> ## Documentation Index
> Fetch the complete documentation index at: https://docs.hi-doctor.ai/llms.txt
> Use this file to discover all available pages before exploring further.

# Low sexual desire

> Low sexual desire can be hormonal, emotional, or a medication side effect — how a Hi-Doctor doctor explores the cause before treatment.

Low desire can be hormonal, emotional, or a side effect of medication. The doctor explores the cause before talking about treatment.

<Note>
  This is a broad, honest starting point rather than a single diagnosis: what changes low desire depends on what is actually driving it, which is why the consultation asks about it before any treatment is discussed.
</Note>

## What causes low sexual desire?

Persistent low sexual desire has several possible causes, and identifying the
right one is the first step before any treatment is discussed. The change can
be hormonal, emotional, or a side effect of medication. A doctor explores the
pattern — when it started, what else was happening at the time, and whether
it coincides with a new medicine — to understand what is driving it.

## Common questions

<AccordionGroup>
  <Accordion title="What can Hi-Doctor offer me if I have low sexual desire?">
    A licensed doctor reviews your questionnaire and decides what, if anything,
    is appropriate. The consultation is the same medical review used across
    Hi-Doctor's sexual health service — it is not a guaranteed prescription.
    Not every medicine marketed for low desire is available through a
    consultation; for example, bremelanotide has no EU marketing authorisation.
  </Accordion>

  <Accordion title="What if my case needs an in-person specialist?">
    Some causes of low desire need a different kind of assessment — hormonal,
    gynaecological, or a review of an existing medication. If that applies,
    the doctor will say so rather than force a prescription that is not
    appropriate, and will recommend the right care route.
  </Accordion>

  <Accordion title="Is my sexual health consultation confidential?">
    Yes. The sexual health consultation is handled the same way as any other
    Hi-Doctor consultation: reviewed by a licensed doctor, kept in your
    private account chat, and never shared beyond the clinical team treating
    you.
  </Accordion>

  <Accordion title="Can I consult from any EU country?">
    Yes. The same consultation and doctor-review standard apply wherever you
    are in the EU; there is no separate process for a particular country.
  </Accordion>

  <Accordion title="What if the doctor does not approve my consultation?">
    If the doctor does not approve treatment, the consultation fee is
    refunded in full within 48 hours. See [pricing](/essentials/pricing) for
    the fee details.
  </Accordion>
</AccordionGroup>

<Steps>
  <Step title="Start your online visit">
    Answer a short questionnaire about your health and goal. No in-person appointment, no travel. You'll know within 24 hours if you're a candidate.
  </Step>

  <Step title="A doctor reviews your case">
    A licensed doctor reviews your answers personally. If they need clarifications, they message you in the private chat on your account. If treatment is appropriate, they sign an electronic prescription.
  </Step>

  <Step title="Review and payment">
    If the doctor does not approve treatment, the consultation fee is refunded in full.
  </Step>

  <Step title="Ongoing support">
    Private chat with your doctor for questions, a check-in, and renewal where relevant.
  </Step>
</Steps>

## Confidentiality

The sexual health consultation is handled the same way as any other Hi-Doctor consultation: reviewed by a licensed doctor, kept in your private account chat, never shared beyond the clinical team treating you. See [safety](/essentials/safety) for how your data and answers are handled.

## What this consultation can and cannot offer

Not every medicine marketed for low desire is available through a Hi-Doctor consultation — for example, [bremelanotide](/library/medicines/bremelanotide) has no EU marketing authorisation, so no EU doctor can prescribe it. Where a cause the doctor identifies needs a different kind of assessment — hormonal, gynaecological, or a review of an existing medication — the doctor will say so rather than force a prescription that isn't appropriate.

<AccordionGroup>
  <Accordion title="Does Hi-Doctor treat low sexual desire directly?">
    A licensed doctor reviews your case and decides what, if anything, is appropriate. The consultation is the same medical review used across Hi-Doctor's sexual health service — it is not a guaranteed prescription.
  </Accordion>

  <Accordion title="What is the private electronic prescription, and why is it valid across the EU?">
    A licensed doctor reviews your questionnaire and, if appropriate, issues an electronic prescription valid across the EU. Hi-Doctor does not sell or ship medications — any prescribed medicine is dispensed by the pharmacy you choose.
  </Accordion>

  <Accordion title="Can I consult from anywhere in the EU?">
    Yes. The same consultation and doctor-review standard apply wherever you are in the EU; there is no separate process for a particular country.
  </Accordion>
</AccordionGroup>

## How Hi-Doctor handles it

Sexual health is offered as a one-off consultation: one consultation, one doctor, one decision. See [pricing](/essentials/pricing) for the fee and refund terms, and [how it works](/essentials/how-it-works) for the full process from questionnaire to doctor review. Related conditions include [erectile dysfunction](/library/conditions/erectile-dysfunction), [premature ejaculation](/library/conditions/premature-ejaculation), and [performance anxiety](/library/conditions/performance-anxiety). See also [safety](/essentials/safety) for the full eligibility checks and the sexual health [treatment area](/essentials/treatments).

## Start a consultation

<Card title="Sexual health consultation" icon="stethoscope" href="https://hi-doctor.ai/consultation/sexual-health/1">
  Answer the sexual health questionnaire and a registered doctor reviews it.
  They decide whether treatment is appropriate, which one, and at what dose —
  and declining is a normal outcome. See [what it costs](/essentials/pricing)
  and [how the review works](/essentials/how-it-works).
</Card>

<Warning>
  This page is reference information, not medical advice and not a prescription.
  Whether a medicine is appropriate for you is decided by a registered doctor
  after reviewing your consultation.
</Warning>