Libido supplements: what they are and what your next step should be

“Libido supplements“: what it is and what your next step should be

Disclaimer: This article is for educational purposes only and does not replace medical advice, diagnosis, or treatment. Libido (sexual desire) is influenced by physical, psychological, and relationship factors. Before starting any libido supplement or sexual enhancement product, consult a qualified healthcare professional.

“Libido supplements” is a broad term covering herbal remedies, vitamins, minerals, and over-the-counter products marketed to improve sexual desire, arousal, or performance. They are often promoted as “natural sex boosters” or “sexual enhancement supplements.” But low libido can have many causes — from stress and hormonal imbalance to medication side effects or chronic disease. Your next step depends on your specific situation.

3 typical scenarios

1. Gradual loss of sexual desire over months or years

What this might mean:
A gradual decrease in libido may be associated with hormonal changes (e.g., low testosterone in men, perimenopause or menopause in women), chronic stress, depression, sleep problems, or medical conditions such as diabetes or thyroid disorders. It can also be related to relationship factors.

What a doctor usually does:
A physician typically asks about duration, stress levels, mood, medications (including antidepressants or blood pressure drugs), menstrual history (if applicable), and overall health. Blood tests may include hormone levels (e.g., testosterone, thyroid function), glucose, and lipid profile. In some cases, referral to an endocrinologist, gynecologist, or urologist may be considered. Before suggesting supplements for libido, the doctor aims to identify underlying causes.

For a better understanding of how sexual health interventions are evaluated, see How it works.

2. Normal desire but difficulty with arousal or performance

What this might mean:
You may feel sexual desire but experience erectile dysfunction (ED), vaginal dryness, or difficulty maintaining arousal. This can be linked to cardiovascular health, medication side effects, anxiety, or hormonal shifts. In men, erectile issues may signal vascular problems. In women, vaginal dryness may relate to estrogen changes.

What a doctor usually does:
The clinician may assess cardiovascular risk factors (blood pressure, cholesterol), review medications, and discuss psychological stressors. For men, erectile function questionnaires may be used. For women, a pelvic exam may be appropriate. Evidence-based treatments (such as prescription medications or local estrogen therapy, as prescribed by a doctor) are considered before recommending over-the-counter libido boosters.

You can also explore common concerns in our FAQ section for general background information.

3. Sudden drop in libido after starting a new medication or during a stressful life event

What this might mean:
Certain medications — including selective serotonin reuptake inhibitors (SSRIs), hormonal contraceptives, and some antihypertensives — are known to affect sexual desire. Acute stress, grief, or major life changes can also temporarily suppress libido.

What a doctor usually does:
Your provider may review the timing of symptoms relative to medication changes. In some cases, adjusting the dose or switching medications (under medical supervision) may help. If stress or anxiety is a major factor, counseling or therapy may be recommended. Supplements are generally not the first-line solution when a clear trigger is present.

For broader health topics that may overlap with sexual wellness, see our Uncategorized articles.

Decision tree

  1. If your low libido has lasted more than a few weeks and affects your well-being, then schedule a primary care visit for evaluation.
  2. If you have other symptoms (fatigue, weight changes, mood changes), then ask about hormonal or metabolic testing.
  3. If the issue started after a new medication, then consult your prescribing doctor before stopping or changing it.
  4. If you have erectile dysfunction or pain during sex, then seek targeted evaluation rather than self-treating with supplements.
  5. If no medical cause is found and symptoms are mild, then discuss with your doctor whether certain evidence-informed supplements may be appropriate.
  6. If you are considering buying an over-the-counter sexual enhancement supplement online, then verify product safety and discuss potential interactions first.

When to seek help urgently (red flags)

  • Chest pain or shortness of breath during sexual activity: May indicate cardiovascular disease.
  • Sudden erectile dysfunction with neurological symptoms (weakness, numbness): Requires immediate evaluation.
  • Severe pelvic pain or abnormal bleeding: Needs urgent gynecological assessment.
  • Symptoms of severe depression or suicidal thoughts: Seek immediate mental health support.
  • Use of unregulated sexual enhancement pills with side effects (palpitations, fainting): Stop and seek care promptly.

Approaches to treatment/management (overview)

Treatment depends on the identified cause. Options may include:

  • Lifestyle modification: Improving sleep, exercise, weight management, and stress reduction can positively influence sexual desire.
  • Psychological support: Cognitive behavioral therapy (CBT) or couples counseling for stress, anxiety, or relationship concerns.
  • Hormone therapy: Testosterone therapy (in clinically confirmed deficiency) or estrogen therapy (for menopausal symptoms), as prescribed by a doctor.
  • Prescription medications: For erectile dysfunction or hypoactive sexual desire disorder (HSDD), specific medications may be used under medical supervision.
  • Libido supplements: Some products contain ingredients such as maca, ginseng, L-arginine, zinc, or tribulus terrestris. Evidence varies, and quality control is inconsistent. Supplements may interact with medications (e.g., blood pressure drugs, antidepressants). Always consult a healthcare professional before use.

It is important to note that some over-the-counter “male enhancement” or “female libido” products have been found to contain undeclared pharmaceutical ingredients. Choose products tested by reputable third parties when advised by a clinician.

Prevention

While not all causes of low libido are preventable, the following strategies support sexual health:

  • Maintain regular physical activity (supports cardiovascular and hormonal health).
  • Prioritize sleep (7–9 hours for most adults).
  • Manage chronic conditions such as diabetes and hypertension.
  • Limit excessive alcohol and avoid smoking.
  • Address relationship concerns early.
  • Schedule routine health checkups.
Method Who it suits Limitations/risks
Lifestyle optimization Most adults with mild libido concerns Requires consistency; gradual results
Herbal supplements (e.g., ginseng, maca) Individuals without major medical conditions, after medical consultation Variable evidence; potential interactions; product quality concerns
Hormone therapy (as prescribed by a doctor) Patients with confirmed hormonal deficiency Requires monitoring; possible side effects
Prescription ED or HSDD medications Patients with diagnosed sexual dysfunction Contraindications; must be medically supervised
Psychotherapy/sex therapy Those with stress, anxiety, or relationship-related causes Time commitment; depends on engagement

Questions to ask your doctor

  1. What could be causing my low libido?
  2. Do I need hormone or blood tests?
  3. Could my current medications be affecting my sexual desire?
  4. Are libido supplements safe for me?
  5. Are there interactions with my existing prescriptions?
  6. Do you recommend lifestyle changes before supplements?
  7. What evidence supports specific sexual enhancement supplements?
  8. Should I see a specialist (urologist, gynecologist, endocrinologist)?
  9. How long should I try a treatment before reassessment?
  10. What warning signs should prompt immediate medical attention?

Sources

  • National Institutes of Health (NIH) – Office of Dietary Supplements.
  • U.S. Food and Drug Administration (FDA) – Tainted Sexual Enhancement Products Alerts.
  • Endocrine Society Clinical Practice Guidelines.
  • American Urological Association (AUA) Guidelines on Erectile Dysfunction.
  • North American Menopause Society (NAMS) Position Statements.
  • World Health Organization (WHO) – Sexual and Reproductive Health resources.

Next step: If you are considering libido supplements, start with a medical evaluation to clarify the cause of your symptoms. A targeted approach is more effective — and safer — than self-prescribing over-the-counter sexual enhancement products.