Understanding and Addressing Low Libido
If your sex drive is low or not what it used to be, you're not alone — and it’s something we take seriously and approach without judgment. Here’s how we start figuring out what’s going on, and what to expect as we work through it together.
Step 1: Quick symptom check
Do any of these sound familiar?
Decreased interest in sex or intimacy
Less frequent sexual thoughts or desire
Less interest in initiating or responding to partners
Fatigue, low motivation, or trouble focusing
Poor sleep or waking up unrefreshed
Changes in confidence or body image
Increased irritability or low mood
Erection changes or reduced performance
If you said yes to one or more, there may be a hormonal, metabolic, lifestyle, or emotional contributor — and we can help you explore that.
Step 2: Rule out red flags (for clinical escalation)
Let us know right away if you’re also experiencing:
Significant weight loss or night sweats
New or worsening depression
Loss of function in multiple areas (work, relationships, sleep)
Sudden onset of symptoms or trauma-related concerns
These don’t mean something is wrong — but they help us decide how quickly to follow up and what needs urgent attention.
Step 3: What we’ll ask (or what you can share now)
To get a full picture, we may ask:
When did you first notice a change?
How’s your energy, sleep, and stress been lately?
Any recent life changes (relationship, work, family)?
Are you taking any medications (especially SSRIs, antihypertensives, or sleep aids)?
Have you had any recent labs?
Have you ever had your testosterone or other hormone levels checked?
Step 4: What happens next
If low libido is confirmed and persistent, we’ll likely recommend:
A hormone panel (testosterone, SHBG, estradiol, DHEA, LH/FSH, thyroid)
Labs for inflammation, blood sugar, iron, and more
A deep lifestyle review (sleep, stress, nutrition, alcohol, movement)
A conversation about identity, intimacy, and emotional connection — without pressure or assumptions
From there, we’ll co-create a plan that might include:
Hormone support (if relevant)
Sleep or recovery interventions
Targeted supplements
Stress or relationship support
Adjustments to medications that may be affecting libido
You don’t need to figure this out alone. If something feels off, or you just want to get clarity, message us — this is something we handle with care, context, and no judgment.