You’re having trouble maintaining an erection or you don’t feel lubricated enough to make penetration pleasurable and it’s starting to kill your desire for sex. Before you throw in the towel, it could be helpful to check out some contributing factors to a lack of arousal and some things you can do about it: Consider an organic cause firstIf your body has trouble getting physically ready for sex there are a few organic causes you need to check for first. Hormonal imbalances, nerve damage, low blood pressure, disease or illness; all of these things can interfere with your ability to get and maintain an erection, lubricate the vaginal walls and get your heart rate going in preparation for physical activity. if you’re concerned that your body isn’t going through the physiological process of arousal, and you’re not sure why, it’s important to see your doctor and get some things checked out. If something is going on, treatments can include hormone therapy, physical therapy and medications, among other things. There’s also a reason I put this one first; if you don’t get checked out before pursuing other options, like sex therapy, you could be headed further and further away from the solution to the problem. So if you think this is the reason, talk to your doctor and/or find a qualified medical professional to help you determine if there is something going on physically. Maybe it's what you're putting in your bodyThis is going to be another one that is best addressed with a medical professional, but it’s worth considering that what you’re putting in your body is having an impact on your ability to be physiologically aroused. Substances like alcohol, marijuana and even prescription medications have varying side effects that can absolutely wreak havoc on your body. As an example, the use of alcohol and/or antidepressants* can result in inadequate vaginal lubrication and an inability to maintain an erection. Other substances can do this too when used daily or to excess. If you’re suffering from inadequate arousal during sex, it could be worth looking at your habits. If you’re on prescription medications, perhaps changes can be made to your regimen to address the issue. If you’re having 3-4 alcoholic drinks a night, perhaps it’s time to figure out how to cut back. Talking to your doctor about the drugs you’re taking and the substances you’re using is going to be your best bet going forward. Stress? Anxiety? Fear? Oh my...I know I said that stress interferes with desire, but it also interferes with your body’s physical responses too. If you’re afraid of getting an infection, getting pregnant, you have a looming deadline at work, you and your partner have been fighting, whatever, your body is going to be expending precious time and energy on these problems over getting you physically ready for sex. Some would describe it as an evolutionary mechanism we developed to keep us alive. Think about it, our ancestors had to prioritize running away from that lion over having sex (in order to keep having more sex…). We may not have to worry about lions anymore, but chronic stress and anxiety produce the same physical reactions in people. Your adrenaline and cortisol levels go up when you start fighting with your partner or realize that your big project is due at 8am tomorrow morning. As mentioned in the previous post, if stress is impacting your physiological ability to become aroused you should consider:
While addressing these areas might be all you need to feel re-energized around sex, for some there are more complicated issues such as anorgasmia, erectile dysfunction with no physical cause and genito-pelvic pain disorder. While these issues are scary and can feel hopeless to try and address, seeing a competent urologist or gynecologist and working with a qualified sex therapist or sexual health provider can be an amazing step in the right direction. - AlanaBe sure to check out previous posts on the subject: Arousal & Desire: Defining Our Terms and Addressing a Lack of Desire *Kennedy, S. & Rizvi, S. (2009) Sexual dysfunction, depression and the impact of antidepressants. Journal of Clinical Psychopharmacology, 29(2), 157-164. Wow, I definitely gave everyone some time to think about the differences between arousal and desire (A whole year? Not cool). Now that we’re back in action, let’s start with desire. Desire issues are the most common concern I see in my practice and so I wanted to take some time to address it. As a refresher, sexual desire is the psychological process of wanting sex and it can be impacted by many things. If you would define yourself or someone you love as having a lack of desire, it’s useful to consider the following factors. I’ll follow each one up with ways you can address that potential pitfall. Stressed? |
First Option? | You’re good to go! Why are you still reading this article? |
Second Option? | Maybe you’re getting a bunch of cues that sex is about to happen. Your body naturally starts the process to give you an erection or lubricate the vaginal canal, but that doesn’t necessarily mean you’re going to feel turned on by those cues and want to bang whoever or whatever is sending you those cues. |
Third Option? | You’re in the right head space, but maybe your body isn’t on the same page. You want to have a sexual interaction, but your body isn’t ready or prepared for it. |
If you find that there have been times when the second and third options are wreaking havoc in your sex life it’s helpful to check in with yourself and your partner on which one it is.
See, when these two processes get mixed up or molded together it means we have a harder time seeing the forest through the trees. You won’t know how to address the problem because you haven’t taken it apart to see what, specifically, is out of whack.
Is it your desire or is it your arousal?
I’ll be talking about how to address both in future posts so stay tuned! In the meantime, start becoming aware of the differences between the two and how each process plays out for you and your partner.
- Alana

Couples Therapy is actually a very recent development in the field of mental health. Marriage and Family Therapy, my field of study, got its start in the 1940’s and 50's when psychotherapists and psychologists began to notice that the ways in which a family interacted affected an individual’s treatment outcome.
It started with many prominent figures in the field working with schizophrenic patients and their families. In every clinic addressing this very serious mental health concern, there was a common theme of patients regressing when visited by family members or after returning home.*
Why would being with your family have such a strong effect on your ability to do better?
I think the answer lies in the understanding that we are social creatures; we form attachments to our caregivers, we find solace in our friends, we generally seek out the people who get us.
We learn how to be functional, or not-so-functional, people from the ones who raised us, who gave us messages about how we could develop and who we could be. It would stand to reason that this also sets us up for finding the people who reinforce our view of the world and our view of ourselves.
It started with many prominent figures in the field working with schizophrenic patients and their families. In every clinic addressing this very serious mental health concern, there was a common theme of patients regressing when visited by family members or after returning home.*
Why would being with your family have such a strong effect on your ability to do better?
I think the answer lies in the understanding that we are social creatures; we form attachments to our caregivers, we find solace in our friends, we generally seek out the people who get us.
We learn how to be functional, or not-so-functional, people from the ones who raised us, who gave us messages about how we could develop and who we could be. It would stand to reason that this also sets us up for finding the people who reinforce our view of the world and our view of ourselves.
This is why I need your partner to come with you if we’re talking about a sexual problem in therapy.
Let me clarify by saying that sexual intercourse is an interaction between people. Notice I said, between. Any dysfunction that happens during sex with your partner(s) is a relationship problem, or maybe a “between-problem.”
Obviously, I will want to be sure that biological causes are ruled out by a medical professional. But even when there is a biological issue, there are still relational factors that could increase your stress level, your anxiety and these will negatively affect your condition. The mind and the body are not as separate as we have been led to believe!
If you can masturbate when you're alone but find that you lose your erection with your partner, it's a between-problem.
If you're experiencing little to no desire for sex and you feel guilty for how it's affecting your partner, it's a between-problem.
Basically, (at least) two people need to be accountable for changing the interactions that got them into this situation in the first place.
In the end only one thing is certain for me if I see one partner for individual treatment: they’re going to regress when they go home, because their partner isn’t going to be on the same page with what I’m asking and progress will either be slow or not at all.
When the above situations, or any number of common sexual dysfunctions are impairing your life and your ability to be intimate you could benefit from seeing a sex therapist who also has training in couple’s therapy. Consider including your partner in counseling, at least in the first session. It could have a huge and lasting impact on your ability to do better!
- Alana
*Nichols, M. (2013). Family therapy: Concepts and methods (10th ed.). Upper Saddle River, NJ: Pearson Education, Inc.
Put it on the calendar, so you can put it on me later
In the last couple of weeks the idea of putting sex "on the calendar" has come up with multiple people, clients and friends alike. “Spontaneous sex is way better” they say, “scheduling sex makes it feel like a chore” or “we shouldn’t have to schedule sex, it should be spontaneous!” I can totally understand why putting your weekly romp in your Google calendar like it was a root canal doesn’t get you hot and bothered. But why do we expend so much energy maintaining this idea that sex needs to “happen naturally”? |
We schedule dentist appointments, doctor’s appointments, our kid’s recitals; even when we hate going to these things we will still ensure that it gets written down, because there is no way I am getting another cavity.
So why don’t we view sex the same way?
If we don’t ensure that we’re maintaining that part of our relationship, our desire for our partner wanes. Isn’t that important enough to schedule? Isn’t that a big enough consequence to consider penciling your partner in for an afternoon quickie?
Maybe you’re interested in the idea but aren’t sure how to broach the topic with your partner. Perhaps you need more convincing that making the time is the best way to stay connected.
Lucky for you, I have a few great ideas about why it’s better for you to listen to me on this one. Here are the three reasons why scheduling sex is some of my go-to professional advice:
So why don’t we view sex the same way?
If we don’t ensure that we’re maintaining that part of our relationship, our desire for our partner wanes. Isn’t that important enough to schedule? Isn’t that a big enough consequence to consider penciling your partner in for an afternoon quickie?
Maybe you’re interested in the idea but aren’t sure how to broach the topic with your partner. Perhaps you need more convincing that making the time is the best way to stay connected.
Lucky for you, I have a few great ideas about why it’s better for you to listen to me on this one. Here are the three reasons why scheduling sex is some of my go-to professional advice:
When you schedule, you up the anticipation
When’s the last time you weren’t excited for that big event you got tickets 3 months in advance for? My point exactly.
Once you knew it was going to happen you started anticipating and planning and spending a great deal of mental energy on what you were going to wear, who you were going with, etc. All the while, you’re building a sense of suspense, a perpetual excitement that heightens the experience before you even get to it!
Building that sense of anticipation works the same for sex- you agree you’re going to get frisky when you get home, he sends you a flirty text, she tells you she bought a new toy, before you know it your desire for the hot sex you’re going to have with your partner is almost unbearable and you’re rushing home to enjoy the time you’ve planned out together.
That sounds way better to me than being unsure as to whether your partner is going to want it after work or not.
Once you knew it was going to happen you started anticipating and planning and spending a great deal of mental energy on what you were going to wear, who you were going with, etc. All the while, you’re building a sense of suspense, a perpetual excitement that heightens the experience before you even get to it!
Building that sense of anticipation works the same for sex- you agree you’re going to get frisky when you get home, he sends you a flirty text, she tells you she bought a new toy, before you know it your desire for the hot sex you’re going to have with your partner is almost unbearable and you’re rushing home to enjoy the time you’ve planned out together.
That sounds way better to me than being unsure as to whether your partner is going to want it after work or not.
When you plan, you’re working on communicating
Which brings me to my next point: spontaneity is great and I have nothing against it, but it’s foolish to leave all your sexual experiences up to chance. There’s too many opportunities for hurt feelings, miscommunication and eventually there’s a huge emotional barrier between you that feels insurmountable.
When you’re planning, you’re actively negotiating what works best for both of you and this strengthens your communication.
When you plan on having coffee with a friend it doesn’t just happen- it takes figuring out when a good time for both of you is, where you’re going to go, ensuring that the kids are taken care of (if that’s a consideration) and being flexible enough to adjust the plan as necessary.
In the act of planning you are required to communicate about your wants, your needs and what works best for you. The same goes for scheduling sex.
The side benefit here is that the good communication habits you’re practicing get applied to other, less sexy areas too!
When you’re planning, you’re actively negotiating what works best for both of you and this strengthens your communication.
When you plan on having coffee with a friend it doesn’t just happen- it takes figuring out when a good time for both of you is, where you’re going to go, ensuring that the kids are taken care of (if that’s a consideration) and being flexible enough to adjust the plan as necessary.
In the act of planning you are required to communicate about your wants, your needs and what works best for you. The same goes for scheduling sex.
The side benefit here is that the good communication habits you’re practicing get applied to other, less sexy areas too!
When you make the commitment, you make it a priority
Like everything in life, relationships take work. If you’re not actively making your partnership a priority then it will fall by the wayside.
The sad truth is, if your intimacy with your partner takes a backseat to work, family events and catching up with friends, then, eventually, so does the rest of your relationship.
Putting time to be intimate (and possibly sexy) with your partner on your calendar is like making a promise- you know when and where it’s going to happen and you’ve committed to, not just the activity, but to your partner.
It promotes a sense of accountability; maintaining that part of your relationship ensures that you are building a sustainable, overall connection with this person.
The sad truth is, if your intimacy with your partner takes a backseat to work, family events and catching up with friends, then, eventually, so does the rest of your relationship.
Putting time to be intimate (and possibly sexy) with your partner on your calendar is like making a promise- you know when and where it’s going to happen and you’ve committed to, not just the activity, but to your partner.
It promotes a sense of accountability; maintaining that part of your relationship ensures that you are building a sustainable, overall connection with this person.
-
Building your desire, working on good communication skills and promoting accountability in your relationship are some pretty killer side-effects for this one activity.
If you’re ready to build a better relationship, try asking your partner if they would like to have their clothes ripped off when they get home from work that night.
You never know, it could be the start of a new era in your relationship.
If you’re ready to build a better relationship, try asking your partner if they would like to have their clothes ripped off when they get home from work that night.
You never know, it could be the start of a new era in your relationship.
- Alana
Alana R. Ogilvie
Relationship Counselor
Certified Sex Therapist
Aspiring Yogi
Certified Sex Therapist
Aspiring Yogi
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