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The 7 crucial questions to ask if your sex drive is low

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Hiya Gorgeous!

Let’s talk about sex, baby! With a name like Crazy Sexy, you’d think I’d be tackling this topic more often. Media, advertisements, TV and film, magazines, Facebook, billboards—sex is everywhere.

But have you ever looked at how sex is portrayed and thought, that sure as heck ain’t happening in my bedroom?

Pretty normal, since it’s far from most people’s reality. I know that many of my readers struggle at times with this part of life (I do too!)—whether it’s a lack of desire related to a health issue, exhaustion due to a packed schedule, responsibilities, stress, kids…or depression and sadness that stems from trauma or unresolved issues… the list goes on.

Today I’m kicking off a 2-part series on S-E-X.

I want to encourage you to really honor this aspect of your life, whether you have a partner or you’re flying solo. And since sexual desire (our level of attraction to others, pleasurable thoughts, etc) and sex drive (our biological urge to have sex) is often tied to our general health, I brought in my dear friend, Aviva Romm, Integrative MD to answer some questions.

Aviva is a Yale-trained MD and Board Certified family physician, midwife, and herbalist who is focused on helping women not only heal their bodies and minds, but transform their lives. She has worked with countless individuals to help them get on a path to a positive and fulfilling sex life, and now she’s here to help us do the same. In part one we’ll look at the main causes of low sex drive and possible solutions. Next week, we’ll be back with Aviva to go even deeper and reveal some of the foods, herbs and supplements that can help boost your sex drive. Ready? Let’s get started!

KC: Do a lot of women struggle with sex drive?

AR: The numbers may surprise you:

  • 30% of women age 18 – 44
  • 45% of women age 45 – 64
  • 80% of women 65 – 80 (and older)

These sex drive dips are tied to more than just sexual desire. While for most women, lulls in sex drive have to do with the lifestyle issues you mentioned (high demand on personal time that leaves them feeling less than rockin’ in the bedroom) some women experience a lull between the sheets because of something else going on with their health. This can lead to things like lowered libido, difficulty with arousal and trouble orgasming. And once pleasurable sex goes out the window, it tends to make sex drive issues even more challenging to work through because negative associations can pile up from stressful encounters.

KC: What are the top causes of low sex drive?

AR: Keep in mind that low sex drive is not always related to health issues. It could just be that your focus is elsewhere, like an intensely creative project or sending your kids off to college. But there are many common health challenges that can impact sexual health. Here are some of the biggies:

  • Depression, anxiety
  • Adrenal fatigue, general fatigue, stress
  • Hormonal imbalances
  • Thyroid problems
  • Medications such as: anti-depressant, anti-anxiety, blood pressure, oral contraceptives, and many others.

Also, these additional issues can have a huge impact on the feelings of sexual desire and satisfaction beyond just sex drive:

  • Low self-esteem, poor body image
  • Unhappiness with partner
  • Pain from anything from vulvodynia and vaginismus to vaginal dryness
  • IBS/IBD
  • History of sexual abuse
  • Urinary incontinence

KC: What are some of the things women can do to improve their sex drive?

AR: One important thing to do is get in touch with whether your sex drive is low or whether you have “Samantha from Sex in the City” expectations about what your drive should be. Are you comparing yourself to others rather than focusing on what makes you and your partner happy? This sex quiz can help you get in touch with your unique sexual health and how to get it on track if needed.

 

Sex Quiz Questions & Recommendations:

1. Are there other symptoms that suggest a medical issue?

For example, have you been gaining weight in the past few months? Are you more tired than usual? These particular issues could be low thyroid. Hormonal imbalance, blood sugar, and other factors can also affect your sex drive. If you have unexplained symptoms cropping up, book an appointment with your doctor.

2. How’s your relationship with your body?

If you’re struggling with body image, you’re not alone. Over 97% of women have body hate thoughts every single day! Working with a therapist or counselor, reading books such as Wild Feminine by Tami Lynn Kent, or the work of Mama Gena, for example, can help you to learn to love and respect your body and yourself.

3. How’s your relationship with your partner, and if you don’t have one, with self-pleasure?

Many people are in relationships where their partner may be a little lacking in the giving pleasure department. One of the first steps is being able to speak honestly about this. Another is having strategies to get through the challenge. Check out The American Association of Sex Educators and Therapists‘ (AASECT) list of therapists. Or pick up Women’s Anatomy of Arousal by therapist and midwife Sherri Winston, voted by the AASECT as the best book on discovering women’s sexual pleasure.

4. Are you eating in a way that makes you feel energized, clear-headed and healthy?

Low blood sugar, bloating, and feeling irritable aren’t a recipe for getting “in the mood” (and your mood can negatively affect your partner’s as well). Keeping your blood sugar balanced and healing your gut boosts your spirits and gives your sex life a lift!

5. Are you sleeping 7-9 hours per night?

Poor sleep affects your sexual desire and drive. If you’re exhausted at the end of the day, sex before bed is probably going to go out the window. Getting more sleep is important for your heart health, mental health, weight—and sex life!

6. Are you taking time for relaxation to replenish your spirit and well-being?

I know that when I’m burned out, the thing I want most is time to myself—not canoodling with someone else! Taking time to nourish YOU will put you more in the mood to connect with your partner.

7. Are you making space for romance in your relationship?

So often our intimate partnerships become business relationships: “I’ll pick up the kids, you get the takeout.” “I’ll get the dry-cleaning, you take out the dogs.” And so on. We forget that intentional romance is an important and stimulating prelude to satisfying sex. It’s pre-foreplay! Often we’re just waiting for someone else to create romance. But we can do it, too. Think candles, nice scents, strawberries, and chocolate (hint: chocolate triggers the release of serotonin, increasing feelings of relaxation and pleasure).

Thanks, Aviva!

I hope you’ll take the time to work through Aviva’s sex quiz and embrace some of her phenomenal recommendations. It’s all connected, my friends. When we nurture our sex lives, our entire well-being benefits and vice versa!

Your turn: What’s going on in your sex life? Are you struggling or are you feeling satisfied? Share your thoughts or tips here. We women (and men) never want to feel alone or isolated. Let’s break the taboo and have a good ole honest conversation about sex.

Peace & pillow talk,

Add a comment
  1. Jennifer Sanchez says:

    I am 44years.I a female.I have a visiting relationship for a long while.I feel my partner don’t really love me but rather see me as a sex symbol. So I’m never eager to have it anymore.this situation really have my sex drive very low.I need to fix this now

  2. chris says:

    Hi there Kris. Thank you for the great topic and for being such an inspiration for me and my family for over 5 years now. Question: What about us breastfeeding mothers out there who have dryness but also low libido? Are the herbs in part two bf compatible? I’ve been breastfeeding for over a year now and it has been a low sex year for sure. I experience pain but I’m also not in the mood (+tired). Thank you!!

  3. carol says:

    I have a question. As a post-menopausal woman of 58 I am having problems during sex with vaginal dryness and irritation. Could you please suggest a chemical-free safe lubricant. Thank-you for your inspiring advice and for your time.

  4. Victoria Palacios says:

    Thank you Kris’s for your wealth of information.
    But my low Sex drive and vaginal dryness is due to a hysterectomy…now menapause. I have tried coconut oil and aloe Vera . These do not he. I. Need help to find the best and safest lubrication. I also need information on vibrators made of safe material….. I want my groove back now I really have a great guy….but not a great sexual experience Love and Peace ThAnks

  5. Cathy says:

    I have been married for 30+years with my high school sweet heart. Sex has been good. As we are getting older we are having less and less…..with my menopause and his high blood pressure. Sex is a thing of the past! no sex for a least 3 months now!
    He has his vodka and wine every night! He has no libido, at least for me???? He has low self esteem. I am always giving him complements and asking him to choose us 1st. he seems to make everything a priority except his health and us! Any suggestion and how to help him/us?

    C

  6. Natalie says:

    I’m 40 with early menopause because of chemotherapy. My oncologist expects my period to return but in the meantime I’m left with very little sexual drive and when I do have sex it is very painful. Will the chasteberry and maca taken simultaneously work?

  7. Meg says:

    Hello Kris!

    I saw on Aviva’s list that oral contraceptives cause a low sex drive. I use the NuvaRing and I do not want to stop the use of because I do not want to become pregnant at this time in my life, but I do want to be able to express myself sexually without any worries. Do you have any suggestions for continuing the use of birth control while also staying healthy throughout all that I do in life including activity in my sex life?

    Thank you!
    Meg

  8. Constance says:

    Very interesting topic, thank you for sharing

  9. K says:

    Great article! I’m working on recovering from adrenal fatigue and hormone imbalances (worsened by 10 yrs of bc use) and boy what a difference when my estrogen/progesterone levels are better now! I’ve had my cycle on my own without bc for almost a year now (yay!) So much of a difference in libido but it has been hard because I haven’t had it for so long that the act of sex actually scares me and I have some emotional work to do with self-confidence in that dept. When I didn’t have sex drive and did have sex it was painful and not enjoyable at all and now I’m more worried about it than I should be. I just don’t seem to ‘O’ with penetration as much as clitoral. Is that normal and what can help besides ‘taking a chill pill’? Not sure if that was too much info lol but thought I would ask!

  10. Catherine says:

    Thank you for this article Kris! This afternoon I had a discussion with my husband about my low libido and then I see your article tonight, what are the chances? I am 52 years old and married to an amazing, sexy, smart, sweet guy and I find myself thinking “I can take it or leave it” for the first time ever. I miss my old enthusiasm and hope this is not a permanent change. Between the discussion with my husband (which was supportive, honest and comforting) and your information I believe I can change the direction of things. Whew!

  11. Sheila evans says:

    My husband gained 40 pounds and is totally stressed out with work. I am not attracted to him at all. He sleeps with a cpap machine, so we sleep
    In separate rooms. I haven’t had sex with him in years. It’s like we are good tag team parents but that is it.

  12. Amanda says:

    I have been struggling with frustration towards the inequality of my partner and my sex lives. He gets seemingly infinitely more orgasms than I do- I usually only get them flying solo- but every once in a while I do with him. It doesn’t seem fair. He tries to help out – he cares deeply and he is very attentive – but it just doesn’t happen and then I feel frustrated and sad.
    Fear of this negative experience leaves me avoiding intimacy. How do I break this cycle??

    • K says:

      omg I am totally with you! I am wondering the same thing. I am more afraid of the negative experience of not climaxing with him and so I avoid it.

  13. Kim says:

    Thank you for this. I’m struggling. I have severe hypothyroidism/Hashimoto’s disease and resulting adrenal fatigue and hormonal imbalances. My weight is up 30 pound and I feel disgusting, my body image in in the toilet, and I’m exhausted almost all the time. I’m working on getting my Natire-Throid dose to where it needs to be. So far I’m on 3 grains. Since I’m estrogen dominant, not even a hint of menopause or even peri- menopause-I’m still as regular as clockwork. Would an “auto-immune diet” help? I saw someone mention that. Honesty, despite the thyroid issues I feel that my weight and body image are mostly to blame. I’m having an awful time with losing weight and having the energy to work out…and I used to work out really hard 60 minutes a day! Not anymore. :'( My metabolism is soooo loooow and I’m freezing cold all the time, so losing weight is a big challenge AND frustration. I know my husband loves me but I’m afraid is not having sex is putting a strain on our relationship. Any suggestions? Thanks so much.

  14. Eleanor Lackey says:

    Intercourse is extremely painful. My skin is thin and feels raw. I am orking on getting rid of yeast infections, uti’s, leaky gut, and cravings for salt and sugar. I am a work in progress…..
    I am immunosuppressed due to a kidney transplant, on blood pressure med. I have to be careful that supplements etc. don’t interact with transplant meds…..so no probiotics etc.
    I need to be pro-active to become more positive…..Pity party has gone on too, long.
    Please, what can I do to feel pleasure instead of pain?
    Feeling lonely….with a frustrated husband.
    Thanks for calling me gorgeous!

  15. Amy says:

    I take a low dose of an anti-depressant and I KNOW it has lowered my sex drive along with being on birth control. I have tried to go off anti-depressants but just can’t be without at this time in my life. I need birth control pills because I have endometriosis and it helps keep that under control. Any suggestions on how to strengthen my sex drive with those issues. Btw, I’m 43 with 10, 8 and 4 year old kids so a busy life doesn’t help either as I melt into my bed each night!!

  16. Angela says:

    Have you been reading my mind? Seriously, just Saturday night while I was doing my wifely duty, I wished I really wanted to, that I would have orgasms, that I still felt the way I once did. I’m 53 and who knows where on menopause since I had a hysterectomy at 31. Last on/gyn visit two years ago she said my hormones were good still. My body image is good as I’ve never been in better shape, but I only sleep 6 or 7 hours a night most nights and work at home with very little social interaction. I am probably dealing with some degree of depression as my son died just over a year ago of a drug overdose. Looking forward to the next article because, in general, I wouldn’t care if I never had sex again.

  17. Kate says:

    Hi Kris. I am a big supporter!
    I was diagnosed with ovarian cancer at age 29. Since my hysterectomy and the progesterone I take for ongoing treatment, sex has been extremely painful to the point where it doesn’t happen. I am now 35 and struggle daily with this issue. If Aviva knows what type of professional I could seek for this it would be helpful. My oncologist has not been able to guide me.

  18. goolia says:

    We have had three miscarriages which is pretty rough on the sexy-time. After the “advice ” from doctors being “keep trying” and it’s “just bad luck” we finally saw an integrative medicine doctor and now have hope. That helps sex!! I am sure hormones are effecting desires but those losses really impacted things too.

  19. Pamela says:

    Thank you Kris! My husband has been struggling with Peyronie’s disease for five years now and that’s definitely been difficult for both of us. He has a hard time facing this issue, and I’ve kind of turned my own drive down, plus have body image issues… and I just turned 40!! But we’re together in this, I love him, we have a healthy wonderful family and I’m grateful. Just trying to get him to visit a sex therapist with me.
    Thanks for being such a great source of inspiration.
    XX

  20. Sarah says:

    Hi Kris/Aviva,

    Sorry for posting this comment twice- I just realized I entered my email incorrectly and don’t want to miss it if I get a response so I’m posting again with my correct email. thx!

    I have had a bartholins cyst for more than 3 years. My partner barely even notices, and it’s not painful nor has it ever been infected so it’s harmless I guess but I’m super self conscious about it and it’s putting a bit of damper on things in the bedroom 🙁 I am a nutritionist and my first goal was to heal my gut and kick out Candida which I’ve done a pretty good job of- I’ve also tried vaginal probiotic suppositories, creams, and sitz baths. I have searched online and in all of my good resource books for an alternative method to get rid of it to no avail- most books don’t even mention bartholins gland cysts.

    Is surgery my only option? I’d be grateful for any resources you can share.

    Thank you!

    Sarah

    • Kris Carr says:

      Hi Sarah,

      I checked in with Aviva and here are some extra tips she has for you. xo, kc

      “If it’s not bothering you physically, I’d probably try to do a mental reframe about the feelings you have about it. Because surgery, while effective, is not always a permanent solution, and always has some risks. You might also consider seeing a naturopathic doctor or herbalist who can provide guidance on specific botanicals you can try topically. Hot compresses applied daily are one of the common things I recommend to patients. Although if it’s been pretty steady in size for 3 years, it may just now be a hard cyst that won’t resolve, so I wouldn’t try compresses or herbs for more than a few weeks if you don’t notice any change. Hope this helps!” – Aviva Romm, MD

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