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Your sex life, your way
So, here you are, asking a question you never thought you’d ask in those early days of marital bliss: My wife has no desire for sex. What can I do?
It’s common to jump to the worst conclusions — to think she’s fallen out of love with you and in love with the delivery guy. But here’s the thing: A woman’s libido can fluctuate for various reasons that have little to do with you.
In the same vein, a marriage can change over time, making adaptability a love language you should learn to master.
If you’ve been in a rut lately, keep reading to find out what may be causing your wife’s low sex drive and explore tips on how to get your sex life back on track.
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This may seem obvious, but sexual health is key to overall health — one key, at least. Research from the World Health Organization (WHO) and the World Association for Sexual Health shows that fulfilling sexual experiences contribute to better physical and mental health, even in older age.
Sex is just as important to your relationship quality. In a study of 237 partnered young adults, sexual satisfaction was the most critical predictor of relationship satisfaction in men and women.
However, for some women, a sense of closeness (emotional intimacy) was even more important than sexual satisfaction if they were living with their partners.
Despite how crucial sex is to relationship quality, many long-term couples struggle with a lack of sex. In a survey of nearly 18,000 U.S. adults, 15 percent of married couples reported that they hadn’t had sex in the previous year. And around 13 percent said they hadn’t had sex in the last five years.
Just because something is common doesn’t mean it has to stay that way. If your wife’s lack of sexual interest is causing distress in your relationship, you need to talk about it.
In the next section, we’ll discuss what might be causing your wife’s lack of desire and how you can help.
Was it something you said? Was it something you didn’t say? Does she love somebody else?
When your wife doesn’t want to have sex with you anymore, the voice inside your head can get pretty insecure. It’s true that relationship issues can play a role in your wife’s lack of desire, but sometimes, it’s not even about you.
Keep scrolling for insight into what might be going on.
Hypoactive sexual desire disorder (HSDD) is the most common female sexual dysfunction, though it can also happen in men. It involves a persistent lack of sexual desire and sexual fantasies, which results in distress for the individual and her partner.
Though this disorder is listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM), it’s a controversial topic. What’s considered “normal” can vary among people and cultures, but some critics think pathologizing such variations can lead to unnecessary treatments and shame.
It’s also essential to know your wife’s sexual response cycle may shift over time — in which case you may have to learn how to shift your approach.
For instance, a woman might not have a sexual dysfunction in the following scenarios:
She has little or no spontaneous desire but does experience responsive desire (i.e., she may not feel a spontaneous urge to have sex, but she can become aroused when presented with the right context, like foreplay or emotional connection).
She experiences spontaneous or responsive desire but doesn’t want to have sex as much as her partner (i.e., mismatched libidos).
When trying to figure out why your wife has a lower sex drive than she used to (or maybe just a lower sex drive than you do), it can help to recognize that this shift might actually be normal. It also may be temporary.
Mental illness is the most critical risk factor for women’s sexual dysfunction, including low sexual desire and arousal disorders.
Mental health issues that may cause a lack of sexual interest include:
Depression
Anxiety
Stress
Low self-esteem
Poor body image
Sexual trauma
Even women with chronic medical conditions that affect the vascular pathways of sexual desire (like diabetes, multiple sclerosis, or renal failure) are more likely to experience sexual dysfunction as a result of the mental effects linked to these diseases.
Some medications might cause low sexual desire as a side effect, including those prescribed for some of the mental health issues listed above.
Medications known to cause sexual side effects include:
Antidepressants
Blood pressure medications
Chemotherapy drugs
Epilepsy drugs
Migraine medications
Recreational drugs, including alcohol and nicotine
It’s never a good idea to stop taking medication without talking to a healthcare professional. So if your wife thinks she might be experiencing side effects affecting her libido, she should let her provider know.
Reproductive hormones like estrogen, testosterone, and progesterone are vital for sexual function. Menopause throws all these hormones out of whack.
Menopause is when a woman’s ovaries stop producing estrogen and progesterone, and she stops having menstrual periods. The transition into menopause (perimenopause) typically happens between ages 45 and 55, but it can be earlier or later for some women.
The hormonal changes menopause brings can cause a range of uncomfortable symptoms like low libido, hot flashes, poor sleep, vaginal dryness, and irritability.
If your wife is of menopausal age, her gynecologist should be able to help her devise a treatment plan to fit her individual needs. This may include a combination of hormonal medications, therapy, and lifestyle changes.
Relationship issues like unresolved conflicts, parenting disagreements, infidelity, and lack of intimacy could also contribute to your wife’s low sex drive.
In a study of postmenopausal women with low libido, one major factor was their partner’s erectile dysfunction (ED).
Women explained to researchers that if their partner couldn’t maintain an erection long enough for them to reach orgasm, they began to view sex as less satisfying and wouldn’t look forward to having it in the future.
The women also found that when their partners were defensive or frustrated due to their ED symptoms. This also made sex less satisfying, and their sexual interest declined.
This isn’t to point fingers or say the man in the relationship is to blame — only to paint a full picture of what could be going on.
If you’re the kind of guy who likes to fix things, you should know this section won’t advise you to try to “fix” your wife’s sex drive.
However, there are ways you can improve or expand your approach to sex, intimacy, and communication with your partner. And this can have a positive impact on your wife’s sex drive.
Here’s what you can do if your wife has no desire for sex.
Sexual intimacy begins with emotional intimacy. Have you talked about your sexual needs with your partner?
Research shows that couples with sexual problems like low desire have more sexual communication issues than couples without sexual problems. And one of the main ways women resolve conflict related to mismatched libidos is by talking about sex.
If you’re having trouble getting your partner to talk or knowing the right language to use, seeking out a sex therapist or enrolling in couples counseling might help.
A lack of sexual interest doesn’t necessarily mean a lack of interest in you and your needs. You might just need to talk it out.
It’s common for people in long-term relationships not to have as much sex as they did in the beginning. It’s also common for romantic gestures like date night to decline.
Is there a connection? Maybe.
According to a survey of 2,000 heterosexual men and women conducted by the University of Virginia, 52 percent said they “never” go out on date nights with their spouses or only went on date nights “a few times a year.” And 48 percent reported they had date nights “once or twice a month” or more.
Of the couples who went on regular date nights, 68 percent of wives and 67 percent of husbands were happy with their sexual relationship and reported greater communication and commitment to their partners. In couples that didn’t have regular date nights, only 47 percent of husbands and 47 percent of wives said they were sexually satisfied.
When did your wife get into BDSM? WTF is Shibari?
This is where sexual communication is important yet again. Studies show that talking about sex can improve sexual desire by revealing how partners differ in their sexual preferences and how sexual preferences can change over time.
You may have thought you knew your wife’s turn-ons like the back of your hand, but it’s totally healthy and normal for these turn-ons to evolve.
It’s also common for women to keep new sexual fantasies from their partners if they aren’t used to talking about their sexual needs or haven’t done so in a while.
We mentioned that some women don’t have a spontaneous urge to have sex but can become aroused in the right context. This doesn’t mean pressuring your wife to have sex if she doesn’t feel like it. But it could mean taking time for a sexy preamble will work in your favor.
Foreplay is any type of non-penetrative sexual activity that sets the stage for sexual intercourse. It increases sexual desire and arousal by enhancing emotional intimacy and helps your partner become sufficiently lubricated (although investing in a good personal lubricant works wonders too).
There are no rules for what constitutes foreplay, but here are some ideas:
Kissing and cuddling
Mutual masturbation
Oral sex
Roleplay
Massage
Watching porn together
Sexting
Exploring erogenous zones
Using sex toys
Foreplay is a great way to heat things up. Check out these other ways to initiate sex with your partner.
When life gets busy, self-care can easily take a backseat. Maybe you and your wife cope with life’s stressors by drinking too much, staying up late worrying, or overworking.
Working together to improve your lifestyle habits can positively impact your general well-being and sexual health.
Healthy lifestyle changes can include things like:
Working out together
Booking that long overdue vacation
Cooking healthy meals at home
Making a pact to turn off screens well before bed
Divvying up household chores and errands
Cutting back on excessive drinking or smoking
Start with one or two things, and go from there.
We mentioned earlier that one common complaint of women with low libido is their husband’s erectile dysfunction issues. Another sexual dysfunction that may contribute is premature ejaculation (PE).
If you’re struggling with sexual dysfunction, it might be time to confront these issues head-on.
Treatments for ED include oral medications like sildenafil (Viagra®), tadalafil (Cialis®), vardenafil (Levitra®), and avanafil (Stendra®).
If you’re looking for something more discreet, there are also chewable ED meds containing the same active ingredients as drugs like Viagra and Cialis. These medications help to increase blood flow to the penis by widening blood vessels.
For those struggling with premature ejaculation, healthcare providers might prescribe drugs like sertraline (Zoloft®) off-label. Or you can try desensitizing sprays, wipes, or condoms containing topical anesthetics to prolong sex.
ED and PE are extremely common conditions, but we know it can be challenging to admit you’re dealing with a problem like this. If you can use support, schedule an online consultation with a healthcare provider today.
If your wife is showing little to no interest in sex, you might initially think you’re doing something wrong. This isn’t always the case.
If your wife has no desire for sex and you’re at a loss for what to do, remember:
A loss of sexual desire can be related to various mental and physical conditions. Hormonal imbalances, stress, medication side effects, and menopause are a few potential reasons your wife may have a lower sex drive than she used to.
A low sex drive doesn’t always indicate sexual dysfunction. It’s normal in long-term relationships to have less sex than in the early days. It’s also normal for your wife’s sexual needs and response cycle to shift.
There are things you can do to help get your sex life back on track. If you’re trying to revive your relationship sexually, try talking about your sexual desires, bring back date night, explore sexual fantasies together, and consider confronting your own sexual problems.
Want more ideas on how to improve your sex life? Check out these techniques to make sex better for her and explore these tips for better sex.
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Dr. Kelly Brown is a board certified Urologist and fellowship trained in Andrology. She is an accomplished men’s health expert with a robust background in healthcare innovation, clinical medicine, and academic research. Dr. Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care.
She completed her undergraduate studies at University of North Carolina at Chapel Hill (go Heels!) with a Bachelor of Science in Radiologic Science and a Minor in Chemistry. She took a position at University of California Los Angeles as a radiologic technologist in the department of Interventional Cardiology, further solidifying her passion for medicine. She also pursued the unique opportunity to lead departmental design and operational development at the Ronald Reagan UCLA Medical Center, sparking her passion for the business of healthcare.
Dr. Brown then went on to obtain her doctorate in medicine from the prestigious Northwestern University - Feinberg School of Medicine and Masters in Business Administration from Northwestern University - Kellogg School of Management, with a concentration in Healthcare Management. During her surgical residency in Urology at University of California San Francisco, she utilized her research year to focus on innovations in telemedicine and then served as chief resident with significant contributions to clinical quality improvement. Dr. Brown then completed her Andrology Fellowship at Medical College of Wisconsin, furthering her expertise in male fertility, microsurgery, and sexual function.
Her dedication to caring for patients with compassion, understanding, as well as a unique ability to make guys instantly comfortable discussing anything from sex to sperm makes her a renowned clinician. In addition, her passion for innovation in healthcare combined with her business acumen makes her a formidable leader in the field of men’s health.
Dr. Brown is an avid adventurer; summiting Mount Kilimanjaro in Tanzania (twice!) and hiking the incredible Torres del Paine Trek in Patagonia, Chile. She deeply appreciates new challenges and diverse cultures on her travels. She lives in Denver with her husband, two children, and beloved Bernese Mountain Dog. You can find Dr. Brown on LinkedIn for more information.
Education & Training
Andrology Fellowship, Medical College of Wisconsin
Urology Residency, University of California San Francisco
M.D. Northwestern University Feinberg School of MedicineB.S. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill
Published as Kelly Walker
Cowan, B, Walker, K., Rodgers, K., Agyemang, J. (2023). Hormonal Management Improves Semen Analysis Parameters in Men with Abnormal Concentration, Motility, and/or Morphology. Fertility and Sterility, Volume 118, Issue 5, e4. https://www.sciencedirect.com/journal/fertility-and-sterility/vol/120/issue/1/suppl/S
Walker, K., Gogoj, A., Honig, S., Sandlow, J. (2021). What’s New in Male Contraception? AUA Update Series, Volume 40. https://auau.auanet.org/content/update-series-2021-lesson-27-what%E2%80%99s-new-male-contraception
Walker, K., Shindel, A. (2019). AUA Erectile Dysfunction Guideline. AUA Update Series, Volume 38. https://auau.auanet.org/content/course-307
Walker, K., Ramstein, J., & Smith, J. (2019). Regret Regarding Fertility Preservation Decisions Among Male Cancer Patients. The Journal of Urology, 201(Supplement 4), e680-e681. https://www.auajournals.org/doi/10.1097/01.JU.0000556300.18991.8e
Walker, K., & Smith, J. (2019). Feasibility Study of Video Telehealth Clinic Visits in Urology. The Journal of Urology, 201(Supplement 4), e545-e545. https://www.auajournals.org/doi/10.1097/01.JU.0000556071.60611.37