Overview of low libido in females
This topic describes treatment of low libido in individuals presumed female at birth, other than those undergoing (or who have had) gender-affirming hormones or surgery; see resources for sexual health relating to gender-affirming treatment on the TransHub website.
Healthcare providers are encouraged to use a sensitive approach that avoids assumptions about gender identity, sexual orientation or sexual practices.
For guidance on healthcare issues specific to individuals of diverse sexual orientation, see A guide to sensitive care for lesbian-gay-and bisexual people attending general practice at the Rainbow Health Victoria website.
Low libido (reduced sexual desire) is the most common sexual symptom in females. In a survey of females in Australia, 55% of those aged between 16 and 59 years reported experiencing symptoms for at least 1 month in the previous year1. Prevalence of low libido increases with age; low libido affects an estimated 69% of those aged 40 to 65 years, and 88% of those aged 71 years and older. Older individuals, however, have less sexually related distress.
Low libido causing distress for any duration warrants assessment for underlying causes and associated conditions. If present for at least 6 months, it is considered chronic (this can be referred to as hypoactive sexual desire disorder [HSDD]). Mental health issues are present in 40% of females with HSDD and there is a bidirectional interaction with sexual symptoms.
See Screening and assessment for sexual difficulties for advice on how to broach sexual issues and a general approach to assessing sexual difficulties. The need for investigation is guided by the history and examination.