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i'm 23 yrs married woman, my menstral cycle is regular, but very painful and experiencing complete lack of sexual desire. My nipples are larger in size and sometimes painful/tender. Is it due to hormone deficiency? Please help me.

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Yes, it could be due to hormone deficiency. There are various physical and psychological factors that may contribute to a low sex drive. Alcoholism and binge drinking are quite common and can cause low libido. The abuse of drugs such as cocaine can also cause sexual dysfunction and loss of libido. Other prescribed drugs such as tranquilizers or antidepressants also contribute to causing a low sex drive and sexual desire. Medical conditions can also cause sexual desire to wane, including: Anemia (iron deficiency), Pregnancy, Enlarged prostate, Mono, Sleep apnea or lost sleep, Thrush or yeast infections, Autoimmune diseases (e.g. Graves disease & Hashimoto’s Thyroiditis), Kidney disease, Fibromyalgia, Anorexia, Cirrhosis, Hepatitis, Fatigue, Hypothyroidism, Diabetes, Obesity or being overweight, Heart disease, Hyperprolactiamia decreases libido and physical pleasure, Sexual problems such premature ejaculation and impotence. Depression is an extremely common psychological factor contributing to a low sex drive. Other factors include stress, sexual hang-ups, and sexual identity crisis, past sexual abuse and relationship problems. Physical and psychological factors may also contribute to a low sex drive in women. As in men, depression is a very common cause of low sex drive in women. Other factors include anxiety, stress, and poor self image, past sexual abuse or rape, sexual identity crisis or relationship issues with partner or husband. You should see a health care professional to rule out any conditions that might be causing it.
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