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Low libido is one of the most common concerns women bring to a gynecologist – and one of the most frequently dismissed. If you’ve been told it’s “just stress” or “part of getting older,” you deserve a second opinion. Hypoactive Sexual Desire Disorder (HSDD) is a recognized medical condition with effective treatments. You don’t have to accept this as your new normal.
Sexual desire is influenced by hormones, brain chemistry, relationships, mental health, medications, and physical comfort. When any of these factors shift, your libido can too – and untangling which factor is driving the change is exactly what this kind of specialist evaluation is designed to do.
Multiple factors influence sexual desire, and they often work together. The most common contributors include hormonal changes (perimenopause, menopause, postpartum, or thyroid dysfunction), medications – especially SSRIs and hormonal contraceptives – stress, anxiety and depression, relationship dynamics, and pain during sex that creates avoidance over time.
Understanding which factors are at play in your specific situation is the first step to addressing them effectively.
HormonalBioidentical testosterone & estrogen
Often the most impactful intervention – restoring hormones that directly drive desire and arousal.
FDA-ApprovedFlibanserin (Addyi)
Approved for premenopausal women; works on brain neurotransmitters to support sexual desire.
FDA-ApprovedBremelanotide (Vyleesi)
A self-administered injection used on demand; approved for premenopausal women with HSDD.
Medication ReviewAdjusting libido-suppressing drugs
SSRIs, antihypertensives, and hormonal contraceptives can all dampen desire – sometimes switching or adjusting resolves the issue.
BehavioralCounseling & sex therapy
Addressing psychological factors, relationship dynamics, and patterns that contribute to low desire.
Low libido is extremely common – it’s one of the most frequent sexual health concerns women bring to their doctors. It does not mean something is fundamentally wrong with you as a person or partner. It is a recognized medical condition called Hypoactive Sexual Desire Disorder (HSDD) when it causes distress, and it has multiple evidence-based treatments.
Libido is influenced by a complex mix of hormonal, psychological, relational, and medical factors. Common causes include hormonal changes from menopause, perimenopause, or postpartum; medications (especially SSRIs and hormonal contraceptives); stress, anxiety, or depression; relationship dynamics; thyroid dysfunction; and pain during sex that creates avoidance.
Treatment is tailored to the underlying cause. Options include hormone therapy (bioidentical testosterone and/or estrogen), FDA-approved medications like flibanserin (Addyi) or bremelanotide (Vyleesi), addressing medication side effects, counseling, and lifestyle modifications. Most women see meaningful improvement with the right combination approach.
Yes – SSRIs and other antidepressants are among the most common causes of low libido and sexual dysfunction in women. If you’ve noticed a change in sexual desire since starting an antidepressant, that connection is real and worth discussing with Dr. Toubi. There are strategies to address this without necessarily stopping your medication.
Absolutely not. Sexual health is a core part of overall health, and Dr. Toubi approaches these conversations with compassion, clinical expertise, and zero judgment. Many of her patients have never had a provider take their sexual health concerns seriously before. This practice is a safe space for those conversations.
If low libido is affecting your relationship, your confidence, or your quality of life, Dr. Toubi’s Beverly Hills practice offers expert, compassionate care – with real solutions. Schedule a confidential consultation today.
Schedule a consultation
Sexual health specialistConfidential & judgment-freeBeverly Hills
Low libido is one of the most common concerns women bring to a gynecologist – and one of the most frequently dismissed. If you’ve been told it’s “just stress” or “part of getting older,” you deserve a second opinion. Hypoactive Sexual Desire Disorder (HSDD) is a recognized medical condition with effective treatments. You don’t have to accept this as your new normal.
Sexual desire is influenced by hormones, brain chemistry, relationships, mental health, medications, and physical comfort. When any of these factors shift, your libido can too – and untangling which factor is driving the change is exactly what this kind of specialist evaluation is designed to do.
Multiple factors influence sexual desire, and they often work together. The most common contributors include hormonal changes (perimenopause, menopause, postpartum, or thyroid dysfunction), medications – especially SSRIs and hormonal contraceptives – stress, anxiety and depression, relationship dynamics, and pain during sex that creates avoidance over time.
Understanding which factors are at play in your specific situation is the first step to addressing them effectively.
HormonalBioidentical testosterone & estrogen
Often the most impactful intervention – restoring hormones that directly drive desire and arousal.
FDA-ApprovedFlibanserin (Addyi)
Approved for premenopausal women; works on brain neurotransmitters to support sexual desire.
FDA-ApprovedBremelanotide (Vyleesi)
A self-administered injection used on demand; approved for premenopausal women with HSDD.
Medication ReviewAdjusting libido-suppressing drugs
SSRIs, antihypertensives, and hormonal contraceptives can all dampen desire – sometimes switching or adjusting resolves the issue.
BehavioralCounseling & sex therapy
Addressing psychological factors, relationship dynamics, and patterns that contribute to low desire.
Low libido is extremely common – it’s one of the most frequent sexual health concerns women bring to their doctors. It does not mean something is fundamentally wrong with you as a person or partner. It is a recognized medical condition called Hypoactive Sexual Desire Disorder (HSDD) when it causes distress, and it has multiple evidence-based treatments.
Libido is influenced by a complex mix of hormonal, psychological, relational, and medical factors. Common causes include hormonal changes from menopause, perimenopause, or postpartum; medications (especially SSRIs and hormonal contraceptives); stress, anxiety, or depression; relationship dynamics; thyroid dysfunction; and pain during sex that creates avoidance.
Treatment is tailored to the underlying cause. Options include hormone therapy (bioidentical testosterone and/or estrogen), FDA-approved medications like flibanserin (Addyi) or bremelanotide (Vyleesi), addressing medication side effects, counseling, and lifestyle modifications. Most women see meaningful improvement with the right combination approach.
Yes – SSRIs and other antidepressants are among the most common causes of low libido and sexual dysfunction in women. If you’ve noticed a change in sexual desire since starting an antidepressant, that connection is real and worth discussing with Dr. Toubi. There are strategies to address this without necessarily stopping your medication.
Absolutely not. Sexual health is a core part of overall health, and Dr. Toubi approaches these conversations with compassion, clinical expertise, and zero judgment. Many of her patients have never had a provider take their sexual health concerns seriously before. This practice is a safe space for those conversations.
If low libido is affecting your relationship, your confidence, or your quality of life, Dr. Toubi’s Beverly Hills practice offers expert, compassionate care – with real solutions. Schedule a confidential consultation today.
Schedule a consultation
Sexual health specialistConfidential & judgment-freeBeverly Hills
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