Loss of libido is the most common sexual complaint of women, often being a final common pathway of many sexual disorders. Estimates range from 30–45 per cent depending on the population sampled, highest in the postmenopausal age group [1]. However, the degree of distress associated with loss of libido may be minimal and therefore not sexually dysfunctional. Lack of arousal and orgasmic disorders are frequently correlated with loss of libido, as are sexual pain disorders. It is important for the medical doctor to help the patient decipher the chain of events and their impact, to facilitate change and improvement. Making assumptions about a particular set of expectations is likely to lead to neglect of key factors. In psychosexual medicine, listening and observing the patient’s expression of feelings can help to interpret the predominant issue(s) that may be resolved using brief psychotherapeutic intervention.