Sexual issues can stem from many different things, including fluctuating hormones (such as after having a baby or during menopause) and illnesses like cancer, cardiovascular disease, and diabetes. Furthermore, it is common for factors from multiple categories to work together to create sexual dysfunction. 

Physical Causes – It’s not uncommon for conditions like cancer, depression, multiple sclerosis, and even bladder problems to lead to sexual dysfunction. In fact, many medications as well can result in sexual problems, especially those designed to treat depression, high blood pressure, and even allergies. When one or more physical issue is present, it can do everything from reduced sexual desire to prevent one from achieving orgasm. 

Hormonal Causes – As we mentioned, low estrogen levels after menopause or childbirth can lead to changes in sexual responsiveness, as well as in the genital tissue itself. With less estrogen present, there is less blood flow to the pelvic area, reducing genital sensation and reducing the likelihood of arousal or orgasm. The changes in tissue can also lead to painful intercourse or dryness, which can drastically affect how much one wants to have sex. 

Social / Psychological Causes – Anxiety, depression, and other mental illnesses can contribute to sexual dysfunction, as can past trauma or abuse and concerns over pregnancy. In some cases, having issues with one’s partner or suffering from negative body image can create a similar effect.