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Changes in Hormones Common Causes of Low Sex Drive in Relationships

Understanding the role of physical intimacy in a marriage is crucial as it enhances emotional connection, builds trust, and contributes to overall relationship satisfaction. However, a lack of physical intimacy, whether sexual or non-sexual, can lead to an unhappy union. It is normal for the intensity of physical intimacy to vary throughout a marriage, but recognizing when it becomes a significant issue is important.


Several physiological and psychological factors can contribute to a decline in sex drive within a marriage. These factors range from sexual desire disorders to chronic illnesses and changes in physical attractiveness. Identifying the reasons for a low sex drive in marriage is essential.


Low testosterone levels can significantly impact libido in both men and women, leading to sexual issues such as a lack of sex drive, erectile dysfunction, and difficulty achieving orgasm. While it is commonly associated with males, low testosterone also affects women, as their bodies produce this hormone, which plays a crucial role in sexual desire. Hence, low levels of testosterone can cause a decrease in libido for both men and women.

Negative sexual presentation

Experiencing a decrease in sexual desire within marriage? It's important to consider that past sexual experiences could be contributing to this issue. Negative sexual experiences, such as sexual abuse or exposure to distressing portrayals of sex through media and pornography, can potentially lead to a decreased interest in sexual activity within marriage.

Chronic illness can lead to persistent fatigue, which in turn can diminish sex drive and the desire for intimacy. Additionally, individuals may experience sexual desires but feel too mentally and physically exhausted to act on them. Changes in hormones, such as those experienced during menopause, can lower testosterone and estrogen levels, leading to vaginal dryness and discomfort or pain during sex. Women typically produce less estrogen after menopause, resulting in a significant decrease in sexual appetite. Furthermore, pregnancy and breastfeeding can also temporarily dampen sexual desires.

Menopause can play with your hormones, lowering testosterone and dropping estrogen levels.

This can make the vagina feel dry and make sex feel uncomfortable or painful.

Women tend to produce less estrogen after menopause, which is why postmenopausal women experience such a noticeable drop in their sexual appetite.

Pregnancy and breastfeeding can also be one of the causes of low libido that hamper sexual desires for a time.

Mental health plays a significant role in our overall well-being, and factors such as self-esteem, body image, and stress are closely connected to sexual desire  or who have experienced a severe change in body weight or image may not be inclined to have sex or be intimate with their partners. These body image issues can dampen sexual desires. Depression and other mental health issues, as well as a history of sexual or physical abuse, can lead to a decrease in sexual activity for those affected.


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Beverley Sinclair

Clinical Hypnotherapist

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