Loette Tablet can be used safely for several years in many women if regular medical checkups are normal and there are no major risk factors such as smoking, uncontrolled high blood pressure, migraine with aura, blood clot history, liver disease, or certain heart conditions. Many women continue combined birth control pills safely until their late 30s or 40s under medical supervision, but long-term use should be reviewed periodically by a gynaecologist to monitor blood pressure, weight, and overall health. Reduced sex drive can sometimes occur with hormonal contraceptive pills, stress, relationship factors, anxiety, poor sleep, hormonal changes, or other medical conditions. Doctors may consider changing the pill type, adjusting hormone dose, or suggesting another contraceptive method if the symptoms are significant. Regular exercise, stress reduction, proper sleep, open communication with your partner, and management of anxiety or depression may also help improve libido. Please consult a gynaecologist for proper evaluation if the low sex drive is persistent, affecting your relationship, or associated with pain, mood changes, or vaginal dryness.