Word: relationships
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They fit into three categories: biological, emotional or relationship-oriented. [First], the biological reasons. There are many physical conditions that contribute to low desire, as well as the medications that treat them. It's a fairly well-known fact, for example, that most antidepressants dampen desire and the ability to be aroused. A cardiovascular disease of any sort is a problem too, as well as some of the medications that treat it. Hormonal fluctuations, such as testosterone, also affects sex drive. So it would make perfect sense for any man experiencing a drop in desire to start by visiting...
...knowledge about being a good lover. We're not born knowing that stuff. So education, therapy, talking about and addressing issues so that he feels better about himself - these are the steps he needs to take in order to feel like he's got something to give in the relationship...
What about relationship issues...
...dysfunction. While sexual dysfunction undoubtedly contributes to a drop in desire, what I've found in working with couples is that the reasons men don't want to have sex are very similar to the reasons that women don't want to have sex. There could be underlying, unresolved relationship problems. Or one of the biggest complaints I hear from men is that their wives are critical or nagging. Trust me on this one, criticism and nagging are not aphrodisiacs. So, many men just go into a cave. You'll never be surprised to hear a woman...
...practice, who say, "I love my wife. I want to stay married, but, I have to tell you, she has totally let herself go. She doesn't eat well. She doesn't exercise. All she ever wears is sweatpants. It makes me feel that she feels that the relationship isn't important. I've just lost my attraction for her." If [those wives] think there's any chance at all that their looks may have something to do with the problem, rather than bemoan the fact that they think their husbands are shallow - I agree - they should also understand that...