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Decreased sexual desire is the most common concern I hear about changing sexuality during perimenopause and menopause.In this video, I discuss how we diagnose low libido, what may be contributing to it, and the treatment options that can genuinely help. You may hear the term Hypoactive Sexual Desire Disorder (HSDD). This is a medical diagnosis used when a persistent drop in desire creates distress for a woman or strain within a relationship. Evaluation involves a thoughtful clinical conversation, review of health history, and often the use of a validated tool such as the Decreased Sexual Desire Screener (DSDS). The reasons desire changes are rarely simple. They often include a combination of: ✔️ hormonal shifts involving estrogen, progesterone, and testosterone ✔️ changes in brain chemistry and stress pathways ✔️ sleep and energy disruption ✔️ relationship or emotional dynamics ✔️ medical conditions or medication effects I walk you through five categories of treatment, combining published science with what I’ve learned from caring for thousands of midlife women — including which approaches tend to work best in real life. Most importantly, low desire is not something you are required to accept as an unavoidable part of aging. If it matters to you, there are meaningful, evidence-based ways to make it better. 📚 Get my best-selling book, Sexually Woke: Awaken the Secrets to Your Best Sex Life in Midlife & Beyond: https://amzn.to/3rm47IU 💻 Interested in booking an appointment? Click here: https://completemidlifewellnesscenter... ~ ✨ Dr. Susan Hardwick-Smith is a Board-certified Gynecologist and Certified Menopause Practitioner with over 25 years of experience in women's health, specializing in women's midlife wellness hormonal optimization and sexual wellness. She is the founder of Complete Midlife Wellness Center in Houston TX, and author of “Sexually Woke- awaken the secrets to your best sex life in midlife and beyond”. She also hosts the popular podcast and YouTube channel “Empowering Midlife Wellness”. Earlier in her career, she founded Complete Women's Care Center, which became the largest all-female Ob/Gyn group in the country. Dr. Susan is the recipient of the Texas SuperDoctor award over 15 times, as well as a multiple time recipient of H-Texas magazine’s Top Doctor and Top Doctor for Women awards. She's also been chosen as one of Houston's “three best rated gynecologists” for multiple consecutive years Dr. Susan is also an ICF certified life and leadership coach, multiple time marathoner and IronMan triathlete, and a mother of three young adults. 🫴 Follow me on social media: Instagram: https://bit.ly/3guuEg4 Facebook: https://bit.ly/300hzbW Podcast: https://apple.co/3ePe5NJ TikTok: https://bit.ly/3VaLBAW 👀 Learn more about me: https://drsusan.com/ ❗ DISCLAIMER Content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your health care provider with any questions you have regarding a medical or mental health condition, and before undertaking any diet, dietary supplement, exercise, or other health program.