Treatments for a low Libido in London

Confidential, doctor-led support for women and men at Omniya Clinic, Knightsbridge.

A dip in sexual desire can happen to anyone, and it’s often temporary and treatable. Low libido, also known as low sex drive, can be caused by many factors including hormonal changes, stress, sleep deprivation, relationship dynamics, medications, or underlying health conditions.

At Omniya Clinic in Knightsbridge, our doctors take a medical, root-cause approach to help you understand what’s behind the change in your libido. Your treatment plan is built around you, whether that includes Hormone Replacement Therapy (HRT), Testosterone Replacement Therapy (TRT), Thyroid optimisation, or lifestyle and nutritional strategies to restore energy and confidence.

Low libido is more common than people realise, and at Omniya you can speak openly with experienced clinicians who listen, understand, and guide you through options designed to help you feel balanced, physically and emotionally.

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Two people in bed worried about low libido

What Is Low Libido?

Low libido- also known as low sex drive – refers to a persistent reduction in sexual interest or desire that feels out of character for you and begins to affect your wellbeing, confidence, or relationships. It can affect both men and women at any stage of life.

Low libido may appear on its own or alongside other symptoms such as fatigue, low mood, anxiety, vaginal dryness, erectile difficulties, or hormonal changes. While short-term dips are normal and often linked to stress or sleep disruption, ongoing low libido can indicate treatable medical, hormonal, or psychological causes.

A detailed assessment at Omniya Clinic helps identify what’s driving the change – whether hormonal imbalance, thyroid issues, medication effects, or lifestyle factors – so you can regain balance, energy, and confidence.

Common Causes of Low Libido

Low libido can develop for many reasons — and often, more than one factor is involved. At Omniya Clinic in Knightsbridge, we explore the full picture: hormones, health, sleep, stress, and medication effects, before creating a plan that’s right for you.

Hormonal Changes

Hormones play a key role in sexual desire, energy, and mood.

Perimenopause and menopause - fluctuations in oestrogen and progesterone can reduce sexual desire and cause vaginal dryness or discomfort during sex.
Low testosterone - in men (and sometimes in women) can lead to reduced libido, motivation, and sexual response.
Underactive thyroid (hypothyroidism) - affects metabolism and mood, often lowering energy and desire.

Psychological & Relationship Factors

Emotional wellbeing and intimacy dynamics can strongly influence libido.
Stress, anxiety, or low mood can dampen arousal and focus.
Body image concerns or low self-confidence may reduce desire.
Relationship strain, lack of privacy, or pain with sex can make intimacy feel difficult or disconnected.

Medical & Medication Factors

Certain health conditions or medicines can affect sexual function.

Diabetes, cardiovascular issues, sleep apnoea, or chronic pain may impact circulation, energy, or hormonal balance.
Some antidepressants, blood-pressure tablets, and hair-loss medications can lower libido as a side effect.

Lifestyle Factors

Everyday habits play an important role in sexual health.

Poor sleep and fatigue reduce hormone production and mood.
Excess alcohol, smoking, and inactivity can blunt sexual response.
Nutrient deficiencies (iron, zinc, vitamin D, or B vitamins) may contribute to low energy and hormonal disruption.

Because libido is influenced by many interconnected systems, our doctors take a root-cause approach — combining hormone testing, thyroid assessment, and lifestyle evaluation to build a personalised treatment plan that restores both physical and emotional vitality.

man getting consultation about erectile dysfunction

Symptoms and Signs of Low Libido

Low libido can appear gradually or quite suddenly, and it often overlaps with other physical or emotional changes. Recognising these signs early can help you get the right support and restore balance more quickly.

Common symptoms and signs include:

Persistent loss of sexual interest or responsiveness, even when you feel emotionally connected to your partner.
Reduced arousal or physical changes such as decreased vaginal lubrication or difficulty maintaining erections.
Low energy, fatigue, low mood, or brain fog, which can accompany hormonal or metabolic changes.
Sleep problems, stress, or anxiety that make relaxation and desire harder to access.
Relationship concerns or reduced intimacy linked to sexual changes or confidence issues.

When to seek help:

If symptoms last more than a few weeks, cause distress, or you notice new physical changes, such as erectile difficulties or vaginal discomfort, it’s time to book a medical review.

At Omniya Clinic, our doctors provide discreet, doctor-led support to help uncover the cause and guide you toward effective treatment options.

What Treatments Are Available For Low Libido?

Female hormone replace therapy (HRT) Male hormone replacement therapy (TRT) GP wellness check Weight loss consultation Thyroid therapy IV drips Health coaching Hormones MOT program The Real Age Test Comprehensive gut health analysis

What You Can Do Now

Alongside medical support, small, consistent lifestyle changes can make a real difference to sexual wellbeing and libido. These foundations help regulate hormones, improve mood, and strengthen connection – all of which contribute to a healthier sex drive.

Sleep: Aim for a regular sleep routine and create a simple wind-down ritual before bed. Good-quality sleep supports hormone balance and energy. Try to limit alcohol and screens in the evening, as both can reduce sleep depth and libido.
Stress Care: Chronic stress is one of the most common libido blockers. Take short breaks for breathwork, mindfulness, or a short walk between tasks to reset your mind and lower cortisol. Little and often works best.
Movement: Stay active with daily physical activity, such as walking, yoga, or swimming – and include strength-training sessions each week if possible. Exercise boosts circulation, confidence, and endorphins, all of which support sexual desire and satisfaction.
Communication: If you’re in a relationship, open, pressure-free communication helps maintain intimacy and understanding. Address pain, dryness, or comfort concerns early, rather than waiting for them to become barriers.
Medication Review: Never stop a prescribed medication abruptly, but do let your clinician know if you suspect sexual side-effects. There are often alternative medicines or strategies that can help without compromising your overall health.

These small, steady steps work best alongside personalised medical support. At Omniya Clinic in Knightsbridge, your clinician will help you build on these foundations with tailored treatments designed to restore confidence and wellbeing.

Low Libido FAQs

How long before I can expect TRT to work?

If low testosterone is the driver and TRT is appropriate, libido and energy often improve within weeks; benefits build over months with correct dosing and monitoring.

What kind of HRT is available?

There are oestrogen-only HRT treatments and combined oestrogen and progesterone. After listening to an individual’s symptoms and performing associated investigations, our doctors will be able to advise on the most suitable and best treatment.

How do I know if my problem is low testosterone?

Symptoms (low desire, morning erections reduced, low energy) plus blood tests taken at the right time help confirm. If indicated, we’ll discuss options, including non-TRT measures.

Do I have to continue with HRT even after menopause?

Not necessarily. HRT is reviewed regularly and continued only if benefits outweigh risks for you. Many patients use the lowest effective dose and reassess over time.

Are there non-hormonal options for low libido?

Yes. Addressing sleep, stress, relationship factors and medication side-effects often helps. For genitourinary symptoms (e.g., vaginal dryness), local oestrogen can improve comfort during sex; your clinician can advise.