Sex Therapy: Low Sex Drive in Women
Sex Therapy
Mismatched sexual desire between partners is a common challenge in relationships. Many women experience periods of low libido—and when unaddressed, it can lead to disconnection, resentment, or even relationship breakdown. If you’ve found yourself saying, “I have no sex drive, and it’s ruining my relationship,” you’re not alone—and there are ways to understand and heal.
Signs & Symptoms of Low Sex Drive in Women
Low sex drive, also known medically as Hypoactive Sexual Desire Disorder (HSDD), refers to a persistent lack of interest in sexual activity. While some fluctuation in sexual desire is normal, a chronic lack of libido that causes distress may indicate an underlying issue.
Common symptoms of HSDD include:
Lack of interest in initiating or engaging in sexual activity
Difficulty experiencing pleasure during sex or stimulation
Rare or absent sexual thoughts or fantasies
Emotional distress tied to low desire or strained intimacy
Understanding the Diagnosis
The DSM-5-TR defines HSDD as a disorder only when the symptoms last for six months or more and cause significant distress or strain on the person’s relationship or well-being.
There’s no single medical test for HSDD. Instead, your provider will evaluate your symptoms, medical history, and emotional health to rule out any contributing causes.
What Causes Low Libido in Women?
Low sexual desire can stem from physical, psychological, or relationship-related factors. Identifying the root cause is essential in order to create an effective treatment plan.
Medical Factors
Hormonal shifts: Menopause, perimenopause, pregnancy, and breastfeeding
Medications: Especially antidepressants and blood pressure medications
Chronic illnesses: Diabetes, hypothyroidism, anemia, cardiovascular disease
Painful conditions: Such as vulvodynia or chronic pelvic pain
Post-surgical effects: Changes following hysterectomy or reproductive surgery
Psychological and Emotional Factors
Depression or anxiety disorders
Past sexual trauma
Low self-esteem or body image issues
Daily life stressors
Relationship-Based Causes
Your emotional connection with your partner often plays a central role in your desire. Low libido may stem from:
Resentment or unresolved conflict
Lack of communication around sexual needs
Infidelity or trust issues
Using sex as a tool for control or punishment
Feeling emotionally disconnected or unappreciated
Life Stages That Impact Libido
Pregnancy and Postpartum
The physical and emotional changes of pregnancy, childbirth, and parenting can dramatically impact libido. Fatigue, body image concerns, and hormonal shifts are common libido dampeners.
Stress and Overwhelm
Managing work, family, finances, and more can leave women physically and emotionally depleted. By the end of the day, sleep often feels more important than sex.
Treatment Options for Low Sex Drive in Women
Once the underlying issues are identified, treatment can be tailored to your specific needs.
Sex Therapy
Therapy can help uncover hidden causes of low desire and address emotional wounds, past trauma, or relationship stress. A sex therapist can also guide you and your partner through more open communication, emotional reconnection, and sexual techniques that feel good for both of you. Schedule a free consultation.