Low Libido
Low libido is one of the most common and least discussed concerns women bring to a provider, and it becomes more common through perimenopause and menopause as estrogen and testosterone decline. It is a real, treatable medical concern, not something to be embarrassed about.
Medically reviewed by Wasef Health. Last reviewed July 16, 2026.
Why desire changes
Desire sits at the intersection of hormones, blood flow, sleep, stress, mood, and relationship context. Hormonal shifts in midlife commonly lower desire and arousal, and medications such as some antidepressants can add to it. Because the causes stack, the fix is rarely one-size-fits-all.
How Elara can help
Licensed providers can prescribe targeted options such as topical arousal support, and address the hormonal side with progesterone where appropriate. Everything starts with a private online consultation; nothing is prescribed unless a provider decides it is right for you.
Treatment options
- Women's Passion CreamA prescription topical cream formulated with L-Arginine, Sildenafil, and Apomorphine to support blood flow, sensitivity, and sexual arousal. Designed for targeted use to help enhance physical response, increase sensation, and support a more satisfying intimate experience.
- ProgesteroneA prescription hormone therapy designed to support sexual wellness by restoring progesterone levels and promoting hormonal balance. May help support libido, mood, sleep, and overall sexual well-being during periods of hormonal change.
- EnclomipheneClinically formulated tablets that support his natural testosterone, energy, and vitality, prescribed when he qualifies.
Frequently asked questions
Is low libido normal in your 40s and 50s?
It is very common as hormones shift, but common does not mean untreatable. If it bothers you, it is worth addressing, and providers treat it as the legitimate medical concern it is.
Is the consultation private?
Completely. The consultation happens online, your information is protected, and treatments ship in discreet packaging.
What treatments might a provider consider?
Depending on your history, options can include topical arousal support such as Women’s Passion Cream and hormone support such as progesterone. Your licensed provider tailors the plan to you.