Low sexual desire: understanding and treating it
यौन इच्छा में कमी
Desire naturally varies between people and over life. It becomes a concern when the lack of interest persists and causes personal or relationship distress.
Both men and women can experience low desire. Treatment looks at the body, the mind and the relationship together.
Medically reviewed by Dr. Kuldeep Budania, MBBS, MD Psychiatry
Common symptoms
- Few or no sexual thoughts or interest
- Avoiding intimacy; feeling guilty or pressured
- Mismatch in desire causing conflict
Causes
- Depression, anxiety, stress and fatigue
- Medicines (some antidepressants, BP medicines), alcohol
- Hormonal changes: thyroid, low testosterone, pregnancy, menopause
- Relationship conflict, past negative experiences, body-image concerns
Risk factors
- Chronic illness, sleep problems, pain during sex
How it is diagnosed
- Individual and, if possible, couple interview
- Screening for depression and medicine side-effects
- Hormone and thyroid tests when indicated
Classification: ICD-10 F52.0 · ICD-11 HA00
Treatment options
- 1Treating depression, anxiety and sleep problems
- 2Reviewing medicines; treating hormonal problems with the right specialist
- 3Lifestyle: rest, exercise, reducing alcohol
Psychotherapy and counselling
- Sex therapy with sensate focus exercises
- Couples therapy for communication and conflict
Guidance for family
- Talk openly and without blame; treat it as a shared concern
- Reduce pressure on "performance"; focus on closeness and comfort
- Attend a joint session if possible — outcomes are better
When to see a psychiatrist
- Low desire lasting months and causing distress
- Low mood, hopelessness or relationship crisis
Thoughts of self-harm or a medical emergency? Call Tele-MANAS 14416 (24×7, free) or 112.
Frequently asked questions
Is there a pill to increase desire?
There is no simple pill for most people. Treating the underlying causes and therapy work better.
Is the consultation private?
Yes. It is one-to-one by private video and your details stay confidential. Your partner can join if you wish.
Can this be assessed by video?
Most concerns can be discussed and treated by private video. If a physical examination or tests are needed, you will be guided to a physician or gynaecologist.
Help is available — confidential, in Hindi or English.
Private video consultation from anywhere in India with an Ajmer-based psychiatrist. Psychiatry consultation ₹500.
This page is for education and does not replace a personal consultation. Do not start or stop any medicine without a doctor's advice.