Medical causes worth checking

Low desire is not always a matter of attitude, effort or relationship. Sometimes the body is signaling that something needs care. Many couples spend years assuming the problem is emotional or spiritual when a simple medical evaluation would have helped. Caring for your health is part of caring for your marriage, and the Church teaches that physical life and health are precious gifts to be cared for reasonably (CCC 2288).

Common medical causes

The following conditions are well known to affect desire, energy or comfort. This is general information, not a diagnosis. Only a physician can evaluate your situation.

• Thyroid problems. An underactive thyroid can cause fatigue, low mood and reduced interest in intimacy.
• Anemia. Low iron or other forms of anemia can leave a person exhausted and short of energy, especially after pregnancy or with heavy periods.
• Medications. Some antidepressants, certain blood pressure medicines, some hormonal medications and other drugs can lower desire or affect arousal. Never stop a prescribed medication on your own. Ask your doctor whether an adjustment or alternative is possible.
• Hormonal changes. Postpartum recovery, breastfeeding, perimenopause and menopause can all change desire and comfort.
• Low testosterone. In men, and to some degree in women, low levels can affect desire and energy. Testing and treatment decisions belong with a physician.
• Pain. Pain during intercourse is common and is never something to simply push through. It has many possible causes, and a gynecologist or pelvic floor physical therapist can often help.
• Depression and anxiety. These commonly lower desire, and the treatment itself can sometimes affect it too. Both deserve real care.