Low libido.
Libido is a barometer for the rest of the system. When it changes, something upstream usually has too.
Understanding the why.
Low libido has many possible drivers: hormonal shifts, stress physiology, sleep disruption, relationship dynamics, certain medications, and underlying conditions like thyroid disease or insulin resistance.
Most patients have been told it's normal, especially with age. Sometimes that's true. Often there's an addressable pattern underneath.
How patients describe it.
- Change in interest over months or years
- Physical changes (dryness, decreased arousal)
- Energy and mood patterns affecting interest
- Sleep disruption alongside the shift
- Hormonal milestones (postpartum, perimenopause)
- Medication effects (SSRIs, hormonal contraception)
Libido is a downstream signal. When it shifts, something upstream usually has too. We look there first. Dr. Abbie Siudzinski, ND
How we work through it.
We map the hormonal and physiological picture: sex hormones, thyroid, cortisol, blood sugar, and nutrient status.
The plan often addresses sleep, stress physiology, and energy first since libido follows downstream of those.
In Dr. Abbie's experience, many patients notice shifts within 8 to 12 weeks once the upstream pieces are working. Results vary.
Tests we typically use here.
The specific panels depend on your situation. These are the most common ones for this issue.
Testing is ordered only after your 90-minute first visit, and only when it will change your plan.
See all testing options →- DUTCH hormone panels
- Sex hormone bloodwork
- Salivary cortisol
- Comprehensive thyroid panel
- Fasting insulin and HbA1c
- Vitamin D and B12
Before you book.
- Insurance? Foundations is private pay. HSA and FSA are accepted, and superbills are available on request. See pricing.
- What is the first visit? 90 minutes, in person at Knewtson Health Group in Excelsior. Any testing comes after that visit, with the cost reviewed first.
- Coming from farther away? Only the first visit has to be in person. Follow-ups can be in person or virtual, whichever works for you.
Start with a free 15-minute call.
If this sounds like what you're navigating, the 15-minute call is the right place to start.