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My Wife Has No Desire for Sex. What Can I Do to Get Our Sex Lives Back on Track?

Published: October 8, 2021 Updated: May 20, 2022
Published: 10/08/2021 Updated: 05/20/2022
Headshot of Krista Jordan, PhD
Written by:

Krista Jordan

PhD
Headshot of Kristen Fuller MD
Reviewed by:

Kristen Fuller

MD
  • Understanding What Causes Low Sex Drive in WomenPotential Causes
  • My Wife Has No Sex Drive – What Can I Do?8 Tips
  • When to Seek Professional HelpWhen to Get Help
  • Final Thoughts on How to Increase Sexual Desire in Your RelationshipConclusion
  • Additional ResourcesResources
Headshot of Krista Jordan, PhD
Written by:

Krista Jordan

PhD
Headshot of Kristen Fuller MD
Reviewed by:

Kristen Fuller

MD

Regular sex can support good health, decrease physical pain, help partners build trust and intimacy, and so much more.1 For these and other reasons, regardless of gender, it can be difficult when one partner wants more sex or has a more active sex drive than the other. In this article, we want to understand more about what can potentially cause low sex drive in women.

Physical intimacy is related to so many parts of a relationship, so it can be a difficult subject to discuss. Getting the support and guidance of a couples counselor may make a big difference. Complete a brief questionnaire on ReGain and begin online couples counseling for as little as $60 per week. Learn More.

Choosing Therapy partners with leading mental health companies and is compensated for referrals by ReGain

Visit ReGain

Understanding What Causes Low Sex Drive in Women

Before talking to your partner about low sex drive, understand that, in general, men tend to have higher sex drives, and at least a third of women across reproductive ages experience low sexual desire and impaired arousal.1,2,3 Sexual behavior also tends to be more complex in women, and sexless marriages are not uncommon.

Seven potential causes for low sex drive in women include:

1. Health Issues or Chronic Illness

There are many health issues or instances of chronic illness that could result in or contribute to low sex drive in women, including chronic pain, chronic fatigue syndrome, diabetes, hypertension, heart disease, cancer, multiple sclerosis (MS), endometriosis, obesity, spinal cord injury, and physical disabilities.

2. Hormonal Imbalances

A hormonal imbalance (e.g., estrogen, progesterone, and testosterone) can result in lower sex drive in women. It’s also relevant that loss in libido is common in women who have had total hysterectomies. This is due, in part, to the decline in sex hormones.1

3. Mental Health Issues

Women with depression and women with anxiety may experience a loss of interest in sex, as can women who have a history with sexual trauma or relationship PTSD. Fortunately, many natural methods of treating anxiety and depression, like exercise, proper sleep, and mindfulness can also help increase libido.4

4. Medication Side Effects

Many antidepressants can cause low libido and impaired arousal or orgasm. These drugs are fairly common, so it’s important that you and your partner talk to a doctor about the potential chemical effect medication may be having on their sex drive.

5. Relationship Issues

In numerous marital studies, emotional distance and resentment are associated with diminished libido and sexual satisfaction.1 If you and your partner are dealing with a lack of connection or underlying resentment, consider seeing a couple’s therapist. The sooner you get professional guidance, the better.

6. Sexual Dysfunction

Sexual dysfunction (which might include FSAD, impaired orgasm, vaginismus, or vulvodynia) can be due to many things, including underlying disease and hormonal imbalance or issues with mental health. Other factors include stress, drug use, alcohol consumption, tobacco use, and more.

7. Stress or Fatigue

Stressful events can lessen the body’s natural reproductive urges. If your partner is stressed, consider ways of helping them unwind. Mindfulness exercises and meditation can be a great tool, as well as guided imagery and progressive muscle relaxation.

Physical intimacy is related to so many parts of a relationship, so it can be a difficult subject to discuss. Getting the support and guidance of a couples counselor may make a big difference. Complete a brief questionnaire on ReGain and begin online couples counseling for as little as $60 per week. Learn More.

Choosing Therapy partners with leading mental health companies and is compensated for referrals by ReGain

Visit ReGain

My Wife Has No Sex Drive – What Can I Do?

If your wife or partner is exhibiting low sex drive, it’s time to have an open conversation with them. The best thing you can do for each other is to speak to a sex therapist/marriage counselor; however, there are also other more immediate ways to put in the work to rekindle sexual vibrancy and passion.

Leigh Noren“It’s important to understand why your desire is low,” says sex therapist Leigh Norén. “For example, have you been having sex that isn’t pleasurable, or have you recently experienced more stress at work? While these both can cause low desire, the solutions to these difficulties will vary as the root causes are completely different. Once you know what’s going on underneath the surface, you can get to creating more desire. Some common solutions are exploring your sexuality, increasing emotional intimacy, communicating more openly about sex, and working on becoming more present in the moment.”

Here are eight tips you and your partner can try to help increase sexual desire:

1. Speak to a Sex Therapist or Marriage Counselor

Consider speaking with a certified sex therapist or marriage counselor. They may help you improve communication, help bring more mindfulness into the relationship, or suggest sex therapy with sensate focus, You can connect with a trusted couples counselor or sex therapist on the Choosing Therapy directory.

2. Talk About Sexual Fantasies

Try to foster a sense of openness and vulnerability between you and your partner. If you both feel safe and comfortable, talk to each other about unexplored sexual fantasies. Even if you don’t act out these desires, talking about them can create more intimacy.

3. Foster a Sense of Connection

Men tend to connect through sex, while for women sex tends to be a manifestation of the connection. One of the best and fastest ways to create a sense of connection with another person is through eye contact. Sit down with her face-to-face and talk, making sure to look into her eyes periodically. Our eyes are direct links into our nervous systems, so through mutual eye contact we can create a sense of being deeply connected in real time with another person.

Ask her to tell you the high and low points of her day. All you really need is 10-15 minutes of each other’s undivided attention on a daily basis to rekindle the good vibes. That being said, it’s important that she has your undivided attention. Make sure that the TV and your cell phone are off. The pay off for helping her feel connected should be much higher than anything else you could be doing with that 10 minutes.

4. Plan Romantic Dates

Put in the effort to plan a romantic date. Better yet, make date night a regular occurrence. In essence, this is simply a way to show your partner that you care and are paying attention to their needs. This kind of energy and playfulness is essential for keeping passion alive.

5. Address Underlying Mental Health & Medical Issues

One of the most important things you can do to address low sex drive in women is encourage them to delve into and try to manage any underlying mental and medical health issues. They can start this process by talking to a primary care physician (PCP) or a trusted therapist.

6. Alter Medication/Dose

A side effect of certain medications is a significant impact on sex drive and libido. As such, your dosage may require adjustment. In some cases, you may need to try an entirely new medication. Don’t make adjustments to your dose without talking to your doctor first. 

7. Talk Openly/Effectively Communicate

Open communication is the bedrock of any healthy relationship. Tell your partner how you feel and be understanding and open to hearing about their experiences.

8. Show More Affection

Simple affection is such a powerful tool to build intimacy. Something like holding hands can be a step toward restoring a physical connection and reinforcing an emotional bond.

When to Seek Professional Help

If you’re unhappy with your sex life and feel that your libido is mis-matched with your partner’s, it’s a good time to seek professional help. Also, if you or your partner’s libido falls abruptly and doesn’t recover in a couple of weeks, make an appointment as soon as possible. If you need help finding a couples counselor, browse through the profiles of professionals on an online therapist directory.

Final Thoughts on How to Increase Sexual Desire in Your Relationship

Concern about you or your partner’s low libido can be a stressful, lonely experience. Talk to each other, and don’t be afraid to contact a therapist to facilitate the discussion and help you find answers. Ultimately, stay curious and compassionate toward each other. Sex can be important to a relationship and wonderful part of a healthy life and partnership, so don’t give up on each other.

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for referrals by the companies mentioned below.

BetterHelp Online Therapy – BetterHelp has over 20,000 licensed therapists who provide convenient and affordable online therapy. BetterHelp starts at $60 per week. Complete a brief questionnaire and get matched with the right therapist for you. Get Started

Talkspace Online Therapy – Online therapy is convenient with Talkspace. Get therapy for as little as $69 per week, or potentially much less if you have insurance from Cigna, Optum, or UHR. Try Talkspace

Choosing Therapy’s Directory – Find an experienced therapist who is committed to your wellbeing. You can search for a therapist by specialty, availability, insurance, and affordability. Therapist profiles and introductory videos provide insight into the therapist’s personality so you find the right fit. Find a therapist today.

Mindfulness & Meditation App – Headspace is an easy way to incorporate mindfulness and meditation into your routine. See for yourself how a few minutes each day can impact your stress levels, mood, and sleep. A monthly subscription for Headspace is only $12.99 per month and comes with a 7-day free trial. Try Headspace

Choosing Therapy partners with leading mental health companies and is compensated for referrals by BetterHelp, Talkspace, and Headspace

For Further Reading

  • Best Books About Sex & Intimacy
  • What to Expect from Marriage Counseling
  • Top Books About Marriage
  • Sex Therapy Books
  • Mental Health America
  • National Alliance on Mental Health
10 sources

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Tatkin, S. (2018) We Do: Saying Yes to a Relationship of Depth, True Connection and Enduring Love. Sounds True: Boulder, CO., pp. 151-152, ISBN 9781622038930.

  • Blumstein, P. and Schwartz, P. (1983). American Couples: Money, Work, Sex. Morrow, ISBN 10: 0688037720

  • Laumann, E.O, Gagnon, G.H., Michael, R.T., and Michaels, S. (1994). The Social Organization of Sexuality, ISBN: 9780226470207.

  • Brotto, L.A., Basson, R. (2014). Group mindfulness-based therapy significantly improves sexual desire in women, Behaviour Research and Therapy, 57, 43-54. ISSN 0005-7967, https://doi.org/10.1016/j.brat.2014.04.001.

  • Beck, J. G., Bozman, A. W., & Qualtrough, T. (1991). The experience of sexual desire: Psychological correlates in a college sample. Journal of Sexual Research, 28, 443–456.

  • Jones, J. C., & Barlow, D. H. (1990). Self-reported frequency of sexual urges, fantasies, and masturbatory fantasies in heterosexual males and females. Archives of Sexual Behavior, 19, 269–279.

  • Bachmann GA. Influence of menopause on sexuality. International Journal of Fertility and Menopausal Studies. 1995 ;40 Suppl 1:16-22. PMID: 7581585.

  • Paterson LQP, Handy AB, Brotto LA. A Pilot Study of Eight-Session Mindfulness-Based Cognitive Therapy Adapted for Women’s Sexual Interest/Arousal Disorder. J Sex Res. 2017 Sep;54(7):850-861. doi: 10.1080/00224499.2016.1208800. Epub 2016 Aug 15. PMID: 27712106.

  • Jernigan, L.B. (2014) Compassionate authenticity: a treatment model for working with women with low libido, Sexual and Relationship Therapy, 29:1, 56-67, DOI: 10.1080/14681994.2013.860437

  • Tatkin, S. (2013). Your Brain On Love: The Neurobiology of Healthy Relationships, Soundstrue Publishing.

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Headshot of Krista Jordan, PhD
Written by:

Krista Jordan

PhD
Headshot of Kristen Fuller MD
Reviewed by:

Kristen Fuller

MD
  • Understanding What Causes Low Sex Drive in WomenPotential Causes
  • My Wife Has No Sex Drive – What Can I Do?8 Tips
  • When to Seek Professional HelpWhen to Get Help
  • Final Thoughts on How to Increase Sexual Desire in Your RelationshipConclusion
  • Additional ResourcesResources
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