Causes of Loss of Libido

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Loss of libido during menopause can be caused by a wide array of factors. Like many menopausal symptoms, the primary cause of loss of libido has its roots in hormonal imbalance. However, physical, psychological and relationship issues can affect the libido during menopause as well. Keep reading for an in-depth look at what causes loss of libido during menopause.

During menopause, one of the most common identifiable causes of loss of libido is hormonal imbalance. Reductions in the levels of three major hormones can contribute to the reduction of sexual drive and energy.


Estrogen plays a vital role in female sexuality by increasing sensations, assisting in the vaginal lubrication, and maintaining the health of vaginal tissue.

As a woman approaches menopause, her body begins to produce less estrogen. This may cause a host of symptoms that can contribute to a woman's loss of libido.

For example, drops in estrogen are primarily responsible for hot flashes, night sweats, irregular periods, and vaginal dryness, all of which can cause or contribute to loss of libido.

Androgens/ Testosterone

Testosterone levels changes during menopause

As with estrogen, the body begins to produce lower levels of androgens (e.g. testosterone) with age. Experts believe that this drop in androgens can also cause women to experience loss of libido around the time of menopause.


Progesterone hormones are also integral to maintaining sexual health. When levels are too low during menopause, the resulting irregular periods, fatigue and other menopause symptoms can cause loss of libido.

While hormonal change is often a major cause of loss of libido during menopause, other factors can also contribute to a woman's loss of libido. Read on to learn about the other potential causes of loss of libido.

Other Causes of Loss of Libido

Physical causes

A number of physical and health-related factors can cause or contribute to loss of libido during menopause. Women who experience unusual symptoms in addition to reduced sex drive should speak with their physicians to rule out any serious health conditions. Women with one or more of these conditions may find that pre-existing health conditions are responsible for their loss of libido.

Physical causes of loss of libido

Sexual dysfunction

Pain-related conditions

Medication use


Diabetes, Heart disease


Chronic disease

Vaginal dryness in menopause

HRT and Testosterone

Hormone replacement therapy (HRT) or low-dosage birth control pills can rob the body of testosterone, leading to a loss of libido. If taken orally, these pills are metabolized by the liver, which then puts out a protein that binds to the testosterone, inhibiting it and decreasing desire.

Sexual dysfunction. Loss of libido can often be caused by sexual dysfunction, including painful intercourse and the inability to become aroused or orgasm with sexual activity.

Conditions that cause pain, fatigue, reduced movement. Conditions such as arthritis, common among middle aged people, can also cause or contribute to loss of libido.

Use of certain medications. Medications such as antidepressants, amphetamines, hormonal drugs, and illicit drugs can diminish sexual functioning and cause or contribute to a loss of libido.

Loss Libido & Induced Menopause

Women who go through medical or surgical menopause often experience menopausal symptoms more suddenly and intensely than women going through natural menopause. Induced menopause can increase the likelihood of loss of libido.

Hysterectomy. Hysterectomy can influence a woman's sexuality in different ways. Some women experience new sexual sensations after hysterectomy. In some cases, women may experience an increase in libido following hysterectomy, because they are now free from pain, uterine bleeding, and pregnancy worries. However, when the ovaries are removed or otherwise affected by hysterectomy, a woman may experience more intense menopausal symptoms, including loss of libido, caused by hormonal disruptions.

In addition to physical causes, psychological issues can also cause or contribute to loss of libido in menopause. Keep reading to understand these causes of loss of libido.

Psychological causes


One study found that anxiety was one of the biggest factors in reduced frequency of sexual intercourse for women during menopause.

Psychological illness and the normal stresses of daily life can cause or contribute to loss of libido during menopause. Psychological causes of loss of libido can include:

Stress, fatigue

Changes in self esteem and body image

Concerns about aging

Feelings about sex outside the reproductive context

Psychological disease (e.g. mood swings, depression, or anxiety)

Factors relating to relationships, which sometimes have a psychological dimension, can also cause or aggravate loss of libido during menopause. Read on to learn more about these causes of loss of libido.

Relational causes

Couple at odds: loss of libido has  a significant effect on a woman's intimate life

A woman's intimate, family, and social relationships can have a significant effect on how she feels sexually. For example, unresolved or past issues with a partner can cause or exacerbate loss of sexual desire during menopause. Major life changes can also cause a loss of libido. The most common relational factors causing or contributing to of loss of libido include:

Changes in partner's physical health

Changes in intimate relationship

Availability of partner

Lack of communication between partners

Changing social role

Family changes, e.g. children moving out

Low sex drive in partner

Studies have shown that if a post-menopausal woman has a sexually enthusiastic partner(s) her libido is maintained for many years following menopause.

While the causes of loss of libido are many and complex, women often find that lifestyle changes and natural remedies can do wonders to stimulate libido around the time of menopause. To learn more about these safe and effective treatments of loss of libido, read on to the next section.

Causes of Loss of Libido in Menopausal Women

There are a number of causes of loss of libido, related to hormonal imbalances. These can be divided into psychological and physical and include depression and relationship issues as well as the impact of other menopausal symptoms, such as vaginal dryness. Natural lifestyle changes can be implemented to treat loss of libido.

Reasons for Low Libido

In this article, you will find a clear definition of loss of libido, as well as possible psychological or physical causes. Learn about various treatment options including testosterone treatment and lubricants. The most effective method for many women, however, is exercise and a regular diet, supplemented with alternative medicine.