I'm a 26-year-old woman with a 10-month-old daughter, and I've noticed something that's been bothering me. About a year and a half ago, my sexual desire started to gradually fade, and now it feels like it has completely disappeared. My husband and I can go months without being intimate, and honestly, it doesnt really bother me. When we do have intimate moments, its more out of obligation because I feel guilty about making him wait so long. I'm worried about why this is happening and wondering if there's something I should be doing to bring back my desire. Could there be an underlying issue I need to address?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

Consult Now

You're experiencing hypoactive sexual desire disorder (HSDD), characterized by persistent low libido. Common causes include:

Physical Factors

1. Hormonal imbalances (estrogen, progesterone, or testosterone)
2. Sleep disturbances
3. Stress and anxiety
4. Postpartum changes
5. Medications (antidepressants, birth control)

Emotional and Psychological Factors

1. Relationship issues (communication, intimacy, or trust)
2. Depression or anxiety
3. Low self-esteem
4. Trauma or past experiences
5. Life transitions (marriage, parenthood)

Next Steps

1. Consult a healthcare provider or therapist to rule out underlying medical conditions.
2. Explore couples therapy to address relationship dynamics.
3. Consider sex therapy to address intimacy and desire.
4. Discuss hormone replacement therapy (HRT) or other treatment options with your healthcare provider.

Answered 04/07/2025