There are few things that can create more shame in a long-term relationship than realizing that sex has started to feel like something you have to do.
Maybe you love your partner. Maybe you are attracted to them, at least in some broad sense of the word. Maybe your relationship is actually quite good. And yet, when they initiate sex, instead of feeling a spark of excitement or curiosity, you feel something closer to pressure. You notice yourself mentally calculating how tired you are, how late it is, whether you have enough energy, how long it has been since the last time you had sex, whether your partner will be disappointed if you say no. You might agree to sex because you know it matters to them, because you want to maintain the relationship, or simply because saying yes somehow feels easier than navigating everything that might happen if you say no.
Eventually, sex can start to occupy the same psychological category as unloading the dishwasher, answering an email, or going to the gym when you really don’t feel like it. It becomes another thing you know you should do.
For many people, this is profoundly confusing. Sex is supposed to be pleasurable. It is supposed to be intimate. We are culturally inundated with messages suggesting that people in healthy relationships naturally want sex with each other, and that if desire disappears, something must be wrong with the relationship, the attraction, or the person who doesn’t seem to want it anymore.
As a couples and sex therapist, I tend to be much more interested in a different question: what happened that made sex start feeling like work? Because desire rarely disappears in a vacuum.
When Sex Shifts From Desire to Obligation
One of the most important distinctions I make when working with couples around sex is the difference between choosing sex and providing sex. Those experiences can look identical from the outside. Two people can have sex once a week, and in one relationship that sexual connection might feel playful, chosen, nourishing, and alive. In another, one partner may quietly be monitoring the sexual temperature of the relationship and making sure sex happens often enough that their partner doesn’t become hurt, anxious, irritable, withdrawn, or insecure.
Over time, that distinction matters enormously.
Desire tends to have a complicated relationship with obligation. Erotic energy requires some degree of freedom. I need to be able to move toward you because some part of me genuinely wants to discover what happens when I do, not because I am managing your emotions, fulfilling my relational duties, or trying to keep the relationship stable.
This doesn’t mean we only have sex when we experience overwhelming spontaneous desire. Long-term relationships rarely work that way. There are plenty of times when we decide to move toward intimacy without initially feeling particularly aroused and then discover desire along the way. But there is an enormous difference between being open to seeing whether desire emerges and feeling responsible for producing sex.
When sex repeatedly becomes something we provide rather than something we participate in, our bodies often begin to notice before our conscious minds do.

You May Not Have a “Low Libido”
I think the concept of libido is sometimes used too simplistically. Someone says, “I just have a low sex drive,” as though desire is a relatively fixed amount of sexual energy stored somewhere inside the body, and some people simply have more of it than others. Certainly, people vary enormously in their baseline interest in sex. Hormones, medications, physical health, sleep, chronic stress, pregnancy, postpartum changes, menopause, pain, disability, and many other factors can meaningfully affect sexual desire. These things deserve to be taken seriously, and sometimes medical evaluation is an important part of understanding changes in sexuality.
But desire is also deeply contextual.
Someone may experience very little desire when they are exhausted at 10:30 at night after working all day, parenting children, managing a household, and finally getting into bed next to the person they have spent the entire evening coordinating logistics with. That same person might experience desire quite differently on vacation, after sleeping for nine hours, after spending an afternoon alone, while reading something erotic, or during a moment when their partner suddenly feels interesting and separate from them again.
That is not necessarily a broken libido. That is information. Rather than immediately asking, “Why don’t I want sex anymore?” I often think it is more useful to ask, “Under what conditions does my desire actually have room to exist?”

Desire Is Often Responsive, Not Spontaneous
One of the most relieving pieces of sex education for many adults is learning that sexual desire does not always arrive before sexual activity begins.
Many of us grew up with a model of desire that looks something like this: you suddenly feel aroused, you initiate sex, your partner enthusiastically agrees, and activity follows. Desire comes first. That is certainly one way desire can operate. But many people experience what sex researchers describe as responsive desire, meaning interest or arousal may emerge after some kind of pleasurable or erotic experience has already begun.
You may not be sitting on the couch at 8:00 p.m. thinking, I desperately want to have sex. You might, however, notice that after taking a shower, getting into bed, kissing your partner without immediately knowing where it needs to go, feeling their hand on your back, and having enough time for your nervous system to transition out of the rest of your day, something begins to wake up.
This distinction can be tremendously helpful. It can also be badly misused. Responsive desire does not mean that someone should routinely override their body’s no because perhaps they will eventually get into it. It doesn’t mean enduring unwanted touch until arousal finally appears. And it certainly doesn’t mean that a higher-desire partner should treat every no as an invitation to keep trying.
There is a difference between I don’t want this and I’m not spontaneously craving sex right now, but I’m genuinely open to seeing what happens. That difference is where agency lives. And agency matters tremendously for desire.
Sometimes the Sexual Relationship Has Become Too Pressurized
One of the patterns I frequently see in couples therapy is a sexual version of the pursue-withdraw cycle we talk about in Emotionally Focused Couples Therapy. One partner longs for more sex. But underneath that longing may be much more than sexual frustration. Sex might be one of the primary places where they feel loved, chosen, wanted, reassured, or connected to their partner. When sex becomes less frequent, they don’t simply experience less sex. They experience a threat to the attachment relationship.
Are you still attracted to me?
Do you still want me?
Are we becoming roommates?
Is something wrong between us?
Understandably, those fears can make someone reach harder for sexual connection. They initiate more often. They ask when sex is going to happen. They make jokes about how long it has been. They become visibly disappointed after rejection. Maybe they withdraw or become quiet. Often, I can feel an enormous amount of vulnerability underneath the pursuit.
But the other partner’s nervous system experiences something very different. Sex begins to feel watched. Every cuddle becomes potentially sexual. A kiss might turn into an initiation. Going to bed at the same time carries an unspoken question. Physical affection stops feeling completely free because there is a possibility that accepting affection creates an expectation that you will keep going.
The lower-desire partner begins to protect themselves by creating distance, and unfortunately, that distance often confirms the higher-desire partner’s deepest fear: you really don’t want me. So they pursue harder. And the other partner retreats further. Before long, the couple thinks they have a libido problem when what they may actually have is a cycle problem.

The Mental Load Doesn’t Magically Disappear in the Bedroom
Sex requires psychological bandwidth. This can be especially difficult for people carrying enormous amounts of invisible responsibility. If your brain is tracking tomorrow’s appointments, whether there is milk in the refrigerator, an unfinished work project, your child’s school schedule, your aging parent’s medical appointment, the laundry sitting in the dryer, and six unanswered text messages, your nervous system may not be particularly interested in shifting into erotic experience on command.
We sometimes talk about this as though people should simply become better at “being present,” but I think that can miss the larger systemic problem. It is hard to access eroticism when you are chronically overloaded. And it is especially hard to experience your partner erotically if you also experience them as another person whose needs you are responsible for managing.
This is one reason conversations about sex sometimes need to move far outside the bedroom. Who carries responsibility in this relationship? Who notices what needs to happen? Who initiates difficult conversations? Who plans? Who remembers? Who tends to the emotional climate of the family?
Sometimes the person who ‘doesn’t want sex’ is not sexually dysfunctional at all. They are exhausted.
Resentment Is Not Particularly Erotic
Neither is feeling unseen. Couples sometimes come into sex therapy wanting to work directly on frequency, initiation, or sexual technique, when there are unresolved injuries sitting underneath the sexual disconnection. Maybe one partner has felt lonely for years. Maybe there has been betrayal. Maybe conflict never really gets repaired. Maybe one person feels chronically criticized while the other feels chronically abandoned. Maybe there are unequal divisions of labor, parenting disagreements, years of sexual rejection, or old experiences where someone agreed to sex they didn’t actually want.
Bodies remember relational context. You can intellectually forgive someone and still notice that your body does not soften around them. You can love someone deeply and still carry resentment. You can genuinely want your relationship to work while simultaneously noticing that some protective part of you does not want to become sexually vulnerable.
In these situations, trying to manufacture more sex without attending to the underlying relationship can sometimes make the problem worse. Sex is one of the places where our relational dynamics become embodied.
Trauma Can Make “I Should Want This” Especially Complicated
For people with histories of sexual trauma, coercion, relational trauma, or chronic boundary violations, obligation can carry an additional layer of meaning. Many trauma survivors became extraordinarily skilled at disconnecting from their own preferences in order to remain safe, maintain connection, or care for other people’s emotional experiences. They learned to scan the environment rather than themselves.
What does this person need from me?
Will they be upset?
Is it easier if I just go along with this?
Those adaptations can persist even inside loving, consensual relationships. A person may consciously know that their partner is safe while noticing their body shutting down during sex. They might dissociate, become numb, lose arousal suddenly, or find themselves participating while mentally waiting for the experience to be over.
I don’t see those responses as evidence that someone’s body is defective. I see protection. And when protection is showing up, our job is not to overpower it in the name of having a “normal” sex life. We get curious about what the body needs in order to experience more choice, agency, pacing, and safety.
Importantly, safety is not the final destination of erotic work. The goal isn’t merely to make sex tolerable. We want enough safety that curiosity, pleasure, play, desire, and aliveness actually have somewhere to emerge.
ADHD, Neurodivergence, and the Transition Into Sex
Neurodivergence can also profoundly shape sexual desire, although this is often overlooked. For some people with ADHD, the difficulty isn’t necessarily sex itself. It is transitioning into sex. If you are deeply engaged in another activity, overstimulated, mentally scattered, exhausted from masking, or finally decompressing after a demanding day, abruptly switching into an embodied sexual experience can feel surprisingly difficult. Someone can genuinely enjoy sex once they are having it while almost never experiencing the internal impulse to stop what they are currently doing and initiate it.
Novelty can matter too. Early relationships provide enormous amounts of stimulation almost automatically. There is anticipation, uncertainty, discovery, and dopamine everywhere. Long-term partnership is necessarily more familiar, and for some neurodivergent people, eroticism needs to become more intentional once novelty is no longer built into the structure of the relationship.
I find it much more useful to approach this with curiosity than pathology. What actually helps this particular nervous system become available for erotic experience?

Being Safe With Someone Is Not Exactly the Same as Desiring Them
Long-term relationships require tremendous amounts of attachment security. We build homes together. We raise children. We pay bills. We watch television. We see each other sick, stressed, unshowered, grieving, overwhelmed, and asleep with our mouths open. There is something profoundly beautiful about being this known.
But eroticism sometimes requires something slightly different. Desire often benefits from separateness, novelty, anticipation, imagination, and the experience of encountering another person rather than simply functioning alongside them.
This does not mean that safety kills desire. I don’t believe that. For many people, particularly people with trauma histories, emotional safety is one of the conditions that makes meaningful sexual exploration possible in the first place. But safety and desire are not synonyms. You can have an extraordinarily secure relationship that has become erotically flat.
Sometimes couples become so operationally fused that they stop encountering each other as separate erotic beings. They are excellent teammates, parents, companions, and friends, but there is very little space left for curiosity. This is why I am not particularly interested in telling couples to simply have more date nights or schedule sex. Those strategies can be useful, but only if we understand what we are actually trying to cultivate. The question isn’t simply how to create more opportunities for sex. It is how to create conditions where something genuinely erotic can happen.
When Sex Becomes Another Measure of Relationship Success
One of the quickest ways to drain sex of pleasure is to turn it into a performance metric for the relationship. How often are we having sex? Is that enough? Are other couples having more? When did we last have sex? Does this mean our marriage is healthy?
Suddenly every sexual encounter is carrying an enormous amount of symbolic weight. Sex stops being an experience and becomes evidence. Evidence that you are still attracted to each other. Evidence that the relationship is okay. Evidence that nobody is going to leave. Evidence that you are not becoming roommates. That is a tremendous amount of responsibility to place on sex.
Sometimes one of the most important things we can do in sex therapy is actually reduce the stakes. Not every affectionate moment needs to become erotic. Not every erotic moment needs to become intercourse. Not every experience of arousal needs to become orgasm. Not every initiation needs to be accepted. And a sexual encounter that changes direction halfway through has not failed.
When there is enough permission to stop, interestingly, it can become much easier to begin.
So What Do You Do When Sex Feels Like a Chore?
I usually would not begin by telling a couple to have more sex. I would begin by getting curious.
When did sex start feeling this way? What happens inside you when your partner initiates? What do you imagine will happen if you say no? Do you ever experience desire outside your relationship, in fantasy, while reading something erotic, when you’re alone, or on vacation? Do you enjoy sex once it begins? Do you feel pressure to perform? Is there enough time for your body to become aroused? Does sex hurt? Are there kinds of touch you genuinely crave that aren’t happening? Can affection exist without escalation? Do you feel emotionally connected to your partner? Are you carrying resentment? Are you exhausted? Do you have enough space in your life to even notice yourself?
These questions tell us much more than simply counting how often a couple has sex.
I also often encourage people to begin rebuilding an individual relationship with their own eroticism. Before we can understand what is happening sexually between two people, it can be enormously helpful for each person to become curious about their own erotic system. What helps you feel embodied? What makes you feel alive? What kinds of touch do you actually enjoy? What shuts your body down? What creates anticipation? What allows you to move out of your thinking brain and into sensation? What makes you feel sexy, not simply sexually available?
For some people, the answers have surprisingly little to do with sex. They need more sleep. More solitude. More movement. More novelty. Less responsibility. More connection to their body. More emotional repair with their partner. More privacy. More imagination. More permission to disappoint someone.
Eroticism exists within the larger ecosystem of our lives.

You Don’t Need to Force Desire Back Into Existence
When people become frightened about their sex lives, they often respond by trying harder. They make schedules. They set frequency goals. They promise their partner they will initiate more. They have repeated conversations about why they aren’t having enough sex. They start monitoring whether desire has returned yet.
Sometimes those interventions help. Sometimes they make sex feel even more like homework.
I am much more interested in understanding what desire is communicating. If your body has stopped moving toward sex, there may be a reason. That reason does not necessarily mean you don’t love your partner. It doesn’t automatically mean you’re incompatible. It doesn’t mean your relationship is doomed, and it certainly doesn’t mean you are broken.
It may mean your erotic system needs something that it is not currently getting. Maybe it needs rest. Maybe it needs agency. Maybe it needs repair. Maybe it needs more emotional connection. Maybe it needs less pressure. Maybe it needs novelty or separateness. Maybe it needs your partner to become someone you can encounter again rather than someone you primarily coordinate life with. Maybe it needs enough safety to stop protecting you.
And maybe, after years of thinking about sex primarily in terms of what you should want, you need the opportunity to become genuinely curious about what you actually do.
That is often where meaningful sex therapy begins. Not with the question, “How do we make ourselves have more sex?” But with a much more interesting one:
What would need to change for sex to feel like something we get to experience together, rather than something one of us has to do?
Sex Therapy for Low Desire and Sexual Disconnection
If sex has started to feel obligatory, stressful, disconnected, or simply like another task on the list, sex therapy can offer a space to understand what is happening underneath the loss of desire. In my work with individuals and couples, I approach sexual concerns through an attachment-focused, trauma-informed, and relational lens, paying attention not only to sexual behavior but to the emotional cycles, nervous-system responses, relational injuries, and larger life context surrounding it.
The goal is not to pressure anyone into wanting more sex. It is to understand the conditions that allow sexuality to become more chosen, connected, pleasurable, and alive.



