
It is not uncommon to hear women talk of a diminished interest in sex as they get older. For some women this is a perfectly acceptable development; for others it feels as though this is a quality-of-life issue that they would like to address.
The physical factors may often include hormone insufficiencies. Hormones are a critical component of normal sexual response. Low levels of testosterone-related hormones DHEA-S and estrogens are often associated with peri-menopausal and post-menopausal women.
Understanding the hormone balance is complicated and a very new area for most physicians. Therefore a woman who complains of a lack of desire should have a full battery of blood tests run under the supervision of a physician who specializes in the area of female sexual dysfunction.
Additionally, changes in hormone level can have significant impact on lubrication, which can adversely affect sensation and pleasure during intercourse. This can have both a direct and indirect affect on a women’s sex drive.
The medications you may be taking can also be affecting your level of desire, particularly if you are taking anti-depressants. Additionally, birth control pills can throw off the balance of hormones resulting in a low sex drive.
On a psychological level, a woman may want to explore her feelings about her changing body and her changing life. Although menopause can be a time of freedom and exploration for a woman and her partner, it can also be a time that includes feelings of loss. These issues can all affect a women’s libido.
As in most situations where a woman is unhappy with her sex life, an approach that deals with both physical and psychological factors will be the most successful. A woman troubled by her low sex drive should seek out a physician who can run a full panel of blood tests, measure nerve sensation and provide a full physical exam, while also looking at the psychological implications of the issues she is dealing with in her life.