8 Reasons You're Not Having Sex — & How To Fix Them

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youre not aloneIllustrated by Mary Schafrath.
Not getting any? You’re not alone. Women today have less time for sex than their 1950s counterparts. And, it’s estimated that 40 million Americans have what experts call a "sexless marriage" (having sex less than 10 times a year).

A regular sex life is good for your health. It can satisfy all sorts of emotional and physical intimacy needs and helps partners stay close, says Anita H. Clayton, MD, a professor of psychiatry at the University of Virginia and author of Satisfaction: Women, Sex, And The Quest for Intimacy.

So, why the dry spell? You can chalk it up to a sheer lack of time, but there are a slew of other reasons, too — from weight gain and perimenopause to technology overload (stop texting now) in the bedroom. Here’s how to beat the top eight sex-busters.
bed not sexyIllustrated by Mary Schafrath.
Your Bed Isn't Sexy Anymore
We hear it over and over again: The bed should be used for sex and sleep only. So, why do so many of us insist on bringing third parties — laptops, Law & Order — into the boudoir? All that technology and distraction can cause insomnia and put a damper on your sex life. After all, it’s harder to initiate sex if your spouse is hiding behind a newspaper or glued to the TV, or if your hands are busy exploring the Web rather than your S.O.'s body.

Sex Rx: At a minimum, make the bedroom a no-technology zone, Clayton suggests. Then, take a hard look at your life (from romance and work to entertainment and family), and give sex the priority it deserves. If you have to schedule sex like you do a meeting, do it!

Your Meds Are Stealing Your Sex Drive
Oh, the irony. You start taking oral contraceptives (OCs) so you can have worry-free sex. Then, the magic little pills start sapping your sex drive. Why? OCs contain estrogen, which increases the production of a protein called sex-hormone binding globulin (SHBG), says Michael Krychman, MD, medical director of sexual medicine at Hoag Hospital in Newport Beach, California. SHBG can trap testosterone, affecting your sex drive. Other potential sex-drive-stalling meds: those that reduce blood pressure, anxiety, and acid reflux, and antidepressants.

Sex Rx: Ask your doc about the sexual side effects of all of your drugs. You may also want to try a contraceptive method that doesn’t use hormones, such as condoms, a diaphragm, or an IUD.

Your Crazy-Busy Life
The chronic stresses of modern life can also trigger a cascade of hormonal changes that mess with your body’s sexual-response cycle. And, here’s another modern sex buster that adds to all the craziness: today’s always-connected technology.

Sex Rx: With spontaneous sex almost out of the question, you need some serious “life management” to work it in, experts say. Put a lock on the master bedroom door and set a technology time limit. Shift gears with a soothing bath, suggests Los Angeles–based sex therapist Linda De Villers, PhD. Plunging into warm water takes you away from the laptops and cell phones that clog up your day. Add a few drops of ylang-ylang essential oil; the aroma is thought to heighten sexual feelings.
vibratorIllustrated by Mary Schafrath.
You Like Your Vibrator Better
Reaching for your Rabbit more often than your honey bunny? This is more common than some might think, De Villers says. A vibrator is simpler and more accessible than a cooperating penis. While there’s nothing wrong with incorporating sex toys into your love life, becoming reliant on a vibrator — or even preferring it over your partner — can be a problem.

Sex Rx: If you really are addicted to your vibrator at the expense of your relationship, talk to a therapist to gain some insight, De Villers recommends. If the vibrator gives you more satisfaction than sex with your partner, talk about trying some new moves or even using the vibrator together.

You're Sick And Tired
Some women treated for low libido end up having an endocrine problem, such as undiagnosed thyroid disease, which can lead to exhaustion, depression, low sexual desire, and fertility problems. Women who have chronic illnesses — such as fibromyalgia, anemia, diabetes, or rheumatoid arthritis — may not be in the mood, either, due to fatigue or body pain.

Sex Rx: Once a thyroid condition or anemia is detected and corrected, any associated symptoms should dissipate. If you’re battling a chronic disease, you should take the focus off intercourse and explore other ways to achieve sexual and sensual pleasure, Clayton says.

Your Partner's Just Not That Into It
You may actually be raring to go, but your partner’s engine seems stalled. Perhaps he or she is emotionally withdrawing. Bob Berkowitz, PhD, examines various reasons why males in particular can lose libido in his book, He’s Just Not Up For It Anymore: Why Men Stop Having Sex, And What You Can Do About It. “The usual problems between husbands and wives can play out in the bedroom,” he says, "especially if your partner has a hard time expressing his feelings properly. Or, he may want you to be more sexually adventurous."

Sex Rx: Talk it out in a blame-free way. “It’s understandable that [you might] feel rejected,” Berkowitz says. But don’t confront [your partner] with ‘What the hell is going on? Are you cheating on me?'” Berkowitz adds.

NEXT: Foods That Double As Aphrodisiacs

you're depressedIllustrated by Mary Schafrath.
You're Depressed
When you’re feeling down in the dumps, desire can take a big hit; isolating yourself, Clayton says, can strain even the strongest of romantic relationships. Antidepressants may lift the dark cloud, but some affect your ability to have an orgasm.

Sex Rx: If you notice your sex drive takes a nosedive after you start a new medication, tell your doctor; she may be able to prescribe an alternative. Consider different avenues of treatment. “Psychotherapy doesn’t cause sexual dysfunction and is effective, especially in mild-to-moderate depression,” Clayton says. Exercise also helps; it enhances mood and energy, and it boosts blood flow to the genitals.

Your Partner Is Viagra-Ized
The “Viagra-ization” of men isn’t just happening to seniors. Younger men are taking the erectile-dysfunction drug, too, sometimes just to enhance performance. The result can be a physical and emotional disconnect. “The man takes the medication and is ready to go, but the woman needs more time to get aroused, to get connected.”

Sex Rx: Clayton suggests finding time for some nonthreatening and nonjudgmental sex talk (not in bed), during which you can discuss what you need in bed, to even the playing field.

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