Hormone imbalances aren’t the only causes for a loss of libido — stress is another important factor. Cortisol, often referred to as the stress hormone, dramatically increases when you under stress. This increase in cortisol can interfere with the binding of testosterone to its receptor sites, which renders the testosterone ineffective.

Has your sex drive been declining as you’ve been getting older? If so, you’re not alone. Low libido is a common complaint for both men and women, but it’s not an inevitable consequence of aging. There’s a lot you can do to increase your libido, especially when you know what’s going on in your body.

I saw a recent video that Dr. Landa posted called "Libido Reboot." With Valentine's Day coming up, I was hoping that Dr. Landa could offer some advice on what I can do to spice things up in the romance department. I eat well, exercise four days a week and recently started taking bioidentical hormones. Outside of that, what can my husband and I do to spruce up our sex life? Any advice is much appreciated.

I’m still getting my period, but I feel like menopause is on the horizon. I used to have an excellent sex life and great sex drive, but now I feel like my libido is just gone. I’m 40 years old and I can care less about having sex. Is this normal for a woman my age? Is there anything I can do to jump-start my libido?

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