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Where did my libido go?
A Viella Symptom Guide.
You’re not imagining it. Desire can fade during midlife —sometimes gradually, sometimes all at once.
You may still love your partner and feel emotionally connected, but your body doesn’t always get the memo. Hormone shifts, stress, and exhaustion can all conspire to make passion feel out of reach.
During perimenopause and menopause, changes in estrogen, progesterone, and testosterone can affect arousal, blood flow, and vaginal comfort. Add stress hormones, thyroid shifts, and poor sleep — and desire can easily disappear.
At Viella, we look at the full hormonal ecosystem, not just the “sex hormones,” to restore both physical and emotional connection.
Let's get you scheduled for The Blueprint appointment and get you through this dry spell.
Non-RX Support Options:
Small, realistic shifts that can make a big difference:
• Targeted supplements — Maca, L-arginine, and adaptogens (see our Apothecary →)
• Restorative sleep and stress-reduction rituals
• Strength training for confidence and circulation
• Vaginal moisturizers or pelvic-floor therapy for comfort
Rx Support (when clinically appropriate)
When libido loss is hormonally driven, gentle medical therapy can help rekindle desire:
• Bioidentical hormones (estrogen, progesterone, testosterone)
• Topical creams like estriol serum or Scream Cream to enhance sensitivity
• Thyroid optimization for energy and mood
* Prescription options are available only after you complete
The Blueprint evaluation by a Viella clinician.
*Educational content only — not a substitute for medical advice.
Prescription therapies are provided after clinical evaluation.