- Sexual problems. If you experience pain during sex or an inability to orgasm, it can hamper your desire for sex.
- Medical diseases. Numerous nonsexual diseases can also affect desire for sex, including arthritis, cancer, diabetes, high blood pressure, coronary artery disease and neurological diseases.
- Medications. Many prescription medications — including some antidepressants and anti-seizure medications — are notorious libido killers.
- Lifestyle habits. A glass of wine may make you feel amorous, but too much alcohol can spoil your sex drive; the same is true of street drugs. And smoking decreases blood flow, which may dampen arousal.
- Surgery. Any surgery related to your breasts or your genital tract can affect your body image, sexual function and desire for sex.
- Fatigue. Exhaustion from caring for young children or aging parents can contribute to low sex drive. Fatigue from illness or surgery also can play a role in a low sex drive.
- Menopause. Estrogen levels drop during the transition to menopause. This can cause decreased interest in sex and dryer vaginal tissues, resulting in painful or uncomfortable sex.
- At the same time, women may also experience a decrease in testosterone — a hormone that boosts sex drive in men and women alike —which may lead to decreased libido. Although many women continue to have satisfying sex during menopause and beyond, some women experience a lagging libido during this hormonal change.
- Pregnancy and breast-feeding. Hormone changes during pregnancy, just after having a baby and during breast-feeding can put a damper on sex drive. Of course, hormones aren’t the only factor affecting intimacy during these times. Fatigue, changes in body image, and the pressures of pregnancy or caring for a new baby can all contribute to changes in your sexual desire.
- Mental health problems, such as anxiety or depression
- Stress, such as financial stress or work stress
- Poor body image
- Low self-esteem
- History of physical or sexual abuse
- Previous negative sexual experiences
- Lack of connection with your partner
- Unresolved conflicts or fights
- Poor communication of sexual needs and preferences
- Infidelity or breach of trust
- Has no interest in any type of sexual activity, including masturbation
- Doesn’t have sexual fantasies or thoughts, or only seldom has them
- Is bothered by her lack of sexual activity or fantasies