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Sex? Not Interested. Am I Normal?

As pelvic health physiotherapists, we see so many women with low sexual desire. It often causes depression, dissatisfaction in relationships, or a feeling of unworthiness. There are so many physiological causes of low sexual desire and, more likely than not, we are able to work with women to determine an underlying cause and help them achieve a more fulfilling and enjoyable sex life.

Here are some possible causes of low sexual desire:

1. Breastfeeding: As a result of the high levels of prolactin and reduced levels of estrogen produced during breastfeeding, women can experience low sexual desire. Some have no libido at all and become non-orgasmic. This is normal; sexual desire usually returns when the baby is weaned or nursing much less.

2. Hormonal Changes: Hormonal changes in the post natal period can cause low sexual desire and a decrease in natural lubrication during arousal.

3. Lack of Sleep: Sleep deprivation causes your body to enter into a chronic state of stress, resulting in increases in cortisol. The building block to make cortisol is progesterone, and when we are chronically stressed we deplete our progesterone. This results in a decreased interest in sex.

4. Pain During Intercourse: Many women experience pain during intercourse and think that nothing can be done to alleviate this pain, discouraging them from sex altogether. As pelvic health physiotherapists we want women to know that this pain isn’t normal and that there are many different treatments that we can use to not only get rid of the pain, but also help you to find pleasure in sex again.

We understand that many women feel embarrassed to bring this up to health care professionals, but we need you to know that you are not alone. 1 in 3 women experience low sexual desire, and pelvic health physiotherapists can help.

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