvedic principles. The modern Ayurvedic perspective also consistently incorporates a scientific approach when treating sexual health concerns.

Dr. Sunil Dubey, who offers comprehensive sexual health services at Dubey Clinic, explains that Ayurveda recognizes the connection between the mind and the body. It focuses on balancing the doshas (Vata, Pitta, and Kapha) within the body, enhancing vitality, supporting reproductive tissues, and improving overall health. In his practice, Dr. Dubey leverages the strengths of both modern medical science and traditional Ayurvedic medicine to provide personalized treatments. He notes that certain standard herbs—such as Ashwagandha, Shatavari, Safed Musli, and Kapikachhu—are particularly beneficial for addressing libido-related disorders. During the course of treatment, he emphasizes a holistic approach, recommending adjustments to lifestyle, diet, sleep patterns, stress levels, and relationship health.

Modern Ayurvedic Treatment for Low Libido

- Identifying the root cause of medical, sexual, and physical health
- Improving sleep patterns and managing stress or anxiety level
- Maintaining a balance diet (daily, seasonal, and occasional)
- Personalized ayurvedic formulation (standard herbal medicines)
- Assessment of Symptoms and Evaluation of Personalized Distress
- Follow up and regular monitoring for the patient during treatment

When to Consult a Sexologist in case of Low Libido

If a woman experiences persistent sexual health issues—such as those affecting her sexual desire—that lead to mental distress or relationship difficulties, or if she notices other symptoms like vaginal dryness, pain during intercourse, abnormal bleeding, or other physical changes, it is advisable to seek professional medical guidance.

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