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She eventually gave up. Decreased sexual desire is the most common sexual health concern among women of all ages. Feldman is quick to point out that, no matter what magazine covers and reality TV suggest, there is no normal when it comes to sex. Rosemary certainly fit that description. In , the FDA approved a drug to treat low desire in women for the first time. To qualify for a prescription, a woman must be premenopausal no help for Rosemary , have no other identifiable factors contributing to low desire, and a waiver promising not to consume even one alcoholic beverage while taking the drug.
Despite all these hoops to jump through, in a study published earlier this year in JAMA Internal Medicine , researchers found that taking Addyi resulted in an increase of. So, not exactly a bullet train to ecstasy town. The good news is that the possibility of a lucrative payday from a magic pill elusive though it remains has inspired a boom in studies on how female sexual desire works—an area sorely lacking in research.
Rullo says one of the biggest factors that hits the brake pedal for women is an inability to simply be present. This disconnect between mind and body, particularly around sex, has been shown to be more pronounced in women than men in general. In studies measuring the overlap between genital response and subjective, self-reported arousal, male and female subjects were shown a variety of erotic film clips and asked to rate their level of arousal while blood flow to their genitals was measured.
Men showed about a 66 percent overlap if their bodies were aroused, their minds were likely to be too. For women, the overlap was 26 percent. And for women with sexual dysfunction, the rate of concordance both genital and subjective arousal co-occurring was only 4 percent.
Feldman describes it as a stool with three legs: biological, psychological, and situational. While we usually think of a mental desire for sex preceding the physical process of the body preparing for it erections in men, vaginal lubrication and swelling of the clitoris in women , mental desire can also be evoked by physical arousal in the right circumstances and conditions—and this tends to be the case more often as a woman grows older.
Even when low desire can be increased, desire discrepancy—when one partner wants sex more often than the other—is another sexual issue that can lead to discord. But caught early, there are ways to deal with it. Unsurprisingly, communication and compromise are key. One of the tools couples can use is alternating weeks, with each partner getting to set the of sexual encounters every other week, or coming up with alternatives to intercourse to put in the mix. And that makes low desire worse. But what about when a woman stops wanting sex at all? When life circumstances and psychological factors she just had a baby or is overwhelmed by stress from work are ruled out, the biology leg of the sexual desire stool may be the culprit.
Physiological factors that can inhibit genital blood flow include genitourinary syndrome of menopause GSM , which makes sexual arousal more difficult and in vaginal dryness which in turn le to pain ; disease or injury; and certain medications including those for blood pressure and depression. Whatever the issue, today there is probably a treatment or therapeutic intervention available to help mitigate it, for those who are motivated to try. Though part of it, Feldman says, may be redefining your expectations for what sex is, or broadening your toolbox for what sex can look like.
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