The “Sex Recession”: Are People Really Having Less Sex, and What Does That Mean for You?

The “Sex Recession”: Are People Really Having Less Sex, and What Does That Mean for You?

If you have noticed that sex feels less frequent than it used to, or less present than you imagine it should be, you may have wondered whether something is wrong with you or your relationship. The honest answer from the data is: probably not. Because if the research is accurate, you are in very large company.

The term “sex recession” has been circulating in journalism and public health conversations for several years, and in 2025 it received a significant new round of attention following the release of data from the 2024 General Social Survey (GSS), one of the longest-running and most rigorous sociological datasets in the United States. What it showed was striking, and worth understanding carefully before drawing conclusions about what it means for you personally.

What the Data Actually Shows

According to the 2024 General Social Survey by the Institute for Family Studies, 55% of U.S. adults aged 18 to 64 reported having sex weekly in 1990. By 2010 that figure had fallen below 50%. By 2024 it had dropped to just 37%. That is nearly a 20-point decline over a single generation.

The decline is not evenly distributed. Young adults have been most affected. Among adults aged 18 to 29, approximately 24% reported having no sex in the past year as of 2024, a figure that has doubled since 2010. The share of young adults living with a partner, whether married or cohabiting, fell from 42% in 2014 to 32% in 2024, which researchers point to as a primary structural driver of the decline. Less cohabitation means fewer people with a readily available sexual partner, and partnered status is one of the strongest predictors of sexual frequency.

Even among married couples, the trend is present. Between 1996 and 2008, 59% of married adults aged 18 to 64 reported weekly sex. From 2010 to 2024, that figure fell to 49%. The sex recession is not solely a story about single people or young adults. It is a broader shift in the landscape of sexual activity across American life.

What Is Driving the Decline?

Researchers have proposed several overlapping explanations for why sexual frequency has fallen across the population. No single cause accounts for all of it, and the drivers appear to interact with one another:

•  Delayed and declining partnering. As noted above, cohabitation rates among young adults have fallen significantly. Fewer people living with partners means fewer people in the primary context where sexual frequency is highest. Later marriage, more years of being single, and greater acceptance of solo living all contribute.

•  Digital displacement of social time. Average weekly social time with others fell from 12.8 hours in 2010 to 6.5 hours by 2019, and dropped further to approximately 5 hours by 2024. Researchers have pointed to the role of screens, social media, and streaming in displacing the evening hours once spent with partners. The pattern follows closely on the widespread adoption of smartphones after 2010.

•  Rising rates of anxiety, depression, and loneliness. Mental health difficulties, which have increased substantially among younger generations, have well-documented effects on sexual desire, relationship formation, and the motivation to seek intimacy. The increase in sexlessness among young adults tracks closely with the rise in reported mental health symptoms in the same population and period.

•  Economic and housing pressures. Financial stress, extended periods of education and training, and housing costs that make independent living more difficult all affect relationship formation timelines, which in turn affect sexual frequency.

•  Post-pandemic social erosion. The COVID-19 pandemic accelerated trends in social withdrawal and digital substitution for in-person contact that were already underway. Social and relational recovery has been slow and uneven.

The More Important Question: Does Frequency Actually Matter?

Here is where the cultural conversation about the sex recession tends to go off the rails, and where a clinical perspective is most useful. The framing of a “recession” implies that more is better and that less is a deficit to be corrected. The research does not fully support that framing.

A widely cited study by Muise, Schimmack, and Impett, drawing on data from over 30,000 participants across three studies, found sexual frequency is associated with wellbeing up to approximately once per week, but that beyond that threshold, additional frequency produced no significant additional benefit. The study found a curvilinear rather than a linear relationship suggesting wellbeing benefits from going from no sex to some sex, but not from going from some sex to a lot of sex. And critically, for people not in relationships, sexual frequency had no significant association with wellbeing at all. The benefits tracked almost entirely with relationship context.

Perhaps more important is what the research says about sexual quality versus sexual quantity. A 2023 longitudinal study tracking over 2,100 couples found sexual satisfaction predicted future increases in both relationship satisfaction and sexual frequency, but that relationship satisfaction did not predict future changes in sexual satisfaction. In other words, satisfaction drives frequency more reliably than frequency drives satisfaction. A couple having less sex but experiencing that sex as meaningful and connected will likely fare better over time than a couple having frequent but disconnected sex.

The question worth asking about your own relationship is not whether you are having as much sex as you used to, or as much as some implied cultural norm. It is whether the sexual connection you do have feels satisfying, intimate, and mutually desired. If the answer is yes, a lower frequency may simply reflect your life stage, your shared demands, and your priorities, none of which require clinical intervention.

When Lower Frequency Is Worth Paying Attention To

That said, there are circumstances where declining sexual frequency is a meaningful signal rather than a neutral trend, and it is worth distinguishing between them.

•  When the decline is accompanied by distress. If one or both partners are unhappy about the change in frequency, or if lower frequency is generating conflict, resentment, or distance, that is a clinical concern worth addressing. Frequency itself is not the problem; the distress around it is.

•  When desire has changed without explanation. A shift in sexual interest that feels sudden, unexplained, or disproportionate to life circumstances may warrant a medical evaluation to rule out hormonal or other physical contributors, as well as a conversation with a sex therapist about psychological or relational factors.

•  When avoidance has replaced desire. There is an important difference between two people who are satisfied with a less frequent but connected sexual relationship, and two people who have stopped initiating because intimacy has come to feel uncomfortable, anxiety-provoking, or too laden with history. The latter is avoidance, and it typically reflects something that benefits from professional attention.

•  When desire discrepancy is causing real strain. If one partner wants significantly more sex than the other, and attempts to navigate this are generating hurt, withdrawal, or persistent frustration, couples therapy and sex therapy can help both partners understand the underlying dynamics and find a path that works for both of them.

What This Means If You Are Navigating It Personally

The sex recession is a population-level trend, not a verdict on any individual couple or person. Reading the data through the lens of your own relationship requires holding two things at once: the knowledge that declining frequency is normal and widespread, and the clinical awareness that when declining frequency is accompanied by distress, avoidance, shame, or relational damage, it is something that can be understood and addressed.

If you are single and the data resonates with your experience of loneliness or disconnection, that is worth taking seriously as a wellbeing concern, not simply a sexual one. The research on social isolation, loneliness, and mental health is clear that connection is a fundamental human need, and that its absence has real consequences for physical and psychological health across the lifespan.

If you are in a relationship and have noticed a decline that bothers you or your partner, the most useful frame is not frequency but meaning: what does sex represent in your relationship? What has changed around it? And, what would a connected sexual relationship actually look and feel like for both of you? Those are some questions a sex therapist is specifically trained to help couples explore.

You Are Not Behind, But You May Need Support

The sex recession is real, it is broadly documented, and it reflects structural changes in how people live, partner, and spend their time. But it does not tell you what is right for your relationship, and it does not mean that declining frequency is inevitable or irreversible. Sexual wellbeing is not a fixed trait. It is something that can be tended to, understood, and restored with the right support.

At Embrace Sexual Wellness, our Chicago-based sex therapists work with individuals and couples navigating every dimension of sexual wellbeing, including those who are simply trying to understand what has changed and what, if anything, to do about it. We bring clinical expertise, current research literacy, and genuine warmth to every conversation.

If something has shifted in your sexual life and you are trying to make sense of it, we invite you to schedule a free 10-minute phone consultation. You do not need to be in crisis to benefit from a thoughtful conversation with someone who knows this territory.

What Is the Pursuer-Withdrawer Dynamic, and Is It Ruining Your Relationship?

What Is the Pursuer-Withdrawer Dynamic, and Is It Ruining Your Relationship?

You bring something up. Your partner goes quiet, changes the subject, or leaves the room. So you push harder, because the silence feels like indifference. They pull back further, because the pressure feels like an attack. Nobody gets what they need. And somehow, the conversation that was supposed to bring you closer ends with you both feeling more alone than before.

If this pattern sounds familiar, you are not in a uniquely broken relationship. You are caught in one of the most well-documented cycles in relationship research: the pursuer-withdrawer dynamic. It has a name, a clinical framework, and importantly, an evidence-based path out of it.

What Is the Pursuer-Withdrawer Dynamic?

The pursuer-withdrawer dynamic, also called the demand-withdraw pattern in clinical research, describes a recurring cycle in which one partner responds to relational tension by moving toward, seeking connection, expressing distress, or pressing for resolution, while the other responds by moving away, becoming quiet, shutting down, or physically leaving the space.

Neither partner is doing this to be cruel. Both are doing what feels, in the moment, like the only available option. The pursuer is trying to restore connection. The withdrawer is trying to manage overwhelm. But the strategies are fundamentally incompatible: the more one partner reaches, the more flooded the other feels, and the more they retreat, the more abandoned the first partner feels. The cycle feeds itself.

This pattern is not rare or unusual. A 2026 study tracking 263 couples over a year found that demand-withdraw communication was a significant mediator between attachment insecurity and lower relationship satisfaction in both partners. In other words, the cycle does not just feel bad in the moment; it actively erodes the foundation of the relationship over time.

How to Recognize It in Your Own Relationship

The pursuer-withdrawer pattern can look different in every couple, and the roles are not always fixed or permanent. Some couples switch positions depending on the topic. But there are recognizable signs that this dynamic has taken hold:

•  The same argument keeps repeating. The content changes but the structure is always the same: one person escalates and the other disengages, leaving the issue unresolved and the resentment compound.

•  Silence feels like rejection. The withdrawing partner genuinely needs space to regulate, but the pursuing partner experiences that space as abandonment or stonewalling.

•  Pursuing feels like criticism. The pursuing partner genuinely needs acknowledgment and connection, but the withdrawing partner experiences their bids as attacks, pressure, or evidence that nothing they do is ever enough.

•  Emotional or physical intimacy has declined. The cycle does not stay contained to arguments. Over time, it bleeds into all forms of closeness, including sexual intimacy, casual affection, and everyday warmth.

•  Both partners feel like the victim and the villain. The pursuer feels dismissed and alone. The withdrawer feels criticized and controlled. Both narratives are real. Both are incomplete.

What Is Actually Driving the Cycle

Understanding the pursuer-withdrawer pattern through an attachment lens, as Emotionally Focused Therapy (EFT) does, changes everything about how it looks. The cycle is not a character flaw in either partner. It is an attachment protest.

Pursuers are not demanding or needy. They are frightened. Beneath the pressure and the criticism is usually a profound fear of disconnection: the sense that if they do not fight for the relationship, they will lose it entirely. Pursuing is how they try to keep their partner close.

Withdrawers are not cold or avoidant. They are overwhelmed. Beneath the silence and the shutdown is usually a fear of failing their partner, of saying the wrong thing, of making things worse. Withdrawal is how they try to protect the relationship from escalation.

A 2022 study in The American Journal of Family Therapy examined pursue-withdraw patterns in couples undergoing EFT and found that therapists consistently identified these roles as central to each couple’s interactional cycle, regardless of the specific presenting issues. The roles were so reliably present that they became one of the primary clinical targets of treatment.

When couples begin to understand each other’s underlying fears rather than only reacting to each other’s behaviors, the entire emotional landscape of the relationship can shift.

How the Cycle Affects Intimacy and Sexual Connection

The pursuer-withdrawer pattern does not live only in arguments. It lives in the body, in the bedroom, and in the quiet moments between conflict.

For many couples, the cycle directly impacts sexual intimacy. The pursuing partner may initiate sex as a bid for emotional closeness, only to feel rejected when their partner seems emotionally unavailable. The withdrawing partner may disengage from physical intimacy as part of a broader pattern of self-protection, without recognizing how that reads to their partner.

Research on demand-withdraw communication consistently shows that this pattern is more prevalent in distressed couples than nondistressed ones and that it has long-term implications for relationship satisfaction. When the cycle goes unaddressed, partners begin to organize their entire emotional lives around avoiding the next rupture rather than building genuine connection.

How Emotionally Focused Therapy Addresses the Cycle

Emotionally Focused Therapy, developed by Dr. Sue Johnson and grounded in decades of attachment research, is one of the most rigorously studied approaches to couples therapy available. Its central focus is the interruption and restructuring of negative interaction cycles, including the pursuer-withdrawer dynamic.

A 2024 meta-analysis found that across 20 studies and 332 couples, EFT produced medium to large treatment effects, with 70% of couples reporting that they were symptom-free at the end of treatment. Crucially, gains were sustained at follow-up assessments of up to two years after therapy ended.

In EFT, the therapist helps both partners do several things that the cycle itself makes almost impossible to do alone:

•  Slow the cycle down. By naming what is happening in real time and helping each partner recognize their role in the pattern, the therapist creates just enough space for something different to occur.

•  Access and articulate underlying emotions. Instead of the secondary emotions that drive the cycle, such as frustration, contempt, or stonewalling, EFT helps partners reach the primary emotions beneath them: fear, longing, grief, shame. These are the emotions that, when shared, actually create connection.

•  Create new interactional events. EFT involves structured moments in session, called change events, where partners experience each other in a new way. The withdrawer re-engages. The pursuer softens. These new experiences begin to rewrite the emotional story of the relationship.

•  Build a more secure attachment bond. The ultimate goal of EFT is not better communication skills, though those often improve. It is a fundamental shift in the felt sense of emotional safety between partners.

The Cycle Is Not the End of the Story

If you recognize the pursuer-withdrawer pattern in your relationship, the most important thing to understand is this: the fact that it exists does not mean your relationship is failing. It means you are two people with attachment needs and coping strategies that have gotten stuck in a painful loop. That loop can be interrupted.

At Embrace Sexual Wellness, our Chicago-based therapists are trained in Emotionally Focused Therapy and work with couples to identify and transform the negative cycles that keep them stuck. We work with couples at every stage, including those who are in significant distress and those who simply feel a growing distance they cannot quite name.

If the pattern described in this post sounds like your relationship, schedule a free 10-minute phone consultation today and find out how we can help you and your partner find your way back to each other.

Psychogenic Erectile Dysfunction: When ED Is About the Mind, Not the Body

Psychogenic Erectile Dysfunction: When ED Is About the Mind, Not the Body

You’ve had a full medical workup. Your testosterone is normal. Your cardiovascular health checks out. Your doctor finds nothing physically wrong. And yet, ED keeps happening.

If this sounds familiar, you’re not alone, and you’re not broken. What you may be dealing with is psychogenic erectile dysfunction, a form of ED that has nothing to do with the physical mechanics of your body and everything to do with what’s happening in your mind.

Understanding the difference matters, because the path to recovery looks very different depending on the cause.

What Is Psychogenic Erectile Dysfunction?

Psychogenic erectile dysfunction (sometimes called nonorganic ED) refers to difficulty achieving or maintaining an erection that is caused primarily by psychological rather than physical factors. Research estimates while 34.5% of ED cases are purely organic in origin, approximately 18% are psychogenic, and nearly half fall into a mixed category where psychological and physical factors overlap. In younger men especially, psychological causes are particularly prominent.

The brain is the most powerful sexual organ in the body. When psychological factors disrupt the mind’s signaling process, the nervous system cannot properly initiate or sustain the physical response needed for an erection, regardless of how healthy the body itself may be.

How Do You Know If Your ED Is Psychogenic?

There are several clinical patterns that tend to point toward a psychological rather than organic cause. While a proper evaluation by both a physician and a mental health professional is always the right first step, the following are common indicators that ED may be psychogenic in origin:

•  Situational ED. Erections occur normally during sleep, upon waking, or during solo sexual activity, but not with a partner. This is one of the clearest clinical signs of psychogenic ED, because it tells us the physical system is working. The issue is psychological context.

•  Sudden onset. Psychogenic ED often begins abruptly, frequently following a triggering event such as a stressful life transition, a difficult sexual experience, a relationship conflict, or a period of significant anxiety or depression.

•  Consistency tied to specific situations. ED occurs with one partner but not another, or in certain settings but not others. This context-dependence points strongly toward a psychological driver.

•  Presence of anxiety or depression. A 2025 narrative review found a significant association between ED in young men and symptoms of depression and anxiety, noting these conditions often accompany ED regardless of whether they preceded it.

•  A pattern of mental “hijacking” during sex, where the mind begins monitoring, evaluating, or catastrophizing rather than being present in the moment.

What Causes Psychogenic ED?

Psychogenic ED is rarely caused by a single factor. More often, it develops from a combination of psychological, relational, and historical influences that converge to create a disrupted sexual response. Common contributors include:

•  Performance anxiety. The fear of not being able to perform sexually, or of disappointing a partner, activates the sympathetic nervous system’s threat response. This physiological state is fundamentally incompatible with arousal, which requires the parasympathetic system to be in the lead.

•  Depression and anxiety disorders. Both conditions directly suppress sexual desire and physical arousal, and many medications used to treat them can compound this effect.

•  Stress and mental overload. Chronic stress floods the body with cortisol and keeps the nervous system in a heightened state of vigilance, making it difficult for the body to shift into a mode of sexual receptivity.

•  Relationship difficulties. Unresolved conflict, emotional distance, trust ruptures, or poor communication with a partner can manifest physiologically as sexual dysfunction.

•  Shame, guilt, and internalized beliefs. Negative messages absorbed about sex, masculinity, performance, or the body can operate below conscious awareness and significantly inhibit sexual function.

•  Trauma history. A 2023 study found meaningful associations between childhood trauma, insecure attachment styles, and the development of psychogenic ED, underscoring how early experiences can shape adult sexual functioning in ways that are not always immediately obvious.

The Cycle That Keeps It Going

One of the most important things to understand about psychogenic ED is how quickly it becomes self-reinforcing. The first time ED occurs, it can be alarming. The second time, it becomes something to worry about. By the third or fourth time, a man may enter every sexual encounter already anticipating failure.

The European Society of Sexual Medicine has identified that men with psychogenic ED tend to engage in worrying, perseverative thinking, and catastrophizing during sexual activity, along with higher levels of performance-related anxiety and negative self-perception. This mental state actively suppresses the very arousal response it is anxiously trying to produce.

In other words, the fear of ED often becomes the cause of it. Breaking this cycle requires more than reassurance or willpower. It requires therapeutic intervention.

Why Medication Alone Often Isn’t the Answer

Many men with psychogenic ED are prescribed PDE5 inhibitors such as sildenafil or tadalafil as a first-line treatment. These medications can be helpful in the short term, particularly as a confidence bridge, but they do not address the underlying psychological drivers.

A 2021 systematic review found psychological interventions alone outperformed medication alone in several studies, and that the combination of psychological therapy and medication produced the most significant and lasting improvements in erectile function and sexual satisfaction. The research is clear: for psychogenic ED, treating the mind is not optional.

How Sex Therapy Helps

Sex therapy for psychogenic ED is not what many men imagine. It does not involve performing sexual acts in a clinical setting or being observed in any way. It is talk-based psychotherapy with a focus on the psychological, relational, and behavioral patterns driving the dysfunction.

A sex therapist working with psychogenic ED might address:

•  Identifying and restructuring the anxious thought patterns and cognitive distortions that arise during sexual activity

•  Reducing performance pressure through structured exercises that shift the focus from outcome to sensation and connection

•  Processing underlying shame, trauma, or internalized beliefs about masculinity and sexual performance

•  Improving communication and emotional intimacy with a partner, which is often central to lasting recovery

•  Developing a more grounded and compassionate relationship with the body

For men in relationships, couples therapy alongside individual sex therapy can be especially powerful. When partners understand what is happening and can move through it together rather than in isolation, outcomes improve meaningfully.

You Don’t Have to Accept This as Your New Normal

Psychogenic ED is one of the most treatable forms of sexual dysfunction. Unlike organic ED, which may involve permanent physiological changes, psychogenic ED responds well to targeted psychological intervention because the body’s mechanics are intact. What needs to change is the mind’s relationship with the experience of sex.

The shame that often surrounds ED keeps many men from seeking help for months or even years. But the research and clinical experience are consistent: the sooner the psychological roots of ED are addressed, the faster and more completely men recover.

At Embrace Sexual Wellness, our Chicago-based sex therapists specialize in working with men navigating psychogenic ED, performance anxiety, and the emotional weight that often accompanies sexual dysfunction. We offer a confidential, nonjudgmental space where the full picture of your experience is taken seriously.

If what you’ve read here resonates, we’d encourage you to take the next step. Schedule a free 10-minute phone consultation and let’s talk about what recovery can look like for you.