Low sex drive. To consult to first?

Dear Ma'am, Thank you for your query regarding loss of libido. There are many causes of loss of libido in females. 1. Functional: Socio-cultural issues, lack of time and lethargy, recent childbirth and breastfeeding, Stressful job, less free time with partner, fear of pregnancy, etc. 2. Organic: Local genital conditions leading to painful intercourse. Repaired perineal wounds causing secondary dyspareunia. Chronic conditions: Hypothyroidism,  anemia, rheumatoid disorders, chronic infections Endocrinopathies Drugs and other chronic medications. At the outset, first you with your partner need to establish a good communication to identify as couple if any domestic issues need to be worked out, possibly a vacation together would be a good idea. Achieving a normal BMI 20-24 and regular physical exercise would also help. Then it would be wise to consult a Gynaecologist first who would direct you towards ruling out an organic cause by doing a local examination and directing you towards a relevant Specialist. Regards, Aditi.