3 Types of Doctors Who Can Treat Your Low Sex Drive

If your regular doctor can't help, a specialist probably can.
Sex drive issues deserve the same kind of attention as anything else that goes wrong with your body. Here's where to look for libido expertise and treatment tips to suit your situation.

1. Primary care physicians
Your first stop with any sexual health concern should be your general practitioner, says Irwin Goldstein, MD, director of San Diego Sexual Medicine and editor in chief of The Journal of Sexual Medicine. In addition to the basics, such as listening to your heart and checking your blood pressure, your doctor should be on the lookout for other conditions.

Your primary care doctor should do the following.
  • Review your medications to see if you are taking a drug that could affect your sex drive.
  • Screen you for diabetes and for depression—both can cause libido problems.
  • Review your overall health and your health history.
  • Determine whether you have pain associated with other health conditions, even arthritis, as this can lower your desire for sex.
  • Test your blood for anemia, high cholesterol, hormonal imbalances (including thyroid, testosterone, or estrogen shortages), and other underlying conditions that could be affecting your sexual health.
  • Ask you lifestyle questions—sleep deprivation can have a profound effect on sex drive, as can alcohol or recreational drugs.
  • Ask about your relationships and sex life.
Also tell your doctor about any sex-related pain, such as pain in the penis when it's erect due to Peyronie's disease , or pain in the vulva or vagina that's caused or exacerbated by penetration. Physical pain can morph into psychological avoidance, says Marjorie Green, MD, director of the Mount Auburn Female Sexual Medicine Center in Cambridge, Mass., and a clinical instructor at Harvard Medical School. As Dr. Green puts it, "If every time you put your finger out, I hit it with a hammer, what would you stop doing?"

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Lead writer: Louise Sloan
Last Updated: April 28, 2008

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