A 30-year-old woman who has no interest in sex should see which department?

A 30-year-old woman experiencing lack of interest in sex may consider visiting the following departments: gynecology, psychology, endocrinology, reproductive medicine, or traditional Chinese medicine (TCM). The specific details are as follows:

1. Gynecology: To rule out gynecological conditions that may affect sexual desire, such as vaginitis, pelvic inflammatory disease, or endometriosis. These conditions can cause pain or discomfort during intercourse, thereby reducing interest. A gynecologist can also examine the development of the reproductive system, assess the impact of hormone levels on reproductive health, and exclude organic diseases.

2. Psychology: Emotional issues, psychological stress, and relationship conflicts are common psychological factors leading to decreased sexual interest. A psychologist or psychiatrist can conduct professional assessments to identify conditions such as anxiety, depression, or excessive stress, and help adjust mindset and improve perceptions and experiences related to sex through counseling or therapy.

3. Endocrinology: Hormonal imbalances—such as abnormalities in estrogen, progesterone, or thyroid hormones—can lead to reduced libido. An endocrinologist can perform blood tests to evaluate hormone levels and diagnose conditions like polycystic ovary syndrome (PCOS) or hypothyroidism. Treatment may involve medication or lifestyle adjustments to restore hormonal balance.

4. Reproductive Medicine: If the lack of interest coincides with difficulties in conceiving or menstrual irregularities, a visit to the reproductive medicine department is recommended. This specialty focuses on reproductive health and can comprehensively evaluate reproductive function, hormone levels, and fertility, identifying whether underlying reproductive issues indirectly affect sexual desire, and offering targeted treatment plans.

5. Traditional Chinese Medicine (TCM): From a TCM perspective, decreased sexual interest may be related to bodily imbalances such as deficiency of qi and blood, kidney and liver insufficiency, or liver qi stagnation. A TCM practitioner can assess body constitution through observation, listening, inquiry, and pulse-taking, and use herbal medicine, acupuncture, or other methods to improve physical function, regulate endocrine and emotional states, and enhance overall well-being and sexual desire.

When seeking medical consultation, it is advisable to honestly inform the doctor about the duration of symptoms, accompanying conditions, and lifestyle factors to facilitate accurate diagnosis. If the cause remains unclear after the initial visit, patients should follow the doctor’s recommendations to consult other relevant specialties, avoiding delays in diagnosis and treatment due to reliance on a single department.