Why Don’t I Want Sex Anymore, and Is Something Wrong With Me?

If you’ve found yourself thinking, “I just don’t want sex anymore,” you’re not alone.
Maybe sex used to feel exciting or connecting, or maybe it’s always been complicated. But now, it feels like something you avoid, feel pressure around, or just don’t think about at all. It’s confusing. Sometimes scary. And for many people, the first question that follows is:

“Is something wrong with me?”

The short answer: no. But your experience does deserve attention, care, and support.

Low sexual desire, or no desire at all, is incredibly common, especially among women in long-term relationships who are juggling work, parenting, emotional labor, or unresolved relationship tension. It’s also one of the most common concerns clients bring to therapy.

Let’s break down why desire can shift, what it might be trying to tell you, and how working with a therapist can help you feel more connected to yourself and to your partner.

What Does It Mean If I Have Low Sexual Desire?

Desire isn’t a fixed personality trait. It ebbs and flows across our lives and relationships. So when you notice a change in your interest in sex, that’s not a flaw or failure, it’s a signal.

Desire often fades in response to something (e.g., stress, resentment, exhaustion, disconnection, or even internalized shame about sex). But instead of interpreting that signal with curiosity, many people assume it’s a reflection of their identity or worth.

In reality, desire is complex. It can be relational, emotional, hormonal, psychological, or all of the above. And with the right support, it’s often possible to understand it, and reclaim it, on your own terms.

It’s also important to note the difference between low sexual desire and asexuality. Asexuality is a valid sexual orientation, not a dysfunction or problem to fix. A person who is asexual may experience little or no sexual attraction, and that’s a healthy part of their identity. In contrast, low desire usually feels like a change from what’s been typical for you, or something that’s causing distress or tension in your relationship. If you’re unsure where you fall, therapy can help you explore that with curiosity and care.

Why You Might Not Want Sex Right Now

Here are just a few of the common (and very valid) reasons desire might be low:

Mental Load and Overwhelm

For many women, sex doesn’t just require time, it requires mental space. When your mind is full of to-do lists, caregiving responsibilities, and work stress, it’s hard to feel present or open to physical connection.

Burnout and Emotional Fatigue

Chronic stress and burnout have a major impact on our nervous systems. When you’re in survival mode, your body prioritizes rest and regulation over arousal or intimacy. It’s biology, not personal failure.

Disconnection or Resentment in the Relationship

Desire needs safety and closeness to thrive. If you feel emotionally distant from your partner, or if there’s unspoken frustration, miscommunication, or unequal labor in the relationship, it’s no surprise that intimacy starts to feel less appealing.

Sex Hasn’t Felt Good in a While

If past sexual experiences have felt pressured, unfulfilling, or one-sided, your body may begin to anticipate more of the same. This can trigger shutdown or avoidance,.not because you’re broken, but because your nervous system is protecting you.

Hormonal Changes or Medical Factors

Perimenopause, postpartum recovery, chronic pain, and certain medications can all affect desire. It’s important to understand how physical and hormonal shifts are impacting your experience, not to pathologize, but to make space for healing.

When Low Desire Impacts Your Relationship

In many couples, low desire creates a pattern of tension: one person initiates; the other pulls away; both feel frustrated, rejected, or confused. Over time, this can lead to emotional distance, decreased physical affection, or feelings of inadequacy.

It’s easy to assume that a lack of sex means something is fundamentally wrong with the relationship. Often, lack of interest in sex is not about the relationship at all, it’s about the conditions the relationship is existing in.

That’s where therapy can help.

How Sex Therapy Supports Healing and Connection

Whether you’re working individually or as a couple, therapy can be a powerful way to better understand your relationship with desire and gently shift it.

You don’t need to be in crisis to benefit. Many clients seek support when they simply notice: “I’m not feeling like myself,” or “I miss the intimacy we used to have.”

Here’s what therapy can offer:

A Shame-Free Space to Explore What’s Happening

You don’t have to explain or justify why sex feels different right now. A skilled therapist creates space for you to name what’s real, without fear of judgment or pressure to “fix” anything quickly.

Tools to Regulate the Nervous System

Many people experiencing low desire are operating in a state of chronic stress or hypervigilance. Therapy can introduce mindfulness-based tools that help you feel safer, calmer, and more attuned to your body.

Support for Couples to Reconnect

In couples therapy, we work to reduce pressure around sex and strengthen emotional intimacy. That might look like practicing more open communication, addressing longstanding resentment, or redefining what connection means in this season of your life.

Reframing What Desire Really Is

Desire doesn’t always look spontaneous or urgent. Sometimes it’s responsive, meaning something that builds when you feel relaxed, cared for, and emotionally safe. Therapy helps you explore your unique template for desire, without comparison or shame.

What If I’m Not Sure Where to Start?

That’s okay. You don’t have to have it all figured out. In fact, therapy is a place to not have all the answers.

If you’re in the Chicago area, or looking for virtual support across Illinois, our team at Embrace Sexual Wellness offers compassionate, trauma-informed sex therapy that meets you where you are.

We specialize in working with individuals and couples navigating low desire, performance anxiety, and emotional or sexual disconnection. Whether you’re looking for support on your own or with your partner, we’re here to help you take the next right step.

Signs You Might Benefit from Therapy

You don’t need a diagnosis or a crisis to reach out. Therapy might be helpful if:

• You feel disconnected from your body or desire

• Sex feels like a duty, not a choice

• You and your partner have stopped talking about intimacy

• You feel guilt, shame, or confusion about your level of desire

• You want to feel more present and connected during intimacy

You’re Not Broken. You’re Human.

Low desire is not a flaw. It’s a signal, a cue from your body and mind that something deserves attention. And like most things in therapy, that signal can become a starting point for healing, growth, and deeper connection.

You don’t have to navigate it alone.

If you’re curious about working with a therapist to explore your relationship with sex, we invite you to reach out to our team of providers. Whether you’re based in Illinois or another state we’re licensed in, support is available.

Closing the Orgasm Gap: Building Mutual Pleasure Through Communication, Curiosity, and Care

In relationships, sexual intimacy can be one of the most meaningful and vulnerable forms of connection. Yet for many couples, there’s a consistent and often unspoken disconnect in how pleasure is experienced is commonly referred to as the orgasm gap.

The orgasm gap refers to the measurable disparity in orgasm frequency between partners, especially between men and women in heterosexual relationships. Research shows that men report climaxing during sex far more often than their female partners. But this gap doesn’t have to persist—nor is it inevitable.

With the right tools, open communication, and an intentional shift in focus, couples can move toward more equitable, mutually pleasurable experiences.

What Causes the Orgasm Gap?

Understanding the root of the orgasm gap is essential to closing it. Some common contributing factors include:

Limited Focus on Clitoral Stimulation

Many people are unaware that the majority of women do not climax from vaginal penetration alone. The clitoris is often overlooked in popular depictions of sex, and it is a key center of sexual pleasure and deserves more attention.

Cultural Scripts and Misinformation

Media, movies, and even sex ed often present sex as ending when the male partner orgasms. This “one-size-fits-all” script overlooks the nuanced needs of many people, especially women and nonbinary individuals.

Poor Communication

Many couples never learn how to talk about sex openly. Embarrassment, fear of hurting a partner’s feelings, or simply not having the language to express desires can keep people silent.

Performance Pressure

Feeling rushed to climax or pressure to perform can shut down arousal and reduce sexual satisfaction for both partners.

Lack of Education

Most people receive little to no pleasure-based education around sex. Understanding sexual anatomy, arousal patterns, and what feels good takes time and exploration.

Tips for Closing the Orgasm Gap in Your Relationship

Turn-Taking During Sex

Rather than making sex a simultaneous experience, try taking turns focusing solely on one partner at a time. This helps eliminate performance pressure and ensures that both people have space to receive and explore pleasure at their own pace.

How to try turn-taking:

• Set aside a dedicated time for intimacy.

• Decide beforehand who will go first.

• The giving partner focuses entirely on the receiver's experience—without rushing or multitasking.

• Switch roles when it feels right, or in a subsequent session.

This practice allows each partner to feel prioritized and fully present, deepening trust and communication in the process.

Use Sex Toys to Enhance (Not Replace) Connection

Toys are powerful tools that can help close the orgasm gap especially for partners who benefit from clitoral stimulation or consistent stimulation.

Benefits of toys in partnered play:

• Promote more diverse stimulation and stronger orgasms.

• Reduce strain on hands or mouths.

• Help facilitate orgasms during intercourse.

• Normalize mutual exploration and novelty.

Getting started:

• Shop together either online or in person.

• Start with simple toys (e.g., bullet vibrators, vibrating rings, wands).

• Use toys externally during intercourse or turn-taking sessions.

• Check in regularly: “Do you want more pressure?” or “Would you like to try a different speed?”

Using toys should feel collaborative, not competitive, and can actually boost intimacy, fun, and satisfaction for both partners.

Show and Tell: Teaching Your Partner What Feels Good

A foundational but often skipped skill in closing the orgasm gap is physically showing your partner how you like to be touched.

This “show and tell” approach removes the guesswork and builds confidence—while encouraging vulnerability and deeper communication.

Here’s how to practice:

• During a relaxed moment, guide your partner’s hand to mimic your touch.

• Offer simple, positive feedback like “right there” or “a little lighter.”

• Masturbate in front of your partner (if comfortable) to demonstrate rhythm, location, and pressure.

• Reverse roles and ask them to show you what they like.

Over time, partners become fluent in each other’s preferences, increasing the likelihood of mutually satisfying experiences.

Slow Down and Extend Foreplay

Foreplay isn’t just a warm-up; it’s an essential part of many people’s arousal cycle. Skipping it can mean one partner is ready before the other even gets started.

Ideas to extend foreplay:

• Non-sexual touch (massages, cuddling, gentle stroking)

• Eye contact, breathwork, or synced breathing

• Kissing slowly, sustained, and exploratory

• Sensual use of scented oils or warming lubricants

Building arousal slowly increases blood flow, emotional attunement, and physical readiness, which can lead to stronger, more pleasurable orgasms, especially for those who require more time to get there.

Communicate Before, During, and After Sex

Sexual communication is not a one-time conversation—it’s a continuous practice. Cultivating an open and nonjudgmental space for feedback is one of the most effective ways to bridge the orgasm gap.

How to foster communication:

• Use positive reinforcement: “I loved when you did that thing with your fingers.”

• Ask questions like, “Was there anything you really enjoyed last time?” or “Would you like more of something?”

• After intimacy, check in: “How was that for you?” or “Anything you’d like more of next time?”

You don’t have to overanalyze every encounter, but normalizing open dialogue can help partners feel seen, heard, and satisfied.

When to Seek Support from a Sex Therapist

While these strategies are powerful, some couples still benefit from professional guidance. A certified sex therapist or couples counselor can help uncover emotional blocks, resolve longstanding communication issues, and create personalized strategies for increasing mutual pleasure.

Whether you’re exploring this topic for the first time or have been navigating the orgasm gap for years, therapy can offer a safe and supportive space to deepen intimacy, emotional connection, and sexual satisfaction.

For individuals or couples searching for sex therapy or couples counseling in Chicago or elsewhere, working with a trained professional can make all the difference. Many therapy practices offer virtual sessions, expanding access to care beyond your immediate location.

TLDR

The orgasm gap is not just about technique. It’s about equity, care, and communication. Pleasure should not be one-sided or dependent on old sexual scripts. With curiosity, openness, and a willingness to experiment, couples can co-create intimate experiences that feel good for both partners.

Whether you’re just beginning to explore this topic or already working to improve your sex life, remember: the journey toward mutual pleasure is one worth prioritizing.

Looking for support?

If you’re ready to go deeper and explore personalized tools for building sexual and emotional intimacy, working with a sex-positive therapist can help. Whether you're based in Chicago or accessing services remotely, compassionate and tailored support is available.

Explore more insights on relationships and intimacy on our blog, or contact us to take the next step toward closing the orgasm gap, together.

Pelvic Congestion Syndrome: Causes, Symptoms, and Treatments

Chronic pelvic pain is a common occurrence among people assigned female at birth, affecting an estimated 15% of people of childbearing age in the United States. One of the causes of pelvic pain is pelvic congestion syndrome (PCS). PCS occurs when varicose veins develop around the ovaries. Varicose veins are twisted, enlarged veins that most often appear on the legs because standing and walking cause the blood to engorge the leg veins. Most of the time, varicose veins are completely benign and painless but when they appear on the ovaries, they can cause pain and discomfort. The exact cause is still unknown but pregnancy and estrogen can both play key roles in making the veins structurally unsound. Any type of chronic pain can be disruptive to your life so it is important to learn about the cause of your pain and what your treatment options are. This article will cover the symptoms of pelvic congestion syndrome, how it affects one’s sex life, and the treatment options that exist. 

What are the symptoms of pelvic congestion syndrome?

Dull and achy pelvic pain is the primary symptom of PCS, but it can manifest as a sharp pain as well. The pain can be exacerbated after standing or sitting for a long time, before and during menstruation or sexual activity. Additional symptoms include varicose veins in other places like the pelvis, buttocks, and vulva, an irritable bowel, stress incontinence, and pain with urination.   

How does pelvic congestion syndrome affect one’s sex life?

As mentioned above, pelvic congestion syndrome and the associated pain tends to be exacerbated by sexual intercourse. This not only poses physical obstacles to having sex, especially penetrative sex, but chronic pain can also cause a low libido. That does not mean that you can never achieve a fulfilling sex life though. In addition to the PCS treatment options below, there are ways to have great sex without penetration. You can engage in alternative forms of intimacy, like mutual masturbation, give and/or receive a sensual massage, or cuddle skin-to-skin. There are also ways to try to boost your libido, if you so desire. None of these options provide a permanent solution, but there are treatment options that can make it easier to live with PCS. 

   What are the treatment options for pelvic congestion syndrome?

Diagnosing pelvic congestion syndrome is not easy because the symptoms are easily conflated with other conditions and there is no test that will outright prove that PCS is the culprit. For this reason, doctors will typically run tests to rule out similar conditions, as well as use imaging like ultrasounds. Ultrasounds provide a view of the soft tissue; if more detailed imaging is required, a doctor may opt for an MRI or CT scan. The goal of diagnosis and treatment is to reduce or relieve pelvic pain, but there is unfortunately no known cure for PCS. The treatment you and your doctor pursue will depend on factors such as the severity of your symptoms and your medical history.

Treatment options for PCS may include: 

• Gonadotropin hormone drugs. Gonadotropins are hormones that regulate ovarian function; they are essential for growth, development, and reproduction functions. These drugs can block ovarian function and therefore relieve some pain.  

• Progestin hormone drugs. Similarly to gonadotropins, progestin drugs are hormonal drugs that serve to relieve pain by assisting the regulatory function of your reproductive system. 

• Sclerotherapy or embolization. A sclerotherapy is a typical treatment option for any varicose veins, including pelvic veins, such as is the case for PCS. It involves a needle that injects a solution which causes the damaged vein to scar and eventually fade as blood is rerouted to healthier veins. A similar concept but different execution is gonadal vein embolization is a minimally invasive treatment that involves a small incision for a tube that is used to dispatch a sclerosant that blocks the vein, therefore guiding the blood to healthier vessels, similar to how sclerotherapy works. 

• Oophorectomy or Hysterectomy (to remove your uterus and ovaries). An oophorectomy (removal of the ovaries) and hysterectomy (removal of the uterus) are reserved for the most severe cases of PCS after milder treatments have failed. However, these procedures have been shown to be a very effective treatment for PCS pain in treatment-resistant cases.

The Bottom Line

Pelvic congestion syndrome is a taxing condition that has the potential to significantly impact your quality of life, particularly your sex life. However, with a proper diagnosis and treatment plan, you can find relief. If you suspect you have PCS, you should consult with a healthcare professional to explore your options. Additionally, if you need extra support for your mental health and/or your libido and sex life due to the chronic pain, consider reaching out to a therapist.