04/09/2026
Low libido? Let's talk about it.
In clinic this week, I had the privilege of chatting with some beautiful women who mentioned in passing that their libido was pretty low.
The thing is, low libido is actually a symptom of something greater going on.
Sometimes that's physiological.
Sometimes it's emotional.
Sometimes it's mental.
Sometimes it's relational.
More often than not, it's a mixed bag of all of the above.
If you're exhausted, iron deficient, touched out, running on cortisol and caffeine, experiencing hormonal changes, dealing with digestive issues, carrying the mental load of an entire household AND quietly resenting your partner because you had to ask them three times to empty the dishwasher...
It's probably worth looking beyond testosterone.
In clinic, some of the areas I might explore include:
• Iron, B12, folate, vitamin D and zinc
• Thyroid function
• Oestrogen, progesterone and androgens where appropriate
• Blood glucose and insulin resistance
• Gut health and nutrient absorption
• Liver health and hormone metabolism
• Sleep and energy
• Stress and nervous system regulation
• Medications that may affect s*xual function
• Vaginal dryness, pelvic health or pain during s*x
• Pregnancy, breastfeeding and perimenopause
• Mental health and emotional wellbeing
• Your relationship, connection and mental load
We also need to talk about the s3x itself.
Do you feel safe and connected? Is s*x enjoyable? Does it hurt? Do you have time to transition out of work/mum/caregiver mode? Is there affection without an expectation that it will lead somewhere? Are you waiting to spontaneously feel desire when your body actually experiences more responsive desire?
There is no single blood test, supplement or herb that explains every woman's libido.
But if yours has noticeably changed, particularly if it's bothering you, I don't think we should dismiss it as "just getting older", "just being a mum" or something you need to push through for your partner.
It's worth getting curious about what your body, your mind and sometimes your relationship might be trying to tell you.
For support in this area, comment CONSULT and I'll send over my booking link.