Decreased sexual desire is the most common concern I hear about changing sexuality during perimenopause and menopause.

In this video, I discuss how we diagnose low libido, what may be contributing to it, and the treatment options that can genuinely help. You may hear the term Hypoactive Sexual Desire Disorder (HSDD). This is a medical diagnosis used when a persistent drop in desire creates distress for a woman or strain within a relationship. Evaluation involves a thoughtful clinical conversation, review of health history, and often the use of a validated tool such as the Decreased Sexual Desire Screener (DSDS).

The reasons desire changes are rarely simple. They often include a combination of:

✔️ hormonal shifts involving estrogen, progesterone, and testosterone

✔️ changes in brain chemistry and stress pathways

✔️ sleep and energy disruption

✔️ relationship or emotional dynamics

✔️ medical conditions or medication effects I walk you through five categories of treatment, combining published science with what I’ve learned from caring for thousands of midlife women — including which approaches tend to work best in real life.

Most importantly, low desire is not something you are required to accept as an unavoidable part of aging. If it matters to you, there are meaningful, evidence-based ways to make it better.

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💻 Interested in booking an appointment? Click here: https://completemidlifewellnesscenter.com