Low libido, or sex drive refers to lacking sexual thoughts or desires leading to personal distress. In women, libido itself has so many factors leading into it, from fatigue, stress, anxiety, relationship issues, medication and hormones, It is important that women seek assistance from their medical provider to review medication and perform a pelvic exam to look for reasons. A history may provide insight into medications that can affect libido as well as other stressors that may affect it. More often than not low libido goes hand in hand with personal or professional stress or important life changing events.