Off bc for 18 mos after 3 years. very high libido before bc and now nonexistent, zero orgasms or pleasure. i also have pcos. help im in <3 and married?

Complex issue: Libido issues are very complex. Birth control from that long ago are not an issue. Libido is driven by physiologic, psychological and spiritual factors. Weight, sleep, stress and the status of the relationship can also impact. A sexual therapist can often guide one through the process. Low dose testosterone can help some. Topical viagra (sildenafil) cream helps others.

Look for other cause: There are many causes for loss of libido - but taking or stopping birth control pills is unlikely to be the culprit. A conversation with your gynecologist would be a good starting point to help you figure out if there may be a physical cause.

Please have a physical exam to be sure your hormones are in balance and if they are you may want to see a Clinical Psychologist with expertise in multiple types of psychotherapy to discuss your concerns about your sexuality and how to find a balance in life.