Fluctuations in libido are more common than people think. For many, a dip in sexual desire brings confusion, self-doubt, or relationship strain. In many cases, changes in libido strike without an obvious cause.
The reality is that libido is affected by a range of physical, emotional, and behavioral factors. If you’ve noticed a shift, you aren’t alone, and it isn’t something you just have to accept.
Led by hormone specialist Christopher Riegel, MD, patients at The Riegel Center in Plano, Texas, often come to us looking for answers when shifts in sexual health start to affect their quality of life.
Our team provides personalized care that addresses hormonal changes along with the deeper, interconnected causes that can drive a decrease in desire. Our goal is to help you feel in balance physically, emotionally, and sexually.
Libido is deeply tied to hormone levels. Testosterone, estrogen, and progesterone all play a role in regulating desire, arousal, and sexual function. As these hormones decline with age, sexual interest often decreases, too.
For women, lower estrogen can also lead to vaginal dryness and discomfort, which can make intimacy less appealing. For men, declining testosterone levels may contribute to erectile dysfunction and fatigue.
Chronic illnesses such as diabetes, cardiovascular disease, and thyroid disorders can also impact sexual health. In many cases, medications used to treat these conditions can further suppress desire.
Stress and anxiety can cause physical symptoms, as well as issues with your sex drive. High stress levels can lead to poor sleep, mood instability, and a reduced interest in intimacy. Depression is a major contributor to low libido, as is low self-esteem or a negative body image.
Additionally, unresolved tension in a relationship or a lack of emotional connection can create barriers to desire. It isn’t always about attraction; it’s often about mental space, emotional safety, and energy.
Daily routines have more influence over libido than many people realize. Smoking, excessive alcohol use, and sedentary behavior all reduce circulation, energy, and hormonal balance. Irregular sleep and high sugar intake can also throw off the delicate hormonal rhythms that regulate libido.
Maintaining a healthy diet also appears to influence libido. Men and women who have healthy eating patterns are less likely to develop sexual dysfunction, including low libido.
Improving nutrition, prioritizing rest, and engaging in consistent movement can boost energy and help regulate mood, both of which are essential for healthy sexual desire.
Our providers take time to understand every layer of what may be influencing your libido. Your care begins with an in-depth consultation, lab work to assess hormone levels, and a review of medications, lifestyle habits, and any physical or emotional concerns.
Many patients benefit from bioidentical hormone replacement therapy, tailored to meet their body’s needs. When emotional or relationship stressors are contributing factors, counseling or referral to a mental health specialist can be a key part of the plan. Nutritional support and lifestyle coaching may also play a role in restoring balance.
Low libido can feel isolating, but it doesn’t have to define your relationship with yourself or your partner. If something feels off, trust your instincts and take the next step.
Contact us to schedule a private consultation at The Riegel Center in Plano today. We’ll help you chart a path forward, with care that respects your needs and honors your health.
