The couple has a good relationship but no sex

It is not uncommon for couples to have a harmonious relationship but lack sex, and may be caused by physiological factors, psychological stress, hormonal changes, changes in intimacy patterns, chronic diseases and other reasons. This phenomenon usually requires joint communication and adjustment by both parties, and in most cases can be alleviated by improving lifestyle and emotional interaction.

1. Physiological factors:

Declining sex hormone levels with age is a common cause. The decrease in estrogen after menopause in women may cause vaginal dryness or loss of sexual desire. Testosterone levels in men decrease by about 1%-2% per year after the age of 40. Chronic diseases such as thyroid dysfunction and diabetes may also indirectly affect sexual function. Regular physical exams can help rule out potential health problems.

2. Psychological pressure:

Work anxiety, parenting stress, or financial burdens can inhibit sexual urges. Cortisol, which manages stress in the brain, has an antagonistic effect on hormones that regulate sexual desire. Long-term high stress may lead to a significant decrease in sexual desire. Participating in stress-reducing activities as a couple, such as walking and meditating, can help reconnect the mind and body.

3. Solidification of intimacy mode:

It is easy to form fixed interaction patterns in long-term marriages, and the lack of novelty may weaken sexual attraction. Research shows that sexual frequency of couples generally decreases after 3-5 years of marriage. Try non-sexual intimacy, such as massage, bathing together, or regular dates, that can promote emotional bonding without emphasizing sexual expression.

4. Drug effects:

Antidepressants such as paroxetine, antihypertensive drugs such as Betaloc, and birth control pills may cause loss of sexual desire or dysfunction. Some drugs interfere with the secretion of neurotransmitters such as dopamine. If you suspect the effects of the medication, you can consult your doctor to adjust your medication regimen, but do not stop taking the medication on your own.

5. Differences in concepts:

When cognitive differences in sexual needs are not communicated in a timely manner, hidden conflicts may result. One partner may view sex as an expression of emotion and the other as a physical need. Learn about each other's love language types through professional books or marriage counseling, and establish new ways of expressing emotions.

It is recommended that couples work together to develop a health plan that includes exercise, diet, and sleep. Maintaining 150 minutes of moderate-intensity exercise every week, such as brisk walking and swimming, can improve physical fitness and mood. Appropriate intake of zinc-rich seafood, nuts and other foods can help hormone synthesis. Create a pressure-free environment for intimacy, such as setting dedicated relaxation times and avoid tying sexual activity to performance. If there is still no improvement after 3-6 months of adjustment, it is recommended to go to the endocrinology department or psychology department of a regular hospital to rule out organic diseases or receive professional emotional consultation.