A decrease in sex drive can develop both due to medical conditions as well as to psychological or emotional issues. Inhibited sexual desire is a type of sexual dysfunction that affects both men and women. A reduction in sexual desire has been associated with low testosterone levels in men. Likewise, women in the menopausal transition sometimes report a decrease in sex drive. Multiple types of chronic illnesses and chronic pain can also lead to a decrease in sex drive, likely through a combination of physical effects of the disease as well as the psychological stress associated with a chronic illness. Painful intercourse (dyspareunia) can lead to loss of libido in women. Psychological factors that may be associated with low libido include poor body image , anxiety , low self-esteem, stress , poor communication, lack of or breach of trust, and unresolved conflicts. Certain medications, such as some antidepressants , can also cause a reduction in sex drive.
When a person is experiencing low cortisol symptoms they need to have blood tests done to determine their exact cortisol levels. A blood test will be done on potassium, sodium and ACTH levels as well as cortisol levels at the same time. To measure the ACTH levels the person must be given a shot of synthetic ACTH first. Then the doctor will test the cortisol levels. An MRI or CT scan may also be done so the doctor can see the condition of the adrenal glands and the pituitary gland. If the test shows the person does indeed have low cortisol levels the treatment for their low cortisol symptoms can include prescription medications. These medications are corticosteroids classified as hydrocortisones and are used to replace the cortisol that the body is not making.