How can I change my libido?

I am a middle-aged female, and I oftentimes have no sexual desire. Is this normal, and how can I change my libido?

There are many factors that can contribute to a decrease in sexual desire. As women age, many changes occur in their body that can affect sexual desire. One of the most significant changes is menopause, the time in a female's life when she ceases to menstruate. This usually occurs between the ages of 40 to 60 and can affect their libido (sex drive) by causing changes such as decreased lubrication, lower estrogen levels (the female sex hormone), lower testosterone levels (the hormone believed to be responsible for female sexual arousal), and vaginal atrophy (the thinning and decreasing elasticity of the vaginal walls). Certain drugs, including those used to treat depression and others used to relieve the symptoms of menopause, can contribute to lower sexual desire. Other hormonal changes, negative sexual experiences, depression, anxiety and stress, non-sexual medical issues, habituation to their partner, and relationship problems can also cause sexual desire to decrease.

           There are a variety of treatments that can be used to combat low sexual desire depending on which factors are relevant in any particular case. If a woman has been feeling stressed or anxious, meditation, exercise, and psychotherapy can help reduce stress and increase sexual desire. Certain medications, such as anti-anxiety medication, bupropion hydrochloride sustained-release tablets, and Lorexys, have been shown to increase sexual desire in females. A clitoral therapy device called the EROS-CTD, designed to increase blood flow to the clitoral area by creating a gentle suction over the clitoris, could also be a solution. Other treatments include sensate focus, Kegel exercises, and self-exploration through autoeroticism and masturbation.

            In order to figure out exactly what is causing a women’s decreased sexual desire and the best way to treat it, it is important to seek medical attention. The cause may be an underlying medical issue that can be diagnosed and alleviated by a physician. It is also important to have open and effective communication in a romantic relationship.Women should talk to their partner about how they have been feeling and possible ways that the two of them can make their sex life more exciting and appealing. Proper identification of the cause of their low sexual desire, whether it be physiological, psychological, or interpersonal, is crucial for effective treatment.