47 years old without sexual desire may be due to psychological factors, hypogonadism, drug factors and other causes, according to the different causes can choose to take different drugs treatment. 1. Psychological factors: 47 years old is usually about to enter menopause, may be due to psychological factors, such as anxiety, stress, depression and other emotions can lead to decreased libido. This kind of situation needs active psychological counseling treatment on the one hand, and on the other hand, you can consider taking psychological drugs, such as ghrelin and so on. 2. Hypogonadism: With age, gonadal function decreases, resulting in low levels of sex hormones and lack of sexual desire. This kind of patients can consider oral sex hormone drug treatment, such as testosterone undecanoate and so on. 3. Drug factors: long-term use of antihypertensive drugs and antipsychotics, such as propranolol, chlorpromazine, etc., can also lead to lack of sexual desire, at this time according to the advice of specialists to change the drug treatment, such as antihypertensive can be changed to oral amlodipine tablets. Different causes, different therapeutic drugs, if you are not feeling well, please go to a regular hospital to follow the doctor’s advice to use drugs, do not diagnose and use drugs.