— sexual desire

17 factors contributing to low libido and mismatched desire

Low libido is rarely one thing. This visual reference covers the full range of factors — relational, psychological, biological, and social — that can contribute to reduced or mismatched sexual desire.

Dr. Westberg

Marisol G. Westberg, Ph.D., LMFT

Sex therapist & educator

01

Pressure

Pressure and coercion in sexual relationships can lead to emotional disconnect and a decline in desire. Removing pressure and addressing underlying issues fosters healthier, more consensual intimacy.

02

Gender

Gender norms influence your sexual experiences and relationships. Embracing inclusivity, autonomy, and consent leads to healthier connections.

03

Emotional Wounding

When we are wounded emotionally — either by the relationship or by our personal history — it affects how we perceive and react to sexual experiences. Unresolved emotional wounds can create barriers to desire, intimacy, and connection that are difficult to see but deeply felt.

04

Power Dynamics

Power dynamics significantly shape sexual desire and autonomy in relationships. Shifts in power influence sexual interest, behavior, and relational balance.

05

Conflictual Relationship

Disconnection, resentment, lack of connection, and constant fighting can all lead to diminished sexual desire.

06

Trauma

Early sexual abuse profoundly affects adult sexual desire and relationships. Healing involves reclaiming sexual autonomy, addressing trauma, and restoring power and agency.

07

Infidelity

Infidelity erodes trust and sexual desire. Understanding its impact on intimacy is the first step toward rebuilding trust and rekindling desire.

08

Differentiation

Differentiation — balancing closeness and autonomy — is key to sustaining sexual desire. Maintaining individuality within relationships fuels ongoing attraction.

09

Performance Anxiety

Performance anxiety in sexual relationships involves reducing pressure, understanding causes, and employing behavioral and cognitive strategies for relief.

10

Body Image

Body image and eating disorders deeply affect sexuality, leading to reduced desire and intimacy. Our relationship to our body directly affects the way we show up sexually.

11

Societal Expectations

Societal expectations around sex create unrealistic standards that lead to distress. Challenging these beliefs fosters healthier, more fulfilling sexual relationships.

12

Shame

Shame can create a self-reinforcing cycle of negative behavior and distress. Breaking this cycle requires awareness, self-compassion, and healthier coping strategies.

13

Depression

Depression significantly impacts sexuality, reducing desire, performance, and satisfaction. Open communication and therapy can help couples navigate these challenges.

14

Pain During Sex

Pain during sex can lead to fear, avoidance, and decreased sexual desire. Addressing the causes with medical and psychological support helps restore intimacy.

15

Addiction

Addiction involves compulsive behavior driven by shame and distress. Heavy pornography use can desensitize the brain, leading to decreased desire and satisfaction in real-life relationships.

16

Lifestyle

Children, to-do lists, housework, lack of sleep, work stress, and financial concerns — tiredness is not sexy for a lot of people.

17

Loss of Attraction

Sometimes it’s just not there — and maybe has never been. A loss of respect is a fast way towards a loss of attraction.

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Dr. Marisol Garcia Westberg
Dr. Marisol Garcia Westberg
LMFT · AASECT Certified Sex Therapist
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