Desire changes. Hormones can be one reason, particularly around pregnancy, breastfeeding, perimenopause or menopause, but they are not the only explanation. Stress, tiredness, pain, relationship dynamics, medicines, contraception and health conditions can matter too. If a change worries you or comes with other symptoms, it is worth discussing with a clinician.

When hormones may matter

Changes in oestrogen and other hormones can affect comfort, lubrication and desire at different stages of life. They do not give every person the same experience. Someone may want sex less because it has become uncomfortable; someone else may be sleeping badly or dealing with a lot of stress at the same time. Treating one hormone reading as the whole explanation can miss what is actually going on.

If sex has become dry or painful, a suitable lubricant may make it more comfortable, but pain deserves attention in its own right. Your GP can discuss symptoms and options with you, particularly around menopause, after childbirth or when medication or contraception has changed.

Look at the rest of your life, too

There is no simple test for how much desire you “should” have. Ask yourself whether the change bothers you, whether it is sudden or gradual, and whether anything else changed around the same time. Sleep, mood, illness, feeling overburdened, and how safe and connected you feel with a partner are all relevant. These details can help you explain the change.

You might want more time alone, a conversation about the division of work at home, a different kind of intimacy, or no sex for a while. A toy may be enjoyable if you want one, but it cannot treat an underlying health condition.

When to speak to someone

If a drop in desire persists, worries you, comes with pain or other symptoms, or began after a medicine or contraception change, book a GP appointment. Take a note of when it started and what else you have noticed. The NHS lists several possible causes and treatments, so the conversation should be about your whole situation rather than “balancing” hormones by guesswork.

Tell the clinician what has changed and which symptoms are bothering you. That helps the conversation focus on your circumstances.