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Your Ultimate Guide for
Healthy
Living

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The Silent Epidemic: Women and the Loss of Libido

Updated: Jun 3

Let’s talk about something so many women whisper about but rarely feel safe to say out loud: “I just don’t feel desire anymore.”

You are not alone. You are not broken.And most importantly, you are not done.

Low libido is one of the most common challenges women face in their 40s, 50s, and beyond (though it can happen anytime) — and sadly, it’s often met with shame, silence, or a shrug from traditional medicine. For many women, a disinterest in sex feels like a loss of vitality, intimacy, and even identity.

But libido isn’t just about sex. It’s about Connection.. Energy. Creativity. Confidence. Joy.

When your desire dims, it often reflects deeper imbalances—physiologically, emotionally, spiritually. And the good news? There is so much we can do to bring it back into harmony.

What’s Really Going On?

Low libido can be caused by a constellation of factors, and many of them are uniquely connected to the midlife transition:

  • Hormonal Shifts: Estrogen, testosterone, and progesterone all begin to decline in perimenopause and menopause. These changes impact vaginal lubrication, tissue integrity, and sexual response—not to mention your overall energy and mood.

  • Stress & Cortisol: Chronic stress suppresses sexual desire by shifting the body into survival mode. If your nervous system is constantly on high alert, your body isn’t prioritizing pleasure—it’s prioritizing protection.

  • Relationship Dynamics: If you’re not feeling emotionally safe, seen, or connected to your partner (or yourself), libido often takes a backseat.

  • Medications: Antidepressants, antihypertensives, and even some hormone replacement therapies can blunt sexual response.

  • Body Image & Confidence: Changes in weight, skin, or energy can lead to feeling “less desirable”—but this is a story we’ve been told, not a truth we have to live by.


Reclaiming Desire Starts with You


You don’t need to fake it, force it, or feel ashamed. You get to honor your body, your needs, and your desires—on your own terms.

Here are science-backed and soul-honoring ways to begin reigniting your spark:

1. Know Your Hormones

Get functional hormone testing to understand where you are in your cycle or menopausal transition. Testosterone, DHEA, estrogen, and progesterone all play a role in libido, energy, and vaginal health. I often recommend a DUTCH test, a simple at-home urine test that gives an in-depth look at your estrogen, progesterone, testosterone, cortisol, and how your body is metabolizing them. With this insight, we can tailor natural, effective support—whether that’s herbs, nutrients, or bioidentical hormones.

2. Support Vaginal Vitality

If dryness or discomfort is part of the issue, it’s not something to “just live with.” There are incredible non-hormonal moisturizers, vaginal estrogen/DHEA, hyaluronic acid, and more that restore pleasure and comfort.

3. Tend to Your Nervous System

You can’t feel pleasure if you’re always bracing. Breathwork, nature time, dance, and meditation help regulate the nervous system so you can soften into connection.

4. Move with Intention

Physical movement, especially strength training and hip-opening flow, enhances circulation and hormonal harmony. Plus, when you feel strong in your body, confidence follows.

5. Reignite Emotional Intimacy

Sometimes, libido isn't missing—it's hidden beneath unmet emotional needs. Rebuild connection through small moments of touch, meaningful conversation, and emotional honesty. If you're in a relationship, invite your partner into this conversation.

6. Embrace Your Whole Sensual Self

Your sensuality is not defined by your age, a number on a lab test, or a cultural script. It's your birthright. Rediscover what brings you pleasure—whether that’s intimacy, solo exploration, creativity, nature, or spiritual practice.

You're Not Losing Yourself—You're Finding a New Layer of You

Midlife isn’t a season of decline. It’s a season of transformation.

What if your libido—or lack of it—isn’t a problem to fix but an invitation to reconnect?

To listen to your body. To rewrite your story. To reclaim what pleasure, intimacy, and connection mean to you now.

You are allowed to feel deeply. You are allowed to want more.And you are absolutely allowed to begin again.

If you're navigating this tender terrain and want personalized support, I invite you to schedule a call with me. Together, we’ll explore what’s going on beneath the surface—physically, emotionally, hormonally—and chart a clear, compassionate path toward your vitality, sensuality, and whole-body wellness.

You’re not alone. You’re just beginning.

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GET OCCASIONAL EMAILS FROM DR. DEBRA

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