May be slightly psychological or hormonal. Do you have a regular sex partner? Or is it solo or nothing?
Got it. Well, the good news, regular sex with your partner helps. Maybe try to work it in more often. Does your mood fluctuate a lot? Any issues with anxiety or depression?
What I"m wondering is if you have some anxiety and low depression that is then affecting your desire and libido but you still have the other hormones creating the issue of discomfort. Do you take anything or do any treatment for your anxiety?