What Do I Do About Having No Sex Drive?
15 Dec 2025 · 11 min
JJ Virgin talks with OB-GYN Dr. Kiran Dunson about low sex drive in midlife. Dunson says declining estrogen, progesterone, and testosterone are common culprits, but high cortisol from stress is the real problem. Fixing stress and balancing hormones can bring libido back.
Chapters
Hey JJ Here. Every year around this time, I get the urge to make my home feel a little extra special. A space that feels just like the holidays. And Wayfair is my go to for that. Think cozy textures, twinkly decor, warm lighting, and all those little touches that make you want to curl up with a good book and a blanket. You'll usually find my books stacked on a great little end table I got from Wayfair, proof that function and style can coexist. Now, whether you're adding last minute hosting essentials, picking out gifts for loved ones, or refreshing your decor for the season, Wayfair makes it easy with beautiful finds, great prices and fast delivery. And when the holidays wind down, Wayfair has everything you need to tuck it all neatly away. Smart storage solutions for every room from the kitchen to the closet. Plus, with free shipping for any order over $35, that's fast delivery and a.
Total peace of mind.
It's the perfect mix of joy and order, bringing the holiday spirit in, then storing it all with ease. If you're ready to make your home feel as good as it looks, get organized, refreshed and ready for the holidays. For way less head to Wayfair.com right now to shop all things home. Wayfair Every style, every home. That's W-A-Y-F-A-I-R.com hey, it's JJ here.
You know, I've been talking about environmental toxins forever, and laundry detergent is a sneaky one. A lot of them contain harsh chemicals like dyes, preservatives, and even UV brighteners. Those brighteners don't actually clean anything. They just coat fabric so your eyes think things look whiter or brighter. That's more chemicals I don't want on my family's sheets or skin. And if you've got sensitive skin or allergies around the house, this can be a big problem. That's what got my attention about Earth Breeze. It looks like a dryer sheet, but it's actually laundry detergent. You toss one in the washer and that's it. No pouring, no mess, and no heavy plastic jug. Their packaging is lightweight cardboard, which helps reduce plastic waste. And if you choose the fragrance free option, it's gentle, hypoallergenic, non irritating and non sensitizing. I really like how simple it is and how fresh and clean everything comes out without those unnecessary chemicals. Right now you can try Earth Breeze for up to 40% off with free gifts@earthbreeze.com virgin that's earthbreeze.com virgin for up to 40% off plus free gifts on your first order.
Welcome to Walgreens. What can I help you with today?
Hi, I need a last minute gift for a Secret Santa. Something thoughtful, impressive. Not a fruitcake.
We've got Ferrero chocolates, artisan coffees, even a spa kit. Any vibe you're going for Whatever says.
Wow, this guy's great at giving gifts.
How about this premium skincare gift set? Just needs a bow. Will look like you planned it weeks ago.
Well, happy holidays.
Gifts, holiday decor, and more. The holiday road is long. We're with you all the way, Walgreens.
What Do I do about having no Sex Drive?
Foreign.
This is JJ Virgin, four time New York Times bestselling author, celebrity nutrition expert, and fitness hall of famer. I've been on a lifelong quest for answers to the toughest health questions, and now I'm sharing what I found with you. Welcome to Ask the Health Expert. Jessica from Facebook asks, what do I do about having no sex drive? I'm 50 and I don't care if I ever have sex again. Well, I've got Dr. Kiran Dunson with me to answer this question. She's perfect for it. She's an OB GYN and a functional medicine expert, and she's used her expertise on herself to lose £100 and keep it off. And she's healed herself from chronic disease. Now she helps tens of thousands of women lose weight, regain their energy, and master midlife through her Stop the Menopause Madness summit and her brilliant Health revolution podcast and YouTube channel. And when she's not helping women take control of their health, she's out singing. She's a singer with the Savannah Philharmonic Chorus and she'll be right back to answer this question.
Hey, it's J.J. here.
Now, let's be honest.
The holidays are basically a financial ambush. Travel, hosting gifts, surprise holiday school things. Suddenly you're wondering how December turned into a spending spree. If you want to keep your finances under control this holiday season, you need to be using Monarch. It's rated the Wall Street Journal's best budgeting app of 2025. Monarch is the all in one personal finance tool that brings your entire financial life together in one clean interface on your laptop or your phone. What really grabbed my attention is how fast those little holiday expenses pile up with Monarch. Seeing everything in one place makes it a lot harder to accidentally overspend. And honestly, I appreciate anything that keeps me from starting January with a money hangover. You'll love exploring the holiday spending category. Imagine how good it will feel to actually see what's happening before your credit card statement does that whole dramatic reveal thing. Monarch basically shows you exactly where the money is going in real time. And that level of clarity could change everything, right? Don't let financial opportunity slip through the cracks. Use the code virgin@monimal.com in your browser for half off your first year. That's 50% off your first year. @monarch.com with code Virgin, the holidays are all about family.
But at the Chrysler Wrap of the year sales event, it's all about you. Enjoy every mile in the most awarded minivan in America, the Chrysler Pacifica. With the most standard safety features in its class, available stow n go seating and the available stow and back built in vacuum. Make the most of the holidays with a great deal at the Chrysler Pacifica. Wrap up the year sales event based on Ward's small van segment. Based upon the latest available competitor information. Chrysler is a registered trademark of FCA US llc.
I hear this statement from women all the time and I used to feel that way myself. So it's very common and it's therefore, quote, unquote normal, but it's not optimal. And there's a difference. Just because everybody's having it doesn't mean it's okay. And it's not okay because we're wired for sexual activity. And sexual activity actually nourishes us in ways that other activities won't. It actually helps to balance our hormones, decrease our stress hormones, increase our blood flow. And it has so many benefits for us. And it's. It helps to nourish our relationships and our feeling of connection to others in the world. So our sex is something really to be cherished and fostered and preserved. And why is it so common, though? So let's talk about that. And, and we talked earlier about the whole iceberg metaphor, that what you see above the surface of the water is your sex hormones. So that is the obvious culprit for the lack of sex drive at menopause. It's the fact that you may have low levels of estrogen, progesterone and or testosterone, all of which are necessary for a healthy sex drive. So that's the obvious answer. But I have seen plenty of women who have gone to various doctors and gotten on bioidentical hormones and they said, Dr. Kieran, I still don't have a great sex drive. So you've got to go below the surface of the water and again, look at the rest of that ginormous ice ball. And see what else is contributing. And the biggest culprit that I find killing sex drive in menopause is cortisol. And that is because your sex hormones are necessary and not sufficient for. For a healthy and normal sex drive. So what do I mean by that? Your. You want to have a great sex drive because we've uncoupled sex from reproduction, but your body doesn't see it that way. Your body says, I only want you to have a good sex drive when you're going to reproduce and make a healthy baby and you're going to be around for 18 years to care for it till it can take care of itself and survive. So your body will actually cut off your sex drive when you're not optimally healthy. And what does it use as its barometer? Your cortisol, your stress hormone. I call it queen cortisol because it really is the main determinant of your overall health status. It determines your sleep, wake cycle, your energy level, your weight and your immune system function, whether you get sick or not, whether you get cancer or not, and, yep, whether you have a sex drive or not. So if your cortisol is struggling, and we talked earlier about how if you are having menopausal symptoms, it might not only be your sex hormones. You got to look below the surface at the iceberg under the water, and that could be cortisol and other problems that you're having. It's the same with your sex drive. So your cortisol being abnormal will kill your sex drive in a heartbeat. So you've really got to address that. And I find that once you really address the cortisol issues, you fix what's stressing out your cortisol. And that's a topic unto itself. And you balance out the sex hormones that women in their 50s and beyond can have wonderful sex drive and really a healthy sex life that helps to nourish them physically, mentally, emotionally, spiritually. And the other thing I would say is that no sex drive is really important to pay attention to. Speaking of that language of the body that you're now listening to. And what is your body saying? Because your body is either in build up and healing mode and thriving mode, or it's in breakdown, deterioration mode. There is no in between. It's kind of like a seesaw. It's either down on the one side or down on the other side. There's no in between. And you want that balance to be really optimal where you're more in the healing mode. And so that's why you really want to pay attention to the low sex drive because it's a sign that your body's in breakdown mode. So I say, don't ignore this. I do see some women who say, oh yeah, well, I'm in my 50s, I've been married for 30 years, my husband's sex drive is low, so it's not really an issue. Yeah, it is an issue. It's really your body speaking to you and saying, I don't have the vitality to want to be sexual. And that's a red flag. So it's something that you really want to pay attention to. Thanks so much for this great question.
This is JJ with Ask the Health Expert. I do this five times a week, so make sure you never miss a show by going to subscribe. Subscribe to JJ.com.
Hello listeners, this is Anne Bogle, author, blogger, and creator of the podcast what Should I Read next? Since 2016, I've been helping readers bring more joy and delight into their reading lives. Every week I tag all things Books and Reading with a guest and guide them in discovering their next reading. They share three books they love, one book they don't, and what they've been reading lately, and I recommend three titles they may enjoy reading next. Guests have said our conversations are like therapy, troubleshooting issues that have plagued their reading lives for years and possibly the rest of their lives as well. And of course, recommending books that meet the moment. Whether they are looking for deep introspection to spur or encourage a life change, or a frothy page turner to help them escape the stresses of work, school, everything, you'll learn something about yourself as a reader and you'll definitely walk away confident to choose your next read, with a whole list of new books and authors to try. So join us each Tuesday for what Should I Read Next? Subscribe now wherever you're listening to this podcast and visit our website what shouldireadnextpodcast.com to find out more.
More from JJ


Healthy Revisit: Heavily Meditated - Transforming Your Emotional Landscape with Dave Asprey






