For immediate release · October 26, 2026
New Amie data: low desire after 40 rarely comes alone
56% of women 40+ seeking help for low desire named four or more concerns
October 26, 2026 · Amie, a U.S. telehealth service for women 40+, today released The State of Desire After 40, an analysis of de-identified, aggregate answers from 43,339 women who completed its online low-desire assessment between July 17, 2026 and October 22, 2026. 83% of them were 40 or older.
Among the 35,981 women aged 40 and older, 74% reported difficulty with arousal or lubrication and 70% difficulty reaching orgasm. Only 4% named low desire as their only concern. Vaginal dryness rose from 60% of women aged 40–44 to 72% of women aged 55–59, while low mood or irritability fell from 58% to 32% among women 65 and older.
Key findings
- 83% of the 43,336 women who sought help for low desire through our online assessment were 40 or older. Their median age was 49.
- 56% of women 40+ named four or more separate concerns. Just 4% named low desire on its own.
- 74% of women 40+ reported difficulty with arousal or lubrication, and 70% difficulty reaching orgasm.
- 60% → 72% reported vaginal dryness during or after sex, rising from ages 40–44 to ages 55–59.
- 23% → 37% named pain during sex as a reason for seeking care, rising from ages 40–44 to ages 60–64.
- 58% → 32% named low mood or irritability, falling from ages 40–44 to 65 and older.
- 60% of women 40+ reported both a physical concern (arousal, dryness or pain) and an emotional or relationship concern.
- 73% of women 40+ reported vaginal dryness, pain or discomfort during sex, or pain during sex as a concern.
Methodology
43,339 U.S. women completed Amie’s online low-desire medical assessment between July 17, 2026 and October 22, 2026. One record per woman; closed-choice answers only; groups under 50 suppressed; no identifying data exported. This is a self-selected sample of women seeking help online and is not representative of all U.S. women. The questions were not designed as a validated research instrument, and associations do not show cause. Written and medically reviewed by Dr. Jessica Russell, MD.
About Amie
Amie is a U.S. telehealth service for women 40+. Licensed clinicians review an online intake and, when appropriate, prescribe treatment for low desire or menopause symptoms.
Media contact
Press inquiries: support@tryamie.com. The full aggregate tables are available on request.
Full report: https://tryamie.com/learn/state-of-desire-2026