Sexual function depends on a coordinated balance of hormones, blood flow, nerve signaling, pelvic floor strength, and emotional well-being. As the Endocrine Society describes, declining testosterone in men and shifting estrogen and testosterone in women (especially during perimenopause and after childbirth) directly affect desire, arousal, lubrication, and erectile function. Vascular factors like high blood pressure, diabetes, and cardiovascular disease can further reduce blood flow to genital tissues.
Medications are another common driver. SSRIs, hormonal contraceptives, blood pressure medications, and beta-blockers can blunt libido or interfere with arousal and orgasm. Stress, anxiety, depression, sleep loss, alcohol use, and unaddressed pelvic floor dysfunction (often after childbirth or with aging) compound the picture. At Evolving Mind and Body, Erin coordinates care across hormone optimization and pelvic health to address every layer rather than just the symptom.
