When someone first calls my office and requests treatment to help them with low sexual desire, or problems with sexual functioning,
one of the first questions I ask them is, “Have you already seen your doctor to have blood work done to rule out a possible medical condition?”
Sexual intimacy is an expected part of a modern day relationship—it is often seen as an expression of love and desire. Most couples are typically very sexual at the beginning of their relationship but it isn't unusual for activity to slow down over time. Factors such as aging, relationship complacency, and hectic lifestyles contribute to the decline in sexual activity but overall, healthy relationships do not tend to go more than six months without sexual intimacy. A steady decline or sudden end of sexual activity may be an indicator of deeper issues; if not addressed, it may be the beginning of a sexless relationship. Sex-avoidant, or sexless couples, are on the rise. Recent studies have shown an increase in the amount of young couples experiencing less than average sexual intimacy in their relationships. A "sexless" relationship is defined as couples having intercourse fewer than ten times a year. It is estimated that nearly 20 million Americans in a relationship are completely sexually inactive.