Anna Medvedeva

Do not self-medicate! In our articles, we collect the latest scientific data and the opinions of authoritative health experts. But remember: only a doctor can diagnose and prescribe treatment.

When you don’t want intimacy

Surprisingly, almost every second patient, whom I ask at the reception, how are things with libido, sadly answers: “No way, I don’t want anything.”


Here you need to understand the difference. It’s one thing – I don’t want to, I’m tired, work; the other is that I don’t want anything at all. If the latter is the cause, then it is a serious problem.

Sex drive is everything that motivates us to have sex. A huge number of families come to a break because of the reluctance of intimacy. At the same time, “I don’t want to” is often caused by hormonal disruptions in both men and women.

Some naively believe that hormones are not worth worrying about until menopause, the “magic age” in a woman’s life, when protection is no longer necessary. However, our hormonal background begins to change from the age of thirty.


More than half of the cases of decreased libido are due to a malfunction in the hormonal cycle.

Causes of low attraction

  • Decreased levels of youth hormones DHEA (dihydroepiandrostenedione) and testosterone. In both men and women, the hormone testosterone is responsible for sexual desire. The more it is produced in the body, the higher sexual desire and brighter orgasms. However, the hormonal release does not end there. For sexual desire are responsible and features of the psyche, and social experience.
  • Stress. At the moment of overstrain, the hormone cortisol “takes over progesterone,” since both of these hormones are combined by a single metabolic pathway in the adrenal glands. Therefore, even if 3 months ago you had a sufficient content of sex hormones in your body, then as a result of stress you may encounter a lack of them. During times of stress, our body, in order to provide energy fuel for the adrenal glands to produce cortisol, burns large amounts of B and C vitamins. These are water-soluble vitamins that do not accumulate in the body. Their rapid excretion in the urine leads to vitamin starvation, which will certainly affect libido.
  • Intensive sports. Often, in pursuit of an ideal figure, a woman goes to radical measures – she exhausts herself with diets, plays sports for hours. But nothing happens, and sometimes she even achieves the opposite effect: the arrow of the scales creeps up. Exhausting aerobic exercises, especially after ovulation and before menstruation, are perceived by the body as internal stress and trigger the corresponding biochemical reaction. Bottom line: increased cortisol leads to a deficiency of sex hormones and vitamin starvation.
  • Alcohol neutralizes vitamins B and C. Even if you eat a lot of foods containing these vitamins, alcohol will practically negate their effect.
  • Contraceptive pills and hormone replacement therapy. Any medication reduces the level of B vitamins (especially B6). It’s simple: for its metabolism, the drug steals a large amount of vitamins and minerals from the body, which should initially be used to maintain the efficiency of your body. In addition, the intestinal microflora worsens. Accordingly, both the normal absorption and production of B vitamins.
  • estrogen dominance. After 30, a woman begins a gradual decrease in the level of sex hormones. Most often, progesterone fades faster than estrogen. The distortion of the relationship of sex hormones is also influenced by environmental factors: fake estrogens (xenoestrogens), as well as stress. All these components lead to a state of estrogen dominance.
  • low fat diets. Especially in combination with statins, medicines prescribed for the correction of cholesterol. It is important to note that good high-density cholesterol is vital for the proper production of sex hormones.
  • Taking certain groups of medications: beta-blockers, antidepressants and sedatives, diuretics, antihypertensives, and others.



Unfortunately, almost all hormonal disruptions lead to a decrease in libido!

What to do?

  1. Be sure to try to normalize the rhythm of sleep and wakefulness. Trying to fall asleep before 23:00, you give the body the opportunity to recover qualitatively. Otherwise, other measures will be ineffective.
  2. Quit smoking. Indeed, with each cigarette smoked, the body loses 20-40 mg of essential vitamin C, which is necessary for the normal functioning of the endocrine system in general and sex hormones in particular.
  3. Eat at least 3 avocados a week. Essential omega-9, polyunsaturated fatty acids will help increase the production of sex hormones by the body.

The good news is that today, almost the entire progressive medical community has already moved away from oral contraceptives and hormone replacement therapy taken in pill form. Fortunately, these methods are gradually becoming a thing of the past. They were replaced by an era of absolutely individual therapy with “bioidentical” or natural estrogens, progesterone and others. They are applied to the skin of the wrist at a strictly defined time and days of the cycle. These natural preparations not only prolong a woman’s beauty, but also help protect her from osteoporosis, Alzheimer’s disease and decreased libido in the future.


We women are gentle and vulnerable creatures. Alas, so many of us still do not understand that libido is a litmus test of hormonal health.

If you know the feeling when the thought of sex only causes boredom, and to this are added mood swings, irritability over trifles or excessive sensitivity, severe PMS, I highly recommend getting a consultation on functional medicine. Remember, hormonal imbalance in women can be diagnosed as soon as you notice its symptoms.