Dr. Rena Malik

So just sort of looking at the things you're putting in your body can affect your desire. And so it's important always to sort of assess, am I getting enough sleep? Am I exercising enough? Am I eating right? Those things need to be good. What am I putting in my body? And then, okay, is there a medical issue? Is my hormone health okay? Is my vascular health okay?

So just sort of looking at the things you're putting in your body can affect your desire. And so it's important always to sort of assess, am I getting enough sleep? Am I exercising enough? Am I eating right? Those things need to be good. What am I putting in my body? And then, okay, is there a medical issue? Is my hormone health okay? Is my vascular health okay?

So just sort of looking at the things you're putting in your body can affect your desire. And so it's important always to sort of assess, am I getting enough sleep? Am I exercising enough? Am I eating right? Those things need to be good. What am I putting in my body? And then, okay, is there a medical issue? Is my hormone health okay? Is my vascular health okay?

Are all those things working together that can help me get normal desire and normal function?

Are all those things working together that can help me get normal desire and normal function?

Are all those things working together that can help me get normal desire and normal function?

In women, there's so many reasons. So one, very often we see in midlife, women's desire plummets. And that's often because they're taking care of children, they're working, they're cooking, they're cleaning, they're doing all the, sorry, a large burden of household chores, right? So they're taking care of the majority of the household duties and that can very much weigh into desire.

In women, there's so many reasons. So one, very often we see in midlife, women's desire plummets. And that's often because they're taking care of children, they're working, they're cooking, they're cleaning, they're doing all the, sorry, a large burden of household chores, right? So they're taking care of the majority of the household duties and that can very much weigh into desire.

In women, there's so many reasons. So one, very often we see in midlife, women's desire plummets. And that's often because they're taking care of children, they're working, they're cooking, they're cleaning, they're doing all the, sorry, a large burden of household chores, right? So they're taking care of the majority of the household duties and that can very much weigh into desire.

So that's a very common indicator, right? And then other things can occur as well. particularly when you're in a longer term relationship, we see less of this, but sometimes women are having less sensation or less ability to orgasm. And that can change because as we age, sensation can decrease a bit. So that can play a role in desire.

So that's a very common indicator, right? And then other things can occur as well. particularly when you're in a longer term relationship, we see less of this, but sometimes women are having less sensation or less ability to orgasm. And that can change because as we age, sensation can decrease a bit. So that can play a role in desire.

So that's a very common indicator, right? And then other things can occur as well. particularly when you're in a longer term relationship, we see less of this, but sometimes women are having less sensation or less ability to orgasm. And that can change because as we age, sensation can decrease a bit. So that can play a role in desire.

If you're not having climax during sex, people may feel like, well, I'm not getting the same results from intercourse as I was before or whatever. And so why my desire goes down, right? Yeah. There's that too. Obviously, there's hormone changes that occur during perimenopause and menopause. And perimenopause can start around the age of 40. So it's not that old.

If you're not having climax during sex, people may feel like, well, I'm not getting the same results from intercourse as I was before or whatever. And so why my desire goes down, right? Yeah. There's that too. Obviously, there's hormone changes that occur during perimenopause and menopause. And perimenopause can start around the age of 40. So it's not that old.

If you're not having climax during sex, people may feel like, well, I'm not getting the same results from intercourse as I was before or whatever. And so why my desire goes down, right? Yeah. There's that too. Obviously, there's hormone changes that occur during perimenopause and menopause. And perimenopause can start around the age of 40. So it's not that old.

In fact, you can have symptoms as early as your 40s. And so people can start having changes in their hormones that can cause changes in desire, particularly your testosterone can decrease.

In fact, you can have symptoms as early as your 40s. And so people can start having changes in their hormones that can cause changes in desire, particularly your testosterone can decrease.

In fact, you can have symptoms as early as your 40s. And so people can start having changes in their hormones that can cause changes in desire, particularly your testosterone can decrease.

testosterone can decrease and that can really affect desire overall so in and also in women who are taking some some subset of women who are taking oral contraceptives can also develop a low testosterone because a lot of that testosterone gets bound up by something called sex hormone binding globulin which goes up and that can then affect desire so certainly like i said medications you're taking can affect you and then lifestyle and then of course physiologic issues so

testosterone can decrease and that can really affect desire overall so in and also in women who are taking some some subset of women who are taking oral contraceptives can also develop a low testosterone because a lot of that testosterone gets bound up by something called sex hormone binding globulin which goes up and that can then affect desire so certainly like i said medications you're taking can affect you and then lifestyle and then of course physiologic issues so