America's libido index: Mapping sex drive by online searches

Where in the US is libido running high, and where is it lagging behind? To find out, ZipHealth analyzed Google search data from all 50 states and major US cities, looking at interest in over 300 libido-related queries.

The results reveal a fascinating, often surprising snapshot of how sexual health and curiosity vary across the country. From ED treatments to emotional and hormonal questions about sex drive, this index ranks the cities and states where libido is front and center and where it's flying under the radar.

Key takeaways

• New York, Washington, and Virginia show the highest per capita interest in libido-related search terms nationwide.
• Atlanta, Miami, and Minneapolis rank as the top 3 US cities most curious about sex drive and sexual health.
• "What can I do to increase my sex drive female" is the most frequently searched libido-related phrase, appearing at the top of the list in 8 states and 4 major cities.
• Major cities like Boston, Dallas, and Sacramento lead searches for hormonal and stress-related causes of low libido.

What states are most curious about sex drive?

State by state, Americans are asking big questions about their sexual well-being. Here's what stood out in the nationwide search data.

New York topped the list for per capita search interest in libido-related queries, followed closely by Washington and Virginia. Other high-ranking states included Utah, Nevada, Massachusetts, Colorado, Georgia, Hawaii, and California. Residents in these states consistently searched for terms related to both boosting and understanding libido.

Looking deeper, specific search terms reveal what concerns are top of mind for people in different parts of the country:

• "What can I do to increase my sex drive female" was the most common libido-related search in 8 states, including Alabama, Arkansas, Kentucky, Louisiana, North Carolina, Oklahoma, Texas, and Wisconsin.
• "Over the counter ED pills" was a popular query in 4 states: Missouri, Ohio, Pennsylvania, and South Carolina, pointing to interest in accessible solutions for erectile dysfunction.
• "Testosterone supplements" dominated in Massachusetts and New Jersey, indicating curiosity around hormonal support.
• Questions like "why doesn't my wife want sex" or "why women don't want sex" appeared frequently in Idaho and Nevada, suggesting relationship-based concerns in those regions.
• "My wife has no interest in me sexually" showed up most in Hawaii and Wyoming, echoing similar themes around intimacy and connection.
• In Oregon and Vermont, residents were more likely to search "what's a high sex drive," perhaps reflecting curiosity or comparison.
• "Average sex drive of a woman" was the top search in both North Carolina (which also appeared in the female libido search cluster) and Rhode Island.

States with the lowest interest per capita included Mississippi, Wisconsin, and New Mexico. While this doesn't mean these states are less sexually active, it does suggest lower public curiosity or comfort around libido-related topics online. Meanwhile, a different kind of trend is gaining steam. Searches for the phrase "sex recession" have surged 845% in the past month.

Sex recession refers to a noticeable decline in sexual activity, especially among younger generations, often linked to broader social and economic shifts, like dating app fatigue, mental health struggles, or changing relationship norms. The spike in searches suggests a growing cultural conversation around why sex might be on the decline, and what that means for people's emotional and physical health.

The US cities most obsessed with libido

When it comes to urban hotspots of libido interest, these 25 cities stood out for their digital curiosity.

Atlanta ranked No. 1 for city-level libido-related searches, followed by Miami and Minneapolis. Seattle, Denver, and Boston also made strong showings, with Tampa, Las Vegas, Baltimore, and Sacramento rounding out the top 10. Each of these cities showed high interest in queries related to sexual health, desire, and causes of low libido.

Zooming in on specific searches provides a clearer picture of what's top of mind in different regions:

• "What can I do to increase my sex drive female" (or similar phrases) was a top search in Atlanta, Charlotte, Oklahoma City, and Tulsa, showing a trend toward proactive libido enhancement specifically for women.
• Curiosity around what defines a normal or elevated sex drive appeared in Baltimore, Detroit, El Paso, Houston, Phoenix, and San Diego, where people frequently searched "what's a high sex drive" or similar phrases.
• In cities like Aurora, Mesa, and Raleigh, searchers were more concerned with understanding "why women may lose interest in sex," suggesting a focus on relationship dynamics and emotional connection.
• Cities such as Memphis, Nashville, and Philadelphia saw high search volume for "why am I never/not in the mood for sex," pointing to libido loss linked to emotional or psychological states.
• A hormonal angle emerged in Dallas, Louisville, and Sacramento, where residents searched "low sex drive before period," reflecting awareness of how menstrual cycles can affect desire.
• Interest in the link between mental health and libido was strong in Boston, Columbus, and Washington, DC, where searches like "how does stress affect a woman sexually" and "stress and sex drive" were prevalent.
• Cities including Minneapolis, San Antonio, San Francisco, and Tampa frequently searched "why women don't want sex" or similar phrases, highlighting ongoing conversations about desire, expectations, and communication in relationships.

These localized trends paint a dynamic picture of how Americans are engaging with questions around libido, not just from a medical or hormonal standpoint, but also through the lenses of relationships, emotions, and mental health.

On the flip side, Mesa, Arizona, had the lowest libido-related search volume. Other low-ranking cities included Oakland (California), Fresno (California), Aurora (Colorado), and San Antonio (Texas). Whether due to differences in culture or health priorities, these cities showed less per capita curiosity about sexual wellness.

A revealing map of modern intimacy

ZipHealth's Libido Index offers more than just rankings. It's a candid look into how Americans are navigating their sexual well-being. From top-ranking cities leading the search to more private pockets of the country, this data reflects a nation actively exploring desire, health, and connection. As search trends continue to evolve, one thing is clear: curiosity about libido is alive and well across the US.

Methodology

For this study, we analyzed Google Trends search volume data from January 2024 to April 2025 to uncover America's libido hotspots. Our analysis examined search trends for 303 search terms across all 50 states and 50 major US cities. To ensure reliability, only keywords with a consistent upward trend over the period were considered. We ranked the top trending searches in each state and city using a per capita calculation to highlight significant deviations in search volume.

About ZipHealth

ZipHealth offers fast, discreet access to treatments for sensitive health issues, including options like Viagra, Cialis, and Finasteride. Whether you're looking to improve your sex life, tackle hair loss, or explore wellness solutions privately, ZipHealth makes it simple and secure — no waiting rooms necessary.

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