It's often taken for granted that sex is something people are supposed to enjoy -- an idea that's well-supported in contemporary society by a wealth of hypersexual advertising and other media. So a decreased interest in sex can be difficult to bring up with anyone, even your doctor.
And a lack of interest in sex doesn't even necessarily have to do with erectile dysfunction or vaginal dryness, because those problems can exist along with a so-called "normal" sex drive. Although stress about these issues can certainly take their toll on your libido, it's possible to experience diminished sexual desire without any related physical conditions.
As much as you may dread broaching the topic, your doctor can help you determine if there's a medical (or lifestyle-related) reason behind your decreased interest in sex. For example, some common causes include:
- Alcohol or drug use
- Prescription drugs use
- Sleep apnea
- A hormone imbalance caused by low testosterone or menopause
If your doctor can't find a medical reason for your lack of interest in sex, you should bring the matter up with a trained counselor or therapist, since low libido can have psychological causes. It may be stress-related or due to problems in a relationship. A prior traumatic experience with sex or lingering sexual guilt due to past infidelity also may be to blame.