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Missing the spark you used to have? It's more common than you think, and it's not something you have to just live with. We'll talk it through privately, check your hormones and help you find what's really going on.
✓ Complimentary consult
✓ Private & judgment-free
✓ For women and men
Medically reviewed by Stephany Reese, APRN, FNP-C, medical director · Updated October 2026
Stephany Reese, APRN, FNP-C
Medical director
The short answer
Low sex drive usually has more than one cause: hormone changes in perimenopause, menopause or after a baby, low testosterone in men, medications like SSRIs, poor sleep, stress and relationship strain. Many of these can be treated. We start with a private conversation and comprehensive labs, then build a plan that may include hormone therapy for women, perimenopause hormone therapy or testosterone therapy for men.
Understanding desire
Desire is shaped by your body, your mind and your relationship all at once. Knowing which pieces apply to you helps us choose what will actually help.
Lower estrogen can bring hot flashes, night sweats and poor sleep that reduce interest in sex, plus vaginal changes that make sex painful (The Menopause Society). Doctors call this dryness and thinning genitourinary syndrome of menopause, or GSM (Mayo Clinic).
Low libido is a common sign of low testosterone, which is usually defined as a level below 300 ng/dL (Cleveland Clinic).
Hormone shifts during pregnancy and breastfeeding can lower desire (Mayo Clinic), and hormonal changes after birth can leave the vagina drier than usual (NHS).
Antidepressants called SSRIs are a well-known cause of lower sex drive (Mayo Clinic). In men, some medications, like opioid pain relievers, can cause low-testosterone symptoms (Mayo Clinic).
Fatigue, stress, depression and body image worries can all quiet desire (Mayo Clinic). See fatigue and mood swings.
Feeling disconnected from your partner or having unresolved conflict can lower desire, and that matters as much as any lab number (Mayo Clinic).
Women vs. men
Both women and men can lose interest in sex, but the hormone pieces and the treatment options are different. In women, desire often changes with estrogen and sleep in midlife (The Menopause Society). In men, low testosterone is a common, testable cause (AUA).
Women
Men
Common hormone causes
Perimenopause, menopause, pregnancy, breastfeeding
Low testosterone, which declines about 1% per year starting in the late 30s
Other common causes
SSRIs, poor sleep, painful sex from dryness, stress, relationship strain
Medications, obesity, sleep apnea, stress, depression
How we test
Symptoms plus comprehensive hormone and thyroid labs
Two early-morning testosterone tests on separate days, plus other labs
In both women and men, hormones are only part of the story. The best plans also look at sleep, medications, stress and connection.
Your options
We test instead of guess, then match the treatment to the cause. Here's what each option can do, with honest notes on its limits.
Best for: finding the cause
We check hormones and thyroid through LabCorp and review the results with you. Low-testosterone symptoms aren't specific, so labs matter (Mayo Clinic).
Best for: low desire with hot flashes, poor sleep or vaginal dryness
Hormone therapy can ease the symptoms that crowd out desire, and low-dose vaginal estrogen can treat dryness and painful sex (The Menopause Society).
Best for: postmenopausal women with low desire that causes distress
Testosterone isn't FDA-approved for women in the US (Mayo Clinic), but global guidelines endorsed by The Menopause Society support carefully dosed testosterone for postmenopausal women with HSDD (Global Consensus). Stephany is WorldLink hormone certified and prescribes testosterone for women when it fits your symptoms and labs.
Best for: men with confirmed low testosterone
TRT may improve sex drive and erectile function. It can lower sperm production, so tell us if you want children in the future (American Urological Association).
Best for: new moms who feel depleted or not like themselves
We look at hormones, thyroid, sleep and energy after pregnancy. It's normal for desire to take a while to come back after birth (NHS).
Best for: medication side effects or relationship stress
If an SSRI may be the cause, don't stop it on your own. Your prescriber can taper or adjust it safely (Cleveland Clinic). Counseling and sex education can also help (Mayo Clinic).
When it's not just hormones
Sometimes it is. Low testosterone symptoms can come from age, medicines or other conditions like obesity and sleep apnea (Mayo Clinic). In women, conditions like diabetes and heart disease, depression and past trauma can also lower desire (Mayo Clinic). See your doctor if you have new erection problems, pain or bleeding with sex, or a low mood that won't lift. If you ever have thoughts of harming yourself, call or text 988.
Hormones can help, but they aren't a fix for everything, and we'll be honest about that. If something else is going on, we'll help you get to the right care. That's why at Epiphany Clinic, we start with how you feel.
Everyday support
Open communication with your partner helps (Mayo Clinic), and so does telling your provider. Sharing concerns can improve desire and satisfaction (The Menopause Society).
Not having restful sleep might reduce interest in sex (The Menopause Society). See poor sleep if night sweats or restless nights are part of the picture.
Regular exercise and stress relief can support desire, energy and mood (Mayo Clinic).
Bring a list of everything you take to your visit. Some medicines lower desire, and small changes made with your prescriber can help.
Your care team
Medical director
Oversees every treatment and leads hormone therapy. Master's in Nursing, University of Cincinnati; Chair, Aesthetic Safety Network (Utah).
Real reviews
★★★★★
“I have went to my regular Doctor for years wondering why I felt so tired and had 0 drive to really do anything… I can play sports with my kids, go hit the gym, and go hiking or something fun with my wife again.”
Justin J. · Google review
★★★★★
“From the very first session I felt seen. Stephany listens. She doesn’t dismiss what you’re feeling… I’ve started gaining muscle, and I actually enjoy being in my body again.”
Simona C. · Google review
★★★★★
“She really listens and doesn’t dismiss any concerns. I felt validated despite other doctors saying my hormones levels weren’t off enough to do anything about even though I was having so many symptoms saying otherwise.”
Madison S. · Google review
Your questions, answered
Is it normal to lose interest in sex during perimenopause or menopause?
It's very common. Some women notice a big drop in desire at midlife, some notice more interest and some notice no change (The Menopause Society). Common doesn't mean you have to live with it, especially if it bothers you.
Can women take testosterone for low libido?
Testosterone isn't FDA-approved for women in the US, so it's prescribed off-label. A global consensus statement endorsed by The Menopause Society and the Endocrine Society supports it for postmenopausal women with HSDD, at doses that match normal premenopausal levels (Global Consensus). Side effects can include acne and extra hair growth. At Epiphany, Stephany prescribes testosterone for women when it's appropriate and monitors your levels closely.
Will testosterone therapy help my sex drive as a man?
If your testosterone is truly low, it may. Guidelines say TRT may improve low sex drive and erectile function (American Urological Association). We confirm low levels with two morning blood tests first, and we'll talk about fertility if you want more children.
Can my antidepressant lower my sex drive?
Yes, SSRIs are a common cause (Mayo Clinic). Please don't stop on your own, since quitting suddenly can cause discontinuation symptoms (Cleveland Clinic). Talk with your prescriber about options.
What happens at a low libido consultation?
It's a private, unhurried conversation about your symptoms, health history, medications and goals. If labs make sense, we order them through LabCorp, then review results and options with you. You can text a real person with questions between visits.
How much does low libido treatment cost in American Fork?
Your first consultation is complimentary. Comprehensive labs through LabCorp are $400, and we'll go over treatment costs before you decide. We don't bill insurance, but we can give you a superbill. See our price guide.
Where can I get help for low sex drive near American Fork?
Epiphany Clinic is at 119 S Pacific Dr, Suite 102, American Fork, UT 84003, a short drive from Lehi, Pleasant Grove, Highland, Alpine, Cedar Hills, Saratoga Springs and Orem. Call or text (801) 477-7294.
This page was medically reviewed by Stephany Reese, APRN, FNP-C, medical director of Epiphany Clinic, in October 2026. It's for education and isn't a substitute for a personal consultation.
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