Written on November 25, 2023 by Amy Harris, MS, RN, CNM. To give you technically accurate, evidence-based information, content published on the Everlywell blog is reviewed by credentialed professionals with expertise in medical and bioscience fields.
Table of contents
If it seems like you are never in the mood for sex, you might be wondering what you can do about it. Sex drive (also called libido) is a person’s desire or enthusiasm for sexual activity and satisfaction. Everlywell believes a healthy sex life is part of your well-being. Keep reading to learn more about what hormones affect sex drive and what you can do to try to increase your sex drive.
Sex drive is complex because biological, psychological, and social factors all influence it. Low libido is more common in women. Scientific studies consistently report that about one-third of US women report low sexual desire or interest and that this low desire is troubling to about one in three of those women.[1,2]
Low sex drive is a problem for some men as well. A 2019 study of more than 12,000 45-year-old men found that about one in 20 reported low sexual desire.
Symptoms of low sex drive in both genders include [4-5]:
Libido naturally varies from person to person. Your sex drive can also change throughout your life. It’s common to experience a drop in sex drive more than once during your life. There’s no right or wrong level of sex drive.
Not directly, but falling estrogen levels can negatively impact libido in those assigned female at birth (AFAB), especially during perimenopause and menopause. The hormones estrogen, progesterone, and testosterone regulate female libido.
Fluctuating and eventually decreasing levels of estrogen and testosterone result in sexual intercourse sometimes becoming less satisfying, more painful, or more challenging for those people with vaginas. Healthcare providers can treat vaginal dryness, difficulty reaching arousal, loss of libido, and an inability to climax (orgasm) with either topical or oral estrogen therapy, also called hormone replacement therapy.[7-8]
Additionally, disrupted sleep, hot flashes, changes in physical appearance, and mood changes caused by perimenopausal hormone shifts in estrogen and testosterone can cause a loss of sexual desire and the ability to enjoy sexual activity. Treatment with supplemental estrogen through hormone replacement therapy (HRT) can sometimes improve these symptoms and indirectly increase your sex drive.[6,8]
No. In fact, taking estrogen if you are AMAB will actually decrease your sex drive. Testosterone is the primary hormone controlling male sexual development, desire, and arousal. Small amounts of estrogen, in the form of estradiol, do play a small part in male sexual function.
Medical conditions or medications that increase the amount of estradiol in those AMAB have been shown to cause :
Testosterone levels in men decrease gradually with age. If you are worried about your sex drive, your testosterone levels, or your overall health, Everlywell offers an at-home Men’s Health Test and a male Total Testosterone Test so that you can start learning more about your hormones and sexual health.
Sex drive in those AFAB can be more complex. Some say the brain drives female libido more than the body. Thus, there may be many different ways to approach changes in your sex drive and efforts to improve it. Some of the possible avenues to explore include :
If your lack of interest in sex continues, returns, or causes personal distress, you may have a condition called female hypoactive desire disorder.
Part of any treatment plan for female hypoactive desire disorder will include looking for hormone imbalances and assessing whether or not you have been through menopause. Everlywell offers you convenient at-home Female Health Tests, a Women’s Fertility Test, a Perimenopause Test, and a Postmenopause Test to help you put the pieces to the puzzle of your missing libido back together.
In addition to estrogen (in pill, patch, or cream form), healthcare providers sometimes prescribe supplemental testosterone “off-label” to treat decreased female sex drive — meaning that the FDA does not approve the use of testosterone to treat this medical condition, but licensed medical professionals can choose to prescribe it.[6,10]
There are several non-hormonal, FDA-approved medications for the treatment of female hypoactive sexual disorder. These include Addyi® and Vyleesi®.
Many of the same strategies that help women regain their sex drive also help men, including:
Healthcare providers can treat low testosterone (male hypogonadism) with testosterone replacement therapy.
According to the World Health Organization (WHO), sexual health is “a state of physical, emotional, mental and social well-being related to sexuality; it is not merely the absence of disease, dysfunction, or infirmity.”
Everlywell wholeheartedly supports this holistic and positive view of sexuality. That is why we want to make it easy and stress-free for you to take care of your sexual health, just as you would any other part of your body.
Everlywell can offer you support and information about your hormones and overall physical health. Our convenient at-home tests, including a Women's Hormone Test that lets you check estrogen levels, makes it easy for you to check in on important hormones.