It is common, which is not the same as being something you have to accept. Most of the contributing causes are treatable, and desire frequently recovers substantially once discomfort, exhaustion and mood have been dealt with.
Where to start
Las Vegas symptom relief: treat the pain first
Pain comes before desire in the order of things we check, because discomfort you expect to happen suppresses arousal regardless of what a Las Vegas hormone panel shows. If sex has become uncomfortable, desire falls in response, and no amount of hormone adjustment overrides that. Anticipating discomfort suppresses arousal reliably and sensibly.
Vaginal dryness is highly treatable. Low-dose local estrogen resolves symptoms in 80 to 90% of women who use it, and it takes eight to twelve weeks. Sorting that first frequently changes the entire picture.
Only once discomfort, sleep and mood have been addressed is it worth asking whether desire itself is the remaining problem. Quite often, by then, it is not. Worth reading next: vaginal dryness, joint and muscle pain and hair and skin changes for the rest of it. By the time those three are settled, the question has often answered itself, and a Las Vegas patient may need nothing further aimed at desire.
