Low sex drive in women

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Tests and diagnosis

By Mayo Clinic staff

By definition, you may be diagnosed with hypoactive sexual desire disorder if you frequently lack sexual thoughts or desire, and the absence of these feelings causes you personal distress. Whether you fit this medical diagnosis or not, your doctor can look for reasons that your sex drive isn't as high as you'd like and find ways to help.

In addition to asking you questions about your medical history, your doctor may also:

  • Perform a pelvic exam. During a pelvic exam, your doctor can check for signs of physical changes contributing to low sexual desire, such as thinning of your genital tissues, vaginal dryness or pain-triggering spots.
  • Recommend testing. Blood tests may check for evidence of thyroid problems, diabetes, high cholesterol and liver disorders.
  • Refer you to a specialist. A specialized counselor or sex therapist may be able to better evaluate emotional and relationship factors that can cause low sex drive.
References
  1. Shifren JL. Sexual dysfunction in women: Epidemiology, risk factors, and evaluation. http://www.uptodate.com/home/index.html. Accessed Nov. 14, 2011.
  2. Lenz G. Emotional aspects of gynecology: Sexual function and dysfunction. In: Katz VL, et al. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/208746819-4/0/1524/0.html. Accessed Nov. 14, 2011.
  3. Giustozzi AA. Sexual dysfunction in women. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-05610-6..C2009-0-38600-6--TOP&isbn=978-0-323-05610-6&about=true&uniqId=230100505-53. Accessed Nov. 14, 2011.
  4. Clayton AH, et al. Female sexual dysfunction. Psychiatric Clinics of North America. 2010;33:323.
  5. Biggs WS. Medical human sexuality: Female sexual dysfunction. In: Rakel RE. Textbook of Family Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191205553-4/0/1481/0.html#. Accessed Nov. 14, 2011.
  6. Shifren JL. Sexual dysfunction in women: Management. http://www.uptodate.com/home/index.html. Accessed Nov. 14, 2011.
  7. Bhasin S, et al. Management of low desire and arousal in women. In: Kronenberg HM, et al. Williams Textbook of Endocrinology. 12th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191205553-3/0/1555/0.html#. Accessed Nov. 14, 2011.
DS01043 Jan. 20, 2012

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