what causes severe sleepiness, low libado, severe vaginal dryness, and mood swings in a 32 year old lady

Women's Health
#1

I’m 34 and have NEVER HAD A SEX DRIVE … ALSO I AM ALWAYS VERY DRY DOWN THERE.

#2

Harmonal imbalance may be the major factor but there are others too such as stress or some underlying disease. See doctor for diagnosis.