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Low Libido Management for Women of Any Age

Low libido is something most women experience at some point in their lives and should not be considered too embarrassing to discuss with your doctor. If you have noticed a decline in your sex drive, Honu Women’s Health is a place where you should feel comfortable talking about it or any other sexual health concerns. There are many reasons why you could be experiencing a decreased libido, and sometimes these reasons are linked to other underlying health issues.

At Honu Women’s Health, we want to determine the cause of your decreased interest in sexual activity and develop a customized low libido management plan that will improve your health and quality of life.

low libido Honu Women's Health OB / GYN & Aesthetics Physician - Honolulu Hawaii

Reasons for Low Libido in Women


 Sometimes the reasons for low libido can be challenging to identify, so you need to feel comfortable when discussing the matter with our board-certified OB/GYN, Dr. Aya Sultan. Dr. Sultan patiently listens to patients struggling with low libido and will take time to investigate all potential causes.

She will ask questions to help determine the causes of your low libido related to:

  • Lifestyle
  • Diet
  • Relationship status
  • Prescription medications

Whether your low sex drive is due to physical, hormonal or psychological causes, Dr. Sultan can offer a variety of solutions based on your unique situation and help you find the plan that works best for you.

Causes of Low Libido in Younger Women

For younger women, low libido is commonly caused as a side effect of prescription birth control. It can also be a side effect of anti-depressants or other common medications. At Honu Women’s Health, your prescription medication record will be thoroughly reviewed by Dr. Sultan, whose PhD in Pharmacology helps to identify any potential adverse drug interactions and determine the best alternatives for medications that are causing low libido. Hormonal changes experienced during pregnancy or breastfeeding can also be culprits for a decreased sex drive and can be addressed effectively with hormone therapy.

Causes of Low Libido in Older Women

Low libido often occurs in older women as a side effect of menopause. Menopausal women may experience a lack of sex hormones that are responsible for driving sexual desires and creating natural lubrication. This hormonal imbalance may also lead to hot flashes, mood swings or a lack of energy. For women experiencing these issues with menopause, hormone therapy is an ideal option that can help you feel like yourself again.

Physical or Psychological Causes of Low Libido

If intercourse is painful for you, it’s understandable why you may be experiencing low libido. Reasons for painful intercourse can range from psychological concerns to medical problems, and the type of pain you are experiencing can help Dr. Sultan determine the cause of your pain. A thorough examination can aid in discovering the cause of your painful intercourse, and at Honu Women’s Health, your comfort during the exam is a top priority. We will stop an exam at any time if it’s too painful and we want you to be comfortable discussing anything. Our goal is to first determine the underlying issue for your painful intercourse and subsequent low libido, then manage it appropriately.

There could be underlying conditions or illnesses causing painful intercourse such as endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, hemorrhoids or ovarian cysts. Scarring from pelvic surgery, such as a hysterectomy, can also cause painful intercourse. Emotional factors such as anxiety, depression or a history of sexual abuse are also contributors to painful intercourse due to a low level of arousal. None of these issues are too taboo to discuss at Honu Women’s Health. In fact, they are all treatable and often reversible, so it’s important to discuss them with Dr. Sultan.

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diVa® Laser Vaginal Therapy - Honu Women's Health

Improving Libido With diVa®

If your low libido is due to vaginal atrophy (laxity) after childbirth or menopause, you could be a candidate for improving vaginal tissues with diVa® laser therapy. This option is minimally invasive and will have you feeling years younger with little to no downtime. Completely customizable and painless, diVa® treatments can be specifically tailored to achieve your desired results.

We encourage you to schedule an appointment at Honu Women’s Health to discuss your struggle with low libido in a comfortable, judgment-free environment. At your appointment, be prepared to share information on the history of your decreased sex drive. Your key medical information, including conditions you have been treated for in the past, will be important to share. We believe every woman should be able to enjoy her sexuality and embrace her uniqueness in body, mind and spirit.

Contact us today at 808.638.3108 to start your journey to better health and a renewed outlook on life.