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Auto-generated transcript of @sophiaarudy's video. Quoted here for educational fact-check commentary; original creator retains all rights to the video content.
- 0:00One thing that's not talked about enough is low libido in women and how many of us actually experience it.
- 0:05Like, I think we need to get fucking real, you guys.
- 0:08Some people are doing it all the time and they have like crazy, amazing, whatever 24-7 all the time,
- 0:15multiple, multiple times a week, and that's absolutely amazing.
- 0:18But I think there's also a large percentage of people that maybe don't experience that.
- 0:23And I feel like with society, with movies, books, TV shows, kind of like I said in the previous video,
- 0:28that pushes this unrealistic narrative that's like you have to be doing it all the time
- 0:33and want to feel like you want to do it all the time in order to have like a happy, healthy, long lasting relationship.
- 0:38And that's just like not the truth. It might be for some, but not for all.
- 0:41And like getting fucking real about it, you guys, like it's time to get real.
- 0:44I want to make a blanket statement that low libido could be caused by a million different things.
- 0:48It's a layered subject to talk about.
- 0:50Okay, so you can experience low libido from a bad work environment or really stress at work,
- 0:55really stressed at home, not in a good home environment.
- 0:57You're working yourself too much at the gym.
- 0:59You're not eating enough. You're not getting proper sleep.
- 1:01You're really stressed. You've got fucking 20 kids to take care of and a whole family to carry on your back.
- 1:06Like there's a lot of different things that can affect your sex drive.
- 1:09And I want to make that very clear.
- 1:11For me, the reason that I completely lost my sex drive was because I was on hormonal birth control
- 1:16for an extended period of time, which can absolutely be true.
- 1:19It's not talked about enough.
- 1:20Again, it's a very layered subject.
- 1:22There could be a million different reasons that it's causing low sex drive.
- 1:24And that can impact along with maybe being on a hormonal birth control for a long period of time.
- 1:28But I know for a fact it was the birth control I was on.
- 1:31I was on the pills for four years and then the Marine ID for the last three and a half.
- 1:35And a bunch of health issues that were going on.
- 1:37I couldn't figure out what was going on with my body.
- 1:40Did all these tests ran, all these tests went to different doctors and everything ultrasound.
- 1:44The whole motherfucking nine and everyone's like,
- 1:46Oh, no, you're normal. Not sure what's wrong.
- 1:48You're a little crazy. You're fine.
- 1:50It's not that big of a deal being gaslit by all these doctors was really fun.
- 1:54Also a very real experience.
- 1:55But I had reoccurring BV,
- 1:57Smelt like fish for six months,
- 1:58reoccurring UTIs, rear occurring yeast infections.
- 2:00I had a variances that burst and landed me in the ER at three in the morning.
- 2:03Super fun, 10 out of 10, do not recommend.
- 2:06Nobody sat me down and was like, it might be your birth control.
- 2:09Have you ever thought of that?
- 2:10So I did the research.
- 2:11I advocated for myself and spoke up and I said,
- 2:14I need this out of me.
- 2:15No matter what doctor told me that it was a bad idea,
- 2:17got it out in immediate relief.
- 2:19Haven't had a single UTI use infection,
- 2:21maybe the nothing since then.
- 2:22I've been completely healthy down there.
- 2:24But that is I know what caused low libido for me and it took a while for me to kind of gain that confidence back with myself down there because I didn't trust myself.
- 2:31I was very angry with my downstairs area.
- 2:33So I'm like, how are you having all these issues?
- 2:35Like, felt very disconnected from my body and very, very numb.
- 2:39I was just completely numb.
- 2:40And yeah, it's not a fun experience.
- 2:42Like it really is such a lonely and isolating experience,
- 2:45especially when you see all these people on social media with these like really happy relationships and you think like every year convincing yourself.
- 2:51Everyone's like doing it all the time and it's like steamy and hot and amazing and it can be like really, really defeating and really isolated.
- 2:56You can probably tell I can talk about this for hours, but I don't want to keep you guys here too long.
- 2:59So what I've done to really, really help myself kind of get out of this whole of low sex drive and low libido and keep things kind of steamy in my long term relationship is number one.
- 3:10Like I said mandatory once a week, day nights, it doesn't have to be you going out and spending hundreds of dollars,
- 3:15but at least doing something at home, putting your phones down, spending quality time at least one day a week quality time together.
- 3:20And making that commitment to each other, no matter how tired you are, it's going to be so important.
- 3:25It's going to keep things long lasting and it's going to keep things really healthy and happy and like continuing to connect deeply with your partner is super, super important.
- 3:32So that's number one.
- 3:33The other thing would be spicy romance books and I'm not talking Colleen Hoover shit.
- 3:38We've graduated past that.
- 3:39She's like grade one level spice.
- 3:41I'm talking like real spice.
- 3:43We women are imaginative creatures.
- 3:45We like to visualize.
- 3:46We like to think deeply.
- 3:48We like to make scenarios in our head and it's everything outside of the bedroom that really gets like,
- 3:54it's exciting, right?
- 3:55And being able to read stories about it because I think that corn is just hot take everyone's different.
- 4:01Okay, but corn is super detrimental to women to men to young women to young men, old men, whatever like it's super, super detrimental.
- 4:08I don't think anybody should be watching it, but you should be reading it.
- 4:12You know what I mean?
- 4:12Like if there's a storyline and there's like fun fantasy characters and whatever like there's no problem with that.
- 4:17There's a fine line that you walk with that because you cannot compare your relationship or your man to these characters in the book.
- 4:23You cannot because I feel like when people get into like spicy romance, they get very disappointed.
- 4:27They're like, well, my man isn't fucking throwing me up against the wall by my throat and whatever you're reading.
- 4:33So I mean, I'm reading some crazy stuff.
- 4:34You know what I mean?
- 4:35Like it's not very real.
- 4:36It's not realistic.
- 4:37It can be.
- 4:37Okay.
- 4:38But like some of these are fantasy stories and like make believe like it's just not real.
- 4:42So I think getting inspiration from it is really like it's that's that's where you just need to be.
- 4:46Be in the in the mindset of like your skin inspiration from it.
- 4:49Happy to be here.
- 4:51You love reading it.
- 4:52It gets you excited and then maybe you can use some of the stuff that you learn in the picture.
- 4:55This thing would be understanding that where I'm at my cycle deeply affects my sex drive and realizing that like for me personally, I'm not going to be ready to go 24 7 and that's okay.
- 5:04I felt the need that I had to be all the time and because I wasn't, I felt like really shitty about myself because I feel like for guys, I mean, this is this is a generalization, but it's so easy for them.
- 5:14And it's like, how is it fucking so easy?
- 5:16Like I don't really feel that way all the time, but coming to terms with that, communicating that to my partner, understanding where I'm at my cycle and that depending on my hormonal levels, it's going to make me feel more frisky or less frisky and accepting that and really just like having that be a part of me is really important.
- 5:31It's helped relieve a lot of stress of feeling the pressure to need to want to do that all the time.
- 5:35If that makes sense, I want to keep you guys here too long.
- 5:37I know it's a Friday night.
- 5:38It's a Friday evening.
- 5:39I don't even know who's going to see this video, but hopefully this helped you guys.
- 5:42If you guys have any inspiration or ideas that you use in your relationship, like this is a safe space.
- 5:46This is a safe community here on this corner of the Internet.
- 5:49Feel free to share them because the more ideas we get, the happier we all go and be.
Does testosterone fix low libido in women? What TikTok gets wrong
Quick answer
The video centers on hormonal contraception as a driver of low libido in women, specifically referencing years on combined oral contraceptives followed by a hormonal IUD. The mechanism she describes, reduced sexual desire from prolonged hormonal contraceptive use, is consistent with the known effect of combined contraceptives on SHBG and free testosterone, though her attribution of recurring vaginal infections to the IUD is less clearly supported by clinical evidence. Her experience of inadequate medical investigation is consistent with documented disparities in how women's sexual health complaints are evaluated in primary and gynecological care.
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This page currently connects to 7 source-backed evidence items through visible references or structured citation data.
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For Does testosterone fix low libido in women? What TikTok gets wrong, FormBlends checks the page topic against primary trials, systematic reviews, guidelines, and current PubMed-indexed literature where available. These citations are context, not medical advice, proof of eligibility, or a claim that every study applies to every patient.
Cardiovascular Safety of Testosterone-Replacement Therapy
TRAVERSE trial anchor for cardiovascular-safety discussions in appropriately diagnosed men.
PubMed
Testosterone therapy in men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline
Guideline anchor for diagnosis, monitoring, contraindications, and appropriate TRT framing.
PubMed
NAD+ metabolism and its roles in cellular processes during ageing
Core review for NAD+ decline, mitochondrial function, DNA repair, and aging biology.
PubMed
Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women
Human NMN source for metabolic claims while keeping population limits clear.
PubMed
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Does testosterone fix low libido in women? What TikTok gets wrong is best used to compare access, oversight, pricing, pharmacy quality, and patient support before starting care.
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Keep researching this testosterone and trt video claims cluster
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What this exact clip is really saying
This FormBlends review is specific to "Does testosterone fix low libido in women? What TikTok gets wrong" from Sophia Rudy. We read the clip as a TRT social video fact-checks claim about Testosterone, then separate the useful signal from what a short social video cannot prove. The page-specific claim focus is: The video centers on hormonal contraception as a driver of low libido in women, specifically referencing years on combined oral contraceptives followed by a hormonal IUD.
The reason this review is not generic is the source wording and the canonical claim label "trt replying to miah rose hope this helped love y all you re nev." In this clip, the useful excerpt is: "One thing that's not talked about enough is low libido in women and how many of us actually experience it." That wording changes the review because it points to Testosterone evidence, safety, and patient-fit context, not a one-size-fits-all protocol.
The source trail for this page is checked against Cardiovascular Safety of Testosterone-Replacement Therapy (2023), Testosterone therapy in men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline (2010), and Functional testosterone deficiency in aging men: Clinical impact, diagnostic pathways, and treatment strategies (2026), plus the creator's own wording. Testosterone decisions still need an eligibility review, medication-interaction screen, access check, and quality-control review before anyone treats a social clip as medical advice.
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Claim being checked
The video centers on hormonal contraception as a driver of low libido in women, specifically referencing years on combined oral contraceptives followed by a hormonal IUD.
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Testosterone evidence, safety, and patient-fit context
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What it helps with
- The video centers on hormonal contraception as a driver of low libido in women, specifically referencing years on combined oral contraceptives followed by a hormonal IUD. The mechanism she describes, reduced sexual desire from prolonged hormonal contraceptive use, is consistent with the known effect of combined contraceptives on SHBG and free testosterone, though her attribution of recurring vaginal infections to the IUD is less clearly supported by clinical evidence. Her experience of inadequate medical investigation is consistent with documented disparities in how women's sexual health complaints are evaluated in primary and gynecological care.
- Combined oral contraceptives increase SHBG, which binds free testosterone and reduces its bioavailability. Panzer et al. (2010) found SHBG remained elevated in some women even after stopping the pill, suggesting libido effects can persist beyond discontinuation.
- A 2013 Cochrane review confirmed that some hormonal contraceptive formulations are associated with reduced sexual interest, but the effect is not universal and varies by progestin type and individual hormone sensitivity.
What it may miss
- It may not cover eligibility, contraindications, medication interactions, lab history, or dose escalation.
- Compound access, legal status, and product quality still need a separate safety check.
- Social video captions rarely show the full evidence base behind a claim.
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Start provider reviewWhat You'll Learn
- Combined oral contraceptives increase SHBG, which binds free testosterone and reduces its bioavailability. Panzer et al. (2010) found SHBG remained elevated in some women even after stopping the pill, suggesting libido effects can persist beyond discontinuation.
- A 2013 Cochrane review confirmed that some hormonal contraceptive formulations are associated with reduced sexual interest, but the effect is not universal and varies by progestin type and individual hormone sensitivity.
- Free testosterone, not total testosterone, is the more clinically relevant marker for evaluating libido in women on or recently off hormonal contraceptives. Many standard panels only report total testosterone, which can appear normal even when bioavailable levels are low.
- Chronic psychological stress suppresses the hypothalamic-pituitary-gonadal axis through cortisol elevation, reducing sex hormone output independent of any contraceptive use.
- Hormonal IUDs are not consistently linked to increased risk of BV or UTIs in clinical literature. Some studies show neutral or slightly protective effects on vaginal microbiome. Sophia's attribution of her infections to the Mirena is her personal experience, not an established clinical finding.
- Muise et al. (2016) found sexual satisfaction in couples did not increase above once-weekly frequency, which partially supports Sophia's pushback on high-frequency sex as a relationship health benchmark.
- Medical dismissal of women's sexual health complaints is a documented systemic issue. A 2019 analysis in the Journal of Women's Health found women reporting sexual dysfunction were significantly less likely to receive investigation or referral compared to men presenting with equivalent concerns.
Our take · Written by FormBlends editorial team · Reviewed by FormBlends Medical Team · This is not a transcript. It is our independent review of the video above.
What did @sophiaarudy actually say?
Sophia made several layered claims in this video. The core argument: hormonal birth control, specifically the pill and a hormonal IUD, was the reason she "completely lost" her sex drive. She also described years of recurring BV, UTIs, yeast infections, and an ovarian cyst rupture, none of which her doctors attributed to contraception. After removing the IUD herself, she says the infections stopped immediately.
She framed low libido as wildly underreported in women, pushed back on the idea that high sexual frequency equals a healthy relationship, and offered two practical fixes: weekly date nights and "spicy romance books." She was careful to say low libido has "a million different" causes, which is a more responsible caveat than most TikTok health creators bother with.
She did not claim a cure. She did not recommend a specific dose of anything. She told her own story. That matters when evaluating what she got right and wrong.
Does the science back this up?
On the libido-birth control link, yes, more than most doctors will admit in a 10-minute appointment. The evidence is real, though messier than a single-cause story suggests. Combined oral contraceptives suppress free testosterone by increasing sex hormone-binding globulin (SHBG), which binds up testosterone and reduces the amount biologically available. Testosterone plays a documented role in female sexual desire.
A 2010 study by Panzer et al. in the Journal of Sexual Medicine found that women on oral contraceptives had significantly higher SHBG levels than controls, and that those levels persisted even after stopping the pill, a phenomenon sometimes called "post-pill SHBG elevation." A 2013 Cochrane review by Arowojolu et al. confirmed that some progestin-only and combined methods are associated with reduced sexual interest, though the effect varies widely between individuals and formulations.
On recurring BV and UTIs being linked to hormonal contraception, the picture is less clear. Some research suggests hormonal IUDs can alter vaginal microbiome composition, but the evidence linking them directly to chronic BV is inconsistent. Sophia's certainty that the IUD "caused" her infections is understandable from a personal experience standpoint but is not definitively supported by clinical literature.
What did they get wrong, or right?
She got the libido-birth control connection basically right. The mechanism is real, the suppression of free testosterone via SHBG elevation is well-documented, and the medical dismissal she described, being told she was "a little crazy," reflects a known and frankly embarrassing gap in how women's sexual health complaints are handled in primary care. Credit where it is due.
Where she overstates: attributing her recurring infections definitively to the Mirena IUD is a bigger leap. Hormonal IUDs are actually associated with reduced menstrual blood flow, which can lower infection risk in some contexts. The ovarian cyst rupture, while painful and real, is not a recognized side effect uniquely tied to hormonal IUDs. Functional ovarian cysts are common and can rupture in women on no contraception at all.
The "immediate relief" framing after IUD removal is also worth scrutinizing. The placebo effect of removing something you believe is harming you is well-documented. That does not mean her symptoms were imaginary. It means causation is harder to establish than her certainty implies.
- Accurate: SHBG elevation from oral contraceptives reduces free testosterone and can lower libido
- Accurate: Medical gaslighting of women reporting sexual side effects is a documented systemic problem
- Overstated: Direct causal link between her hormonal IUD and recurring BV or UTIs
- Overstated: "Immediate" resolution of chronic infections as proof of IUD causation
What should you actually know?
If you are experiencing low libido and you are on hormonal contraception, it is a legitimate and underexplored variable worth discussing with a provider. Ask specifically about your free testosterone and SHBG levels, not just "total testosterone," which can look normal even when bioavailable testosterone is low. This is a conversation many gynecologists skip entirely.
If you have stopped hormonal birth control and libido has not recovered after several months, that post-pill SHBG elevation Panzer et al. identified is worth investigating. Some women see SHBG remain elevated for six months or more after stopping oral contraceptives. This is a real clinical phenomenon, not a wellness myth.
Low libido in women is genuinely multifactorial. Sleep deprivation alone has measurable effects on sexual desire, as does chronic stress through cortisol's suppressive effect on sex hormone production. Sophia's list of causes, stress, overtraining, undereating, relationship quality, is clinically plausible, not just common-sense speculation.
What she recommended, weekly dedicated time with a partner and mentally engaging erotic material, actually has a modest evidence base. Brotto et al. (2016, Journal of Sexual Medicine) found that mindfulness-based interventions and partner engagement were effective components of sexual interest disorder treatment in women. That is not nothing.
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About the Creator
Sophia Rudy · TikTok creator
1.1M views on this video
Replying to @Miah Rose hope this helped🫶🏼 love y’all, you’re NEVER ALONE🥹 #lowlibido #lowlibidowomen #lowsexdrivefix #longtermrelationship #keepingthesparkalive
Frequently asked questions
Quick answers based on this video and our medical team review.
What does the video say about combined?
Combined oral contraceptives increase SHBG, which binds free testosterone and reduces its bioavailability. Panzer et al. (2010) found SHBG remained elevated in some women even after stopping the pill, suggesting libido effects can persist beyond discontinuation.
What does the video say about a 2013 cochrane review confirmed?
A 2013 Cochrane review confirmed that some hormonal contraceptive formulations are associated with reduced sexual interest, but the effect is not universal and varies by progestin type and individual hormone sensitivity.
What does the video say about free testosterone, not total testosterone,?
Free testosterone, not total testosterone, is the more clinically relevant marker for evaluating libido in women on or recently off hormonal contraceptives. Many standard panels only report total testosterone, which can appear normal even when bioavailable levels are low.
What does the video say about chronic psychological stress suppresses the hypothalamic-pituitary-gonadal axis through cortisol elevation,?
Chronic psychological stress suppresses the hypothalamic-pituitary-gonadal axis through cortisol elevation, reducing sex hormone output independent of any contraceptive use.
What does the video say about hormonal iuds?
Hormonal IUDs are not consistently linked to increased risk of BV or UTIs in clinical literature. Some studies show neutral or slightly protective effects on vaginal microbiome. Sophia's attribution of her infections to the Mirena is her personal experience, not an established clinical finding.
What does the video say about muise et al. (2016) found sexual satisfaction in couples did?
Muise et al. (2016) found sexual satisfaction in couples did not increase above once-weekly frequency, which partially supports Sophia's pushback on high-frequency sex as a relationship health benchmark.
Sources & references
Citations extracted from our medical team's review. Click any citation to search PubMed.
Not medical advice. This video was made by Sophia Rudy, not by FormBlends. Our write-up above is an editorial review, not a medical recommendation. Talk to your doctor before making any decisions about medications or treatments.