Editing Libido

{{Short description|Psychological or sexual drive or energy}}
{{other uses}}
{{redirect|Sex drive|other uses|Sex Drive (disambiguation)}}

In [[psychology]], '''libido''' ({{IPAc-en|l|ɪ|ˈ|b|iː|d|oʊ}}; {{etymology|la|{{wikt-lang|la|libīdō}}|desire}}) is [[psyche (psychology)|psychic]] drive or energy, usually conceived of as [[human sexuality|sexual]] in nature, but sometimes conceived of as including other forms of [[desire]].<ref>{{Cite book| url= https://www.oed.com/view/Entry/107907|title=Oxford English Dictionary (OED Online)|publisher=Oxford University Press| year=1989| edition= 2nd| location= Oxford |url-access= subscription| access-date=28 March 2021}}</ref> The term ''libido'' was originally developed by [[Sigmund Freud]], the pioneering originator of [[psychoanalysis]]. With direct reference to Plato's Eros, the term initially referred only to specific [[sexual desire]], later expanded to the concept of a universal psychic energy that drives all instincts and whose ''[[Id, ego and superego#Psychic apparatus|great reservoir is the id]]''.<ref>{{cite book |last1=Platon |title=Symposion}}</ref><ref>{{cite book |last1=Freud |first1=Sigmund |title=Massenpsychologie und Ich-Analyse |pages=99}}</ref><ref>Sigmund Freud, ''The Ego and the Id'', ''On Metapsychology'' (Penguin Freud Library 11) p. 369.</ref> The libido partly according to its synthesising, partly to its analytical aspect called ''life-'' and ''death-drive'' - thus becomes the source of all natural forms of expression: the behaviour of sexuality as well as striving for social commitment (''maternal love instinct'' etc.), skin [[pleasure]], food, knowledge and victory in the areas of species- and [[self-preservation]].<ref>{{cite web |title=Libido |url= https://dictionary.apa.org/libido |work= APA Dictionary of Psychology |publisher=American Psychological Association |access-date=19 April 2023}}</ref><ref>{{cite book |last1=Akhtar |first1=Salman |title=A Comprehensive Dictionary of Psychoanalysis |date=2009 |publisher=Karnac |location=London |page=159}}</ref>

In common or [[colloquial]] usage, a person's overall sexual drive is often referred to as that person's "libido". In this sense, libido is influenced by biological, psychological, and social factors. Biologically, the [[sex hormone]]s and associated neurotransmitters that act upon the [[nucleus accumbens]] (primarily [[testosterone]], [[estrogen]], and [[dopamine]], respectively) regulate sex drive in humans.<ref name="MEDRS review" /> Sexual drive can be affected by social factors such as work and family; psychological factors such as personality and stress; also by medical conditions, medications, lifestyle, relationship issues, and age.

== Psychological perspectives ==
===Freud===
{{Psychoanalysis |Concepts}}
[[File:Sigmund Freud, by Max Halberstadt (cropped).jpg|thumb|160px|[[Sigmund Freud]]]]

[[Sigmund Freud]], who is considered the originator of the modern use of the term,<ref>{{Cite book|title=Sex and Society|last1=Crowe|first1=Felicity|last2=Hill|first2=Emily|last3=Hollingum|first3=Ben|publisher=Marshall Cavendish|year=2010|isbn=9780761479055|location=New York|pages=462}}</ref> defined libido as "the energy, regarded as a quantitative magnitude... of those instincts which have to do with all that may be comprised under the word 'love'."<ref>S. Freud, [[Group Psychology and the Analysis of the Ego]], 1959</ref> It is the instinctual energy or force, contained in what Freud called the [[Id, Ego and Superego|id]], the strictly unconscious structure of the [[Psyche (psychology)|psyche]]. He also explained that it is analogous to hunger, the will to power, and so on<ref>{{Cite book|title=The New Wounded: From Neurosis to Brain Damage|last=Malabou|first=Catherine|date=2012|publisher=Fordham University Press|isbn=9780823239672|location=New York|pages=103}}</ref> insisting that it is a fundamental instinct that is innate in all humans.<ref>{{Cite book|title=Literary Theory: The Complete Guide|last=Klages|first=Mary|publisher=Bloomsbury Publishing|year=2017|isbn=9781472592767|location=London|pages=245}}</ref>

Freud pointed out that these libidinal drives can conflict with the conventions of civilised behavior, represented in the psyche by the [[superego]]. It is this need to conform to society and control the libido that leads to tension and anxiety in the individual, prompting the use of [[ego defenses]] which channel the psychic energy of the unconscious drives into forms that are acceptable to the ego and superego. Excessive use of ego defenses results in [[neurosis]], so a primary goal of [[psychoanalysis]] is to make the drives accessible to [[consciousness]], allowing them to be addressed directly, thus reducing the patient's automatic resort to ego defenses.<ref>{{cite book
 | last = Reber
 | first = Arthur S.
 | author2 = Reber, Emily S.
 | title = Dictionary of Psychology
 | publisher = Penguin Reference
 | year = 2001
 | location = New York
 | url = https://archive.org/details/penguindictionar00rebe_0
 | isbn = 0-14-051451-1
 }}
</ref>

Freud viewed libido as passing through a series of [[Psychosexual development|developmental stages]] in the individual, in which the libido fixates on different erogenous zones: first the [[oral stage]] (exemplified by an infant's pleasure in nursing), then the [[anal stage]] (exemplified by a toddler's pleasure in controlling his or her bowels), then the [[phallic stage]], through a [[latency stage]] in which the libido is dormant, to its reemergence at puberty in the [[genital stage]]<ref>Sigmund Freud, ''New Introductory Lectures on Psychoanalysis'' (PFL 2) p. 131</ref> ([[Karl Abraham]] would later add subdivisions in both oral and anal stages.).<ref>[[Otto Fenichel]], ''The Psychoanalytic Theory of Neurosis'' (1946)p. 101</ref> Failure to adequately adapt to the demands of these different stages could result in libidinal energy becoming 'dammed up' or [[Fixation (psychology)|fixated]] in these stages, producing certain pathological character traits in adulthood.

===Jung===
Swiss psychiatrist [[Carl Jung|Carl Gustav Jung]] identified the libido with psychic energy in general. According to Jung, 'energy', in its subjective and psychological sense, is 'desire', of which sexual desire is just one aspect.<ref>P. Gay, ''Freud'' (1989) p. 397</ref><ref>{{cite web |url=http://frithluton.com/articles/libido/ |title=Libido |last=Sharp |first=Daryl |website=frithluton.com|date=15 October 2011 }}</ref> Libido thus denotes "a desire or impulse which is unchecked by any kind of authority, moral or otherwise. Libido is appetite in its natural state. From the genetic point of view it is bodily needs like hunger, thirst, sleep, and sex, and emotional states or affects, which constitute the essence of libido."<ref>“The Concept of Libido” Collected Works Vol. 5, par. 194.</ref> It is "the energy that manifests itself in the life process and is perceived subjectively as striving and desire."<ref>{{cite book |last1=Ellenberger |first1=Henri |title=The Discovery of the Unconscious |date=1970 |publisher=Basic Books |location=New York |page=697}}</ref> Duality (opposition) creates the energy (or libido) of the psyche, which Jung asserts expresses itself only through symbols. These symbols may manifest as "fantasy-images" in the process of psychoanalysis, giving subjective expression to the contents of the libido, which otherwise lacks any definite form.<ref>“The Technique of Differentiation,” Collected Works Vol. 7, par. 345.</ref> Desire, conceived generally as a psychic longing, movement, displacement and structuring, manifests itself in definable forms which are apprehended through analysis.

=== Other psychological and social perspectives ===
A person may have a desire for sex, but not have the opportunity to act on that desire, or may on personal, moral or religious reasons [[Sexual abstinence|refrain from acting on the urge]]. Psychologically, a person's urge can be [[Psychological repression|repressed]] or [[Sublimation (psychology)|sublimated]]. Conversely, a person can engage in sexual activity without an actual desire for it. Multiple factors affect human sex drive, including stress, illness, pregnancy, and others. A 2001 review found that, on average, men have a higher desire for sex than women.<ref>{{cite news|author1=Roy F. Baumeister, Kathleen R. Catanese, and Kathleen D. Vohs|title=Is There a Gender Difference in Strength of Sex Drive? Theoretical Views, Conceptual Distinctions, and a Review of Relevant Evidence|url=http://assets.csom.umn.edu/assets/71520.pdf|work=Department of Psychology Case Western Reserve University|publisher=Lawrence Erlbaum Associates, Inc.|quote=All the evidence we have reviewed points toward the conclusion that men desire sex more than women. Although some of the findings were more methodologically rigorous than others, the unanimous convergence across all measures and findings increases confidence. We did not find a single study, on any of nearly a dozen different measures, that found women had a stronger sex drive than men. We think that the combined quantity, quality, diversity, and convergence of the evidence render the conclusion indisputable}}</ref>

Certain psychological or social factors can reduce the desire for sex. These factors can include lack of privacy or [[intimacy]], [[stress (medicine)|stress]] or [[fatigue (medical)|fatigue]], distraction, or depression. Environmental stress, such as prolonged exposure to [[noise health effects|elevated sound levels]] or [[over-illumination|bright light]], can also affect libido. Other causes include experience of sexual abuse, assault, trauma, or neglect, body image issues, and anxiety about engaging in sexual activity.<ref>[[Irvin D. Yalom|Yalom, I.D.]], ''Love's Executioner and Other Tales of Psychotherapy''. New York: Basic Books, 1989. {{ISBN|0-06-097334-X}}.</ref>

Individuals with [[post-traumatic stress disorder]] (PTSD) may find themselves with reduced sexual desire. Struggling to find pleasure, as well as having trust issues, many with PTSD experience feelings of vulnerability, rage and anger, and emotional shutdowns, which have been shown to inhibit sexual desire in those with PTSD.<ref>{{Cite journal|last1=Yehuda|first1=Rachel|last2=Lehrner|first2=Amy|last3=Rosenbaum|first3=Talli Y.|date=2015|title=PTSD and Sexual Dysfunction in Men and Women|journal=The Journal of Sexual Medicine|volume=12|issue=5|pages=1107–1119|doi=10.1111/jsm.12856|pmid=25847589|s2cid=1746180|issn=1743-6109}}</ref> Reduced sex drive may also be present in trauma victims due to issues arising in sexual function. For women, it has been found that treatment can improve sexual function, thus helping restore sexual desire.<ref>{{Cite journal|last1=Wells|first1=Stephanie Y.|last2=Glassman|first2=Lisa H.|last3=Talkovsky|first3=Alexander M.|last4=Chatfield|first4=Miranda A.|last5=Sohn|first5=Min Ji|last6=Morland|first6=Leslie A.|last7=Mackintosh|first7=Margaret-Anne|date=2019-01-01|title=Examining Changes in Sexual Functioning after Cognitive Processing Therapy in a Sample of Women Trauma Survivors|url=https://www.whijournal.com/article/S1049-3867(18)30101-4/abstract|journal=Women's Health Issues|language=en|volume=29|issue=1|pages=72–79|doi=10.1016/j.whi.2018.10.003|issn=1049-3867|pmid=30455090|s2cid=53871527|doi-access=free}}</ref> Depression and libido decline often coincide, with reduced sex drive being one of the symptoms of [[Depression (mood)|depression]].<ref name=":12">{{Cite journal|last1=Robert L. Phillips|first1=Jr|last2=Slaughter|first2=James R.|date=2000-08-15|title=Depression and Sexual Desire|url=https://www.aafp.org/afp/2000/0815/p782.html|journal=American Family Physician|volume=62|issue=4|pages=782–786|pmid=10969857|issn=0002-838X}}</ref> Those with depression often report the decline in libido to be far reaching and more noticeable than other symptoms.<ref name=":12" /> In addition, those with depression often are reluctant to report their reduced sex drive, often normalizing it with cultural/social values, or by the failure of the physician to inquire about it.

[[Sexual desire]]s are often an important factor in the formation and maintenance of [[intimate relationship]]s in humans. A lack or loss of sexual desire can adversely affect relationships. Changes in the sexual desires of any partner in a sexual relationship, if sustained and unresolved, may cause [[Relationship breakup|problems in the relationship]]. The [[infidelity]] of a partner may be an indication that a partner's changing sexual desires can no longer be satisfied within the current relationship. Problems can arise from disparity of sexual desires between partners, or poor communication between partners of sexual needs and preferences.<ref name="B">{{cite web|url=http://www.mayoclinic.com/health/low-sex-drive-in-women/DS01043/DSECTION=causes |title=Low sex drive in women|website=Mayo Clinic|publisher=Mayo Foundation for Medical Education and Research|access-date=July 28, 2010}}</ref>

== Biological perspectives ==
=== Endogenous compounds ===
{{See also|Sexual motivation and hormones}}
Libido is governed primarily by activity in the [[mesolimbic pathway|mesolimbic dopamine pathway]] ([[ventral tegmental area]] and [[nucleus accumbens]]).<ref name="MEDRS review" /> Consequently, [[dopamine]] and related [[trace amine]]s (primarily [[phenethylamine]])<ref name="Miller">{{cite journal | author = Miller GM | title = The emerging role of trace amine-associated receptor 1 in the functional regulation of monoamine transporters and dopaminergic activity | journal = J. Neurochem. | volume = 116 | issue = 2 | pages = 164–176 |date=January 2011 | pmid = 21073468 | pmc = 3005101 | doi = 10.1111/j.1471-4159.2010.07109.x }}</ref> that modulate dopamine neurotransmission play a critical role in regulating libido.<ref name="MEDRS review">{{cite journal |vauthors=Fisher HE, Aron A, Brown LL | title = Romantic love: a mammalian brain system for mate choice | journal = Philos. Trans. R. Soc. Lond. B Biol. Sci. | volume = 361 | issue = 1476 | pages = 2173–86 |date=December 2006 | pmid = 17118931 | pmc = 1764845 | doi = 10.1098/rstb.2006.1938 }}</ref>

Other neurotransmitters, neuropeptides, and sex hormones that affect sex drive by modulating activity in or acting upon this pathway include:
* [[Testosterone]]<ref name="MEDRS review" /> (directly correlated) – and other [[androgen]]s<ref name="Lichterman" /><ref name="pmid20920505">{{cite journal |vauthors=Harding SM, Velotta JP | title = Comparing the relative amount of testosterone required to restore sexual arousal, motivation, and performance in male rats | journal = Horm Behav | volume = 59 | issue = 5 | pages = 666–73 |date=May 2011 | pmid = 20920505 | doi = 10.1016/j.yhbeh.2010.09.009 | s2cid = 1577450 }}</ref><ref name="Davis_2008">{{cite journal |vauthors=Davis SR, Moreau M, Kroll R, Bouchard C, Panay N, Gass M, Braunstein GD, Hirschberg AL, Rodenberg C, Pack S, Koch H, Moufarege A, Studd J | title = Testosterone for low libido in postmenopausal women not taking estrogen | journal = N. Engl. J. Med. | volume = 359 | issue = 19 | pages = 2005–17 |date=November 2008 | pmid = 18987368 | doi = 10.1056/NEJMoa0707302 | s2cid = 181727 | doi-access = free }}</ref><ref>{{cite journal |last = Renneboog B |title = [Andropause and testosterone deficiency: how to treat in 2012?] |journal = [[Revue Médicale de Bruxelles]] |volume = 33 |pages = 443–9 |year = 2012 |pmid=23091954 |issue = 4}}</ref>
* [[Estrogen]]<ref name="MEDRS review" /> (directly correlated) – and related female sex hormones<ref name = "DeLamater&Sill2005">{{cite journal |last1= DeLamater|first1=J.D. |last2=Sill |first2=M.|year=2005 |title=Sexual Desire in Later Life |journal=The Journal of Sex Research |volume=42 |issue=2 |pages=138–149 |doi=10.1080/00224490509552267|pmid=16123844 |s2cid=15894788 }}</ref><ref name="pmid21514299">{{cite journal |vauthors=Heiman JR, Rupp H, Janssen E, Newhouse SK, Brauer M, Laan E | title = Sexual desire, sexual arousal and hormonal differences in premenopausal US and Dutch women with and without low sexual desire | journal = Horm. Behav. | volume = 59 | issue = 5 | pages = 772–779 |date=May 2011 | pmid = 21514299 | doi = 10.1016/j.yhbeh.2011.03.013| s2cid = 20807391 }}</ref><ref name= "pmid16037752">{{cite journal |vauthors=Warnock JK, Swanson SG, Borel RW, Zipfel LM, Brennan JJ | title = Combined esterified estrogens and methyltestosterone versus esterified estrogens alone in the treatment of loss of sexual interest in surgically menopausal women | journal = Menopause | volume = 12 | issue = 4 | pages = 359–60 | year = 2005 | pmid = 16037752 | doi = 10.1097/01.GME.0000153933.50860.FD | s2cid = 24557071 }}</ref><ref name="Ziegler-51-p1-2" /><ref>{{cite journal|last=Simerly |first=Richard B. |title=Wired for reproduction: organization and development of sexually dimorphic circuits in the mammalian forebrain |journal=Annu. Rev. Neurosci. |volume=25 |pages=507–536 |date=2002-03-27 |url=http://www.healthsystem.virginia.edu/internet/neuroscience/BehavioralNeuroscience/Simerley-EFR-1-4.pdf |archive-url=https://web.archive.org/web/20081001223447/http://www.healthsystem.virginia.edu/internet/neuroscience/BehavioralNeuroscience/Simerley-EFR-1-4.pdf |url-status=dead |archive-date= 2008-10-01 |doi= 10.1146/annurev.neuro.25.112701.142745 |pmid=12052919 |access-date= 2007-03-07 }}</ref>
* [[Progesterone]]<ref name="Ziegler-51-p1-2">Ziegler, T. E. (2007). Female sexual motivation during non-fertile periods: a primate phenomenon. Hormones and Behavior, 51(1), 1–2</ref> (inversely correlated)
* [[Oxytocin]]<ref name= "Oxytocinergic circuit">{{cite journal |vauthors=McGregor IS, Callaghan PD, Hunt GE | title = From ultrasocial to antisocial: a role for oxytocin in the acute reinforcing effects and long-term adverse consequences of drug use? | journal = Br. J. Pharmacol. | volume = 154 | issue = 2 | pages = 358–368 |date=May 2008 | pmid = 18475254 | pmc = 2442436 | doi = 10.1038/bjp.2008.132 | quote = Recent evidence suggests that popular party drugs such as MDMA and gamma-hydroxybutyrate (GHB) may preferentially activate brain oxytocin systems to produce their characteristic prosocial and prosexual effects. Oxytocin interacts with the mesolimbic dopamine system to facilitate sexual and social behaviour, and this oxytocin-dopamine interaction may also influence the acquisition and expression of drug-seeking behaviour.}}</ref> (directly correlated)
* [[Serotonin]]<ref name="dop and nor"/><ref>{{Cite journal |vauthors=Hu XH, Bull SA, Hunkeler EM, etal |title=Incidence and duration of side effects and those rated as bothersome with selective serotonin reuptake inhibitor treatment for depression: patient report versus physician estimate |journal=The Journal of Clinical Psychiatry |volume=65 |issue=7 |pages= 959–65 |date=July 2004 |pmid= 15291685 |doi= 10.4088/JCP.v65n0712}}</ref><ref>{{Cite journal|vauthors=Landén M, Högberg P, Thase ME |title=Incidence of sexual side effects in refractory depression during treatment with citalopram or paroxetine |journal=The Journal of Clinical Psychiatry |volume=66 |issue=1 |pages=100–6 |date=January 2005 |pmid=15669895 |doi=10.4088/JCP.v66n0114}}</ref> (inversely correlated)
* [[Norepinephrine]]<ref name="dop and nor">{{cite journal |author=Clayton AH |title=The pathophysiology of hypoactive sexual desire disorder in women |journal=Int J Gynaecol Obstet |volume=110 |issue=1 |pages=7–11 |date=July 2010 |pmid=20434725 |doi=10.1016/j.ijgo.2010.02.014 |s2cid=29172936 }}</ref> (directly correlated)
* [[Acetylcholine]]<ref>''Int J Impot Res''. 2000 Oct;12 Suppl 4:S26-33.</ref>

==== Sex hormone levels and the menstrual cycle ====
A woman's desire for sex is correlated to her [[menstrual cycle]], with many women experiencing a heightened sexual desire in the several days immediately before [[ovulation]],<ref>{{cite journal| first1=Susan B. | last1= Bullivant |first2= Sarah A.| last2= Sellergren | first3= Kathleen |last3= Stern |title=Women's sexual experience during the menstrual cycle: identification of the sexual phase by noninvasive measurement of luteinizing hormone |journal=Journal of Sex Research |date=February 2004 |volume=41 |issue=1 |pages=82–93 (in online article, see pp.14–15, 18–22) |url=https://dx.doi.org/10.1080%2F00224490409552216 |pmid=15216427 |doi=10.1080/00224490409552216 |s2cid=40401379 |display-authors=etal |url-status=dead |archive-url= https://web.archive.org/web/20070923001735/http://findarticles.com/p/articles/mi_m2372/is_1_41/ai_n6032944 |archive-date=2007-09-23 |url-access=subscription }}</ref> which is her peak fertility period, which normally occurs two days before and until two days after the ovulation.<ref>{{cite web| url=http://www.duofertility.com/en/my-body/my-cycle/my-fertile-period.html |title=My Fertile Period| website= DuoFertility.com| date= | publisher= |access-date= 2008-09-22 |url-status=dead |archive-url=https://web.archive.org/web/20081221225600/http://www.duofertility.com/en/my-body/my-cycle/my-fertile-period.html |archive-date=2008-12-21 }}</ref> This cycle has been associated with changes in a woman's [[testosterone]] levels during the menstrual cycle. According to Gabrielle Lichterman, testosterone levels have a direct impact on a woman's interest in sex. According to her, testosterone levels rise gradually from about the 24th day of a woman's menstrual cycle until ovulation on about the 14th day of the next cycle, and during this period the woman's desire for sex increases consistently. The 13th day is generally the day with the highest testosterone levels. In the week following ovulation, the testosterone level is the lowest and as a result women will experience less interest in sex.<ref name= "Lichterman">{{cite book| title=28 Days: What Your Cycle Reveals about Your Love Life, Moods, and Potential| first= Gabrielle|last=Lichterman| isbn= 978-1-59337-345-0| date= November 2004| publisher= Adams Media Corporation}}</ref>{{better source needed|date=October 2015}}

Also, during the week following ovulation, [[progesterone]] levels increase, resulting in a woman experiencing difficulty achieving [[orgasm]]. Although the last days of the menstrual cycle are marked by a constant testosterone level, women's libido may get a boost as a result of the thickening of the [[Endometrium|uterine lining]] which stimulates [[nerve endings]] and makes a woman feel aroused.<ref name="C">{{cite web |url=http://www.emaxhealth.com/48/4247.html |title=Women Can Now Predict When They Will Have The Best Sex | website= emaxhealth.com |access-date=July 28, 2010 |archive-date=July 5, 2019 |archive-url=https://web.archive.org/web/20190705133933/https://www.emaxhealth.com/48/4247.html |url-status=dead }}</ref> Also, during these days, [[estrogen]] levels decline, resulting in a decrease of [[vaginal lubrication|natural lubrication]].

Although some specialists disagree with this theory, [[menopause]] is still considered by the majority a factor that can cause decreased sexual desire in women. The levels of estrogen decrease at menopause and this usually causes a lower interest in sex and vaginal dryness which makes sex painful. However, the levels of testosterone increase at menopause and this may be why some women may experience a contrary effect of an increased libido.<ref>{{Cite journal |last1=Shearer|first1=Jasmin L|last2= Salmons|first2=Nabeel|last3=Murphy|first3=Damian J|last4= Gama|first4= Rousseau|date=January 2017| title= Postmenopausal hyperandrogenism: the under-recognized value of inhibins| journal=Annals of Clinical Biochemistry| language=en-US| volume= 54| issue= 1|pages=174–177| doi= 10.1177/0004563216656873|pmid=27278937|issn=0004-5632|doi-access= free}}</ref>

=== Physical factors ===
Physical factors that can affect libido include [[Endocrine system|endocrine]] issues such as [[hypothyroidism]], the effect of certain prescription medications (for example [[flutamide]]), and the attractiveness and biological fitness of one's partner, among various other lifestyle factors.<ref>{{cite web| url= https://www.psychologytoday.com/us/articles/199612/the-orgasm-wars| work= [[Psychology Today]] | title=The Orgasm Wars |date= December 31, 1996| access-date=August 19, 2023}}</ref>

[[Anemia]] is a cause of lack of libido in women due to the loss of [[iron]] during the period.<ref name="A">{{cite web | url=http://www.netdoctor.co.uk/sex_relationships/facts/lackingsexdrive.htm | title=Lack of sex drive in men (lack of libido) | website=netdoctor.co.uk | publisher= | date= | access-date=July 28, 2010 | archive-date=October 16, 2015 | archive-url=https://web.archive.org/web/20151016134757/http://www.netdoctor.co.uk/sex_relationships/facts/lackingsexdrive.htm | url-status=dead }}</ref>

[[Smoking]] tobacco, [[alcohol use disorder]], and the use of certain drugs can also lead to a decreased libido.<ref>{{cite web |last1= |title=Low sex drive in women: symptoms and causes| website= mayoclinic.org| url= https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/symptoms-causes/syc-20374554 |publisher=Mayo Foundation for Medical Education and Research (MFMER) |access-date=14 January 2020 |ref=Feb. 15, 2018}}</ref> Moreover, specialists suggest that several lifestyle changes such as exercising, [[quitting smoking]], lowering consumption of alcohol or using prescription drugs may help increase one's sexual desire.<ref>{{cite journal |last1=Finley |first1=Nicola |title=Lifestyle Choices Can Augment Female Sexual Well-Being |volume=12 |issue=1 |pages=38–41 |journal= American Journal of Lifestyle Medicine |pmc=6125014 |year=2017 |pmid= 30283244 |doi= 10.1177/1559827617740823 }}</ref><ref>{{cite web |last1= |title=Low sex drive in women: Diagnosis and Treatment |website= mayoclinic.org| url= https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/diagnosis-treatment/drc-20374561 |publisher=Mayo Foundation for Medical Education and Research (MFMER) |access-date=14 January 2020}}</ref>

==== Medications ====
Some people purposefully attempt to decrease their libido through the usage of [[anaphrodisiac]]s.<ref>Rebal Jr, Ronald F., Robert A. Faguet, and Sherwyn M. Woods. "Unusual sexual syndromes." ''Extraordinary Disorders of Human Behavior''. Springer US, 1982. 121-154.</ref> Aphrodisiacs, such as [[dopaminergic]] psychostimulants, are a class of drugs which can increase libido. On the other hand, a reduced libido is also often [[iatrogenic]] and can be caused by many medications, such as [[hormonal contraception]], [[selective serotonin reuptake inhibitor|SSRI]]s and other [[antidepressants]], [[antipsychotic]]s, [[opioid]]s, [[beta blocker]]s and [[isotretinoin]].

Isotretinoin, [[finasteride]] and many SSRIs uncommonly can cause a long-term decrease in libido and overall sexual function, sometimes lasting for months or years after users of these drugs have stopped taking them. These long-lasting effects have been classified as iatrogenic medical disorders, respectively termed post-retinoid sexual dysfunction/post-Accutane syndrome (PRSD/PAS), post-finasteride syndrome (PFS) and [[Selective serotonin reuptake inhibitor#Sexual dysfunction|post-SSRI sexual dysfunction (PSSD)]].<ref name=":12"/><ref name=":3">{{Cite journal|last1=Bala|first1=Areeg|last2=Nguyen|first2=Hoang Minh Tue| last3= Hellstrom|first3=Wayne J. G.| date= 2018-01-01|title=Post-SSRI Sexual Dysfunction: A Literature Review| journal=Sexual Medicine Reviews |volume=6|issue=1|pages=29–34| doi=10.1016/j.sxmr.2017.07.002|pmid=28778697|issn=2050-0521}}</ref> These three disorders share many overlapping symptoms in addition to reduced libido, and are thought to share a common etiology, but collectively remain poorly-understood and lack effective treatments.

Multiple studies have shown that with the exception of [[bupropion]] (Wellbutrin), [[trazodone]] (Desyrel) and [[nefazodone]] (Serzone), antidepressants generally will lead to lowered libido.<ref name=":12" /> SSRIs that typically lead to decreased libido are [[fluoxetine]] (Prozac), [[paroxetine]] (Paxil), [[fluvoxamine]] (Luvox), [[citalopram]] (Celexa) and [[sertraline]] (Zoloft).<ref name=":12" /> Lowering the dosage of SSRI medications has been shown to improve libido in some patients.<ref name="Gonzales_1997">{{cite journal |last1=Montejo-González |first1=A L |last2=Llorca |first2=G |last3=Izquierdo |first3=J A |date=Fall 1997 |title=SSRI-induced sexual dysfunction: fluoxetine, paroxetine, sertraline, and fluvoxamine in a prospective, multicenter, and descriptive clinical study of 344 patients |url=https://pubmed.ncbi.nlm.nih.gov/9292833/ |journal=J Sex Marital Ther |volume=23 |issue=3 |pages=176–194 |doi=10.1080/00926239708403923 |pmid=9292833 |access-date=2024-09-27}}</ref> Other users try enrolling in psychotherapy to solve depression-related issues of libido. However, the effectiveness of this therapy is mixed, with many reporting that it had no or little effect on sexual drive.<ref name=":12" />

[[Testosterone]] is one of the hormones controlling libido in human beings. Emerging research<ref>{{Cite journal
| last1 = Warnock | first1 = J. K.
| last2 = Clayton | first2 = A.
| last3 = Croft | first3 = H.
| last4 = Segraves | first4 = R.
| last5 = Biggs | first5 = F. C.
| title = Comparison of Androgens in Women with Hypoactive Sexual Desire Disorder: Those on Combined Oral Contraceptives (COCs) vs. Those not on COCs
| doi = 10.1111/j.1743-6109.2006.00294.x
| journal = The Journal of Sexual Medicine
| volume = 3
| issue = 5
| pages = 878–882
| year = 2006
| pmid = 16942531
}}.</ref> is showing that hormonal contraception methods like oral [[contraceptive pill]]s (which rely on [[estrogen]] and [[progesterone]] together) are causing low libido in females by elevating levels of [[sex hormone-binding globulin]] (SHBG). SHBG binds to sex hormones, including testosterone, rendering them unavailable. Research is showing that even after ending a hormonal contraceptive method, SHBG levels remain elevated and no reliable data exists to predict when this phenomenon will diminish.<ref>{{Cite journal
| last1 = Panzer | first1 = C.
| last2 = Wise | first2 = S.
| last3 = Fantini | first3 = G.
| last4 = Kang | first4 = D.
| last5 = Munarriz | first5 = R.
| last6 = Guay | first6 = A.
| last7 = Goldstein | first7 = I.
| doi = 10.1111/j.1743-6109.2005.00198.x
| title = Impact of Oral Contraceptives on Sex Hormone-Binding Globulin and Androgen Levels: A Retrospective Study in Women with Sexual Dysfunction
| journal = The Journal of Sexual Medicine
| volume = 3
| issue = 1
| pages = 104–113
| year = 2006
| pmid = 16409223
}}.</ref>

[[Oral contraceptive pill|Oral contraceptives]] lower androgen levels in users, and lowered androgen levels generally lead to a decrease in sexual desire. However, usage of oral contraceptives has shown to typically not have a connection with lowered libido in women.<ref>{{Cite journal| last1=Burrows|first1=Lara J.|last2= Basha|first2=Maureen|last3=Goldstein|first3=Andrew T.|date=2012-09-01| title=The Effects of Hormonal Contraceptives on Female Sexuality: A Review|url=https://www.jsm.jsexmed.org/article/S1743-6095(15)34100-X/abstract|journal=The Journal of Sexual Medicine| language=en| volume=9|issue=9|pages=2213–2223| doi=10.1111/j.1743-6109.2012.02848.x| pmid=22788250|issn=1743-6095|url-access=subscription}}</ref><ref>{{Cite journal| last1= Davis| first1=Anne R.| last2= Castaño| first2=Paula M.|date=2004|title=Oral contraceptives and libido in women| journal=Annual Review of Sex Research|volume=15|pages=297–320| issn=1053-2528|pmid=16913282}}</ref>

==== Effects of age ====
Males reach the peak of their sex drive in their teenage years {{Dubious|reason= Males clearly peak in sex drive in their early 20s|date=May 2023}}, while females reach it in their thirties.<ref>{{cite book | page= [https://books.google.com/books?id=4eRtj_DxQgoC&pg=PA149 149]| title= Reconceiving the second sex | first=Marcia Claire | last=Inhorn |year= 2009 | publisher=| isbn= |via= Google Books}}</ref><ref>{{cite book | url= https://books.google.com/books?id=I7sQAQAAMAAJ | title=Principles and practice of adult health nursing | first= Patricia | last= Gauntlett Beare | date=1990 | publisher=Mosby| isbn= 9780801603860|via= Google Books}}</ref> The surge in testosterone hits the male at puberty resulting in a sudden and extreme sex drive which reaches its peak at age 15–16, then drops slowly over their lifetime.{{Disputed inline|date=May 2023}} In contrast, a female's libido increases slowly during adolescence and peaks in their mid-thirties.{{why|date=August 2021}}<ref>{{cite book
 |publisher = Penguin (Non-Classics)
 |ol = 7360364M
 |isbn = 9780142004678 | page = [https://archive.org/details/sextimepowerho00shla/page/140 140]
 |title = Sex, Time, and Power
 |url = https://archive.org/details/sextimepower00leon_0
 |first = Leonard
 |last= Shlain
 |date = July 27, 2004
 }}</ref>
Actual testosterone and estrogen levels that affect a person's sex drive vary considerably.

Some boys and girls will start expressing romantic or sexual interest by age 10–12. The romantic feelings are not necessarily sexual, but are more associated with attraction and desire for another. For boys and girls in their preteen years (ages 11–12), at least 25% report "thinking a lot about sex".<ref name=":2">{{Cite journal| last=Fortenberry|first=J. Dennis| date= July 2013|title=Puberty and Adolescent Sexuality|journal=Hormones and Behavior| volume= 64|issue=2| pages=280–287| doi= 10.1016/j.yhbeh.2013.03.007| issn= 0018-506X| pmc= 3761219| pmid= 23998672}}</ref> By the early teenage years (ages 13–14), however, boys are much more likely to have [[Sexual fantasy|sexual fantasies]] than girls. In addition, boys are much more likely to report an interest in sexual intercourse at this age than girls.<ref name=":2" /> [[Masturbation]] among youth is common, with prevalence among the population generally increasing until the late 20s and early 30s. Boys generally start masturbating earlier, with less than 10% boys masturbating around age 10, around half participating by age 11–12, and over a substantial majority by age 13–14.<ref name=":2" /> This is in sharp contrast to girls where virtually none are engaging in masturbation before age 13, and only around 20% by age 13–14.<ref name=":2" />

People in their 60s and early 70s generally retain a healthy sex drive, but this may start to decline in the early to mid-70s.<ref name=":0">{{Cite book|title=The Psychology of Human Sexuality|last=Lehmiller|first=Justin J|publisher=Wiley Blackwell| year= 2018|isbn=9781119164692|pages=621–626}}</ref> Older adults generally develop a reduced libido due to declining health and environmental or social factors.<ref name=":0" /> In contrast to common belief, postmenopausal women often report an increase in sexual desire and an increased willingness to satisfy their partner.<ref name=":4">{{Cite journal| last1=Sinković|first1=Matija|last2=Towler|first2=Lauren|date=2018-12-25| title=Sexual Aging: A Systematic Review of Qualitative Research on the Sexuality and Sexual Health of Older Adults|journal=Qualitative Health Research|volume=29|issue=9|pages=1239–1254| doi= 10.1177/1049732318819834| pmid= 30584788|s2cid=58605636|issn=1049-7323}}</ref> Women often report family responsibilities, health, relationship problems, and well-being as inhibitors to their sexual desires. Aging adults often have more positive attitudes towards sex in older age due to being more relaxed about it, freedom from other responsibilities, and increased self-confidence. Those exhibiting negative attitudes generally cite health as one of the main reasons. Stereotypes about aging adults and sexuality often regard seniors as asexual beings, doing them no favors when they try to talk about sexual interest with caregivers and medical professionals.<ref name=":4" /> Non-western cultures often follow a narrative of older women having a much lower libido, thus not encouraging any sort of sexual behavior for women. Residence in retirement homes has effects on residents' libidos. In these homes, sex occurs, but it is not encouraged by the staff or other residents. Lack of privacy and resident gender imbalance are the main factors lowering desire.<ref name=":4" /> Generally, for older adults, being excited about sex, good health, sexual self-esteem and having a sexually talented partner can be factors.<ref>{{Cite journal |last1=Kontula|first1=Osmo|last2=Haavio-Mannila|first2=Elina|date=2009-02-03|title=The Impact of Aging on Human Sexual Activity and Sexual Desire|journal=The Journal of Sex Research|volume=46|issue=1|pages=46–56|doi=10.1080/00224490802624414|issn=0022-4499|pmid=19090411|s2cid=3161449}}</ref>

== Sexual desire disorders ==
{{See also|Hyposexuality|Hypersexuality}}
Sexual desire disorders are more common in women than in men,<ref>{{Cite journal|last1=Segraves|first1=K. B.|last2=Segraves|first2=R. T.|date=2008|title=Hypoactive Sexual Desire Disorder: Prevalence and Comorbidity in 906 Subjects|journal=Journal of Sex & Marital Therapy|language=en|volume=17|issue=1|pages=55–58|doi=10.1080/00926239108405469|pmid=2072405|issn=0092-623X}}</ref> and women tend to exhibit less frequent and less intense sexual desires than men.<ref>{{Cite journal|last1=Baumeister|first1=Roy F.|last2=Catanese|first2=Kathleen R.|last3=Vohs|first3=Kathleen D.|date=2001|title=Is There a Gender Difference in Strength of Sex Drive? Theoretical Views, Conceptual Distinctions, and a Review of Relevant Evidence|journal=Personality and Social Psychology Review|language=en|volume=5|issue=3|pages=242–273|doi=10.1207/S15327957PSPR0503_5|s2cid=13336463|issn=1088-8683}}</ref> [[Erectile dysfunction]] may happen to the penis because of lack of sexual desire, but these two should not be confused since the two can commonly occur simultaneously.<ref name="malelacksexdrive">{{cite web |url=http://www.netdoctor.co.uk/sex_relationships/facts/malelacksexdrive.htm |title=Lack of sex drive in men (lack of libido) |access-date=July 28, 2010 |archive-date=September 24, 2015 |archive-url=https://web.archive.org/web/20150924004540/http://www.netdoctor.co.uk/sex_relationships/facts/malelacksexdrive.htm |url-status=dead }}</ref> For example, moderate to large recreational doses of [[cocaine]], [[amphetamine]] or [[methamphetamine]] can simultaneously cause erectile dysfunction (evidently due to [[vasoconstriction]]) while still significantly increasing libido due to heightened levels of dopamine.<ref name="Human amph effects">{{cite book | author=Gunne LM | title=Drug Addiction II: Amphetamine, Psychotogen, and Marihuana Dependence | date=2013 | publisher=Springer | location=Berlin, Germany; Heidelberg, Germany | isbn=9783642667091 | pages=247–260 | chapter-url=https://books.google.com/books?id=gb_uCAAAQBAJ&pg=PA247 | access-date=4 December 2015 | chapter=Effects of Amphetamines in Humans }}</ref> Although conversely, excessive or very regular/repeated high-dose amphetamine use may damage [[leydig cells]] in the male [[testes]], potentially leading to markedly lowered sexual desire subsequently due to [[hypogonadism]]. However, in contrast to this, other [[stimulants]] such as cocaine and even [[caffeine]] appear to lack negative impacts on testosterone levels, and may even increase their concentrations in the body. Studies on [[Cannabis (drug)|cannabis]] however seem to be exceptionally mixed, with some claiming decreased levels on testosterone, others reporting increased levels, and with some showing no measurable changes at all. This varying data seems to coincide with the almost equally conflicting data on cannabis' effects on sex drive as well, which may be dosage or frequency-dependent, due to different amounts of distinct [[cannabinoids]] in the plant, or based on individual enzyme properties responsible for metabolism of the drug. Evidence on [[Alcohol (drug)|alcohol]]'s effects on testosterone however invariably show a clear decrease, however (like amphetamine, albeit to a lesser degree); temporary increases in libido and related sexual behavior have long been observed during [[alcohol intoxication]] in both sexes, but likely most noticeable with moderation, particularly in males. Additionally, men often also naturally experience a decrease in their libido as they age due to decreased productions in testosterone.

The [[American Medical Association]] has estimated that several million US women have a [[female sexual arousal disorder]], though arousal is not at all synonymous with desire, so this finding is of limited relevance to the discussion of libido.<ref name="A"/> Some specialists claim that women may experience low libido due to some hormonal abnormalities such as lack of [[luteinising hormone]] or androgenic hormones, although these theories are still controversial.

== See also ==
{{Wiktionary|libido}}
{{Columns-list|colwidth=22em|
* [[Desire]]
* [[Lust]]
* [[Sexual arousal]]
* [[Sexual attraction]]
* [[Sexual desire]]
* [[Sexual motivation and hormones]]
}}

== References ==
{{Reflist|30em}}

== Further reading ==
* [[Henri Ellenberger|Ellenberger, Henri]] (1970). ''[[The Discovery of the Unconscious]]: The History and Evolution of Dynamic Psychiatry''. New York: Basic Books. Hardcover {{ISBN|0-465-01672-3}}, softcover {{ISBN|0-465-01672-3}}.
* Froböse, Gabriele, and Froböse, Rolf. ''Lust and Love: Is It More than Chemistry?'' Michael Gross (trans. and ed.). Royal Society of Chemistry, {{ISBN|0-85404-867-7}} (2006).
* Giles, James, ''The Nature of Sexual Desire'', Lanham, Maryland: University Press of America, 2008.

{{Sex|state=expanded}}
{{Sigmund Freud}}
{{Authority control}}

[[Category:Libido| ]]
[[Category:Carl Jung]]
[[Category:Energy and instincts]]
[[Category:Estrogens]]
[[Category:Freudian psychology]]
[[Category:Motivation]]
[[Category:Philosophy of sexuality]]
[[Category:Psychoanalytic terminology]]
[[Category:Psychodynamics]]
[[Category:Testosterone]]