10 reasons you're not having sex

A regular sex life is good for your health. So why the dry spell? You can chalk it up to a sheer lack of time, but there are a slew of other reasons, too. Here’s how to beat the top 10 sex busters
Health.com // Health.com

You're not alone

Not getting any? You're not alone: Women today have less time for sex than their 1950s counterparts. And it's estimated that 40 million Americans have what experts call a sexless marriage (having sex less than 10 times a year).

A regular sex life is good for your health. It can satisfy all sorts of emotional- and physical-intimacy needs and help partners stay close, says Anita H. Clayton, MD, a professor of psychiatry at the University of Virginia and author of Satisfaction: Women, Sex, and the Quest for Intimacy.

So why the dry spell? You can chalk it up to a sheer lack of time, but there are a slew of other reasons, too -- from weight gain and perimenopause to technology overload (stop texting now) in the bedroom. Here's how to beat the top 10 sex busters.

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Your bed isn’t sexy anymore

We hear it over and over again: The bed should be used for sex and sleep only. So why do so many of us insist on bringing third parties -- laptops, PDAs, Law & Order -- into the boudoir? All that technology and distraction can cause insomnia and put a damper on your sex life. After all, it's harder to initiate sex if your spouse is hiding behind a newspaper or glued to the TV or if your hands are busy exploring the Web rather than his body.

Sex Rx: At a minimum, make the bedroom a no-technology zone, Clayton suggests. Then take a hard look at your life (from romance and work to entertainment and family), and give sex the priority it deserves. If you have to schedule sex like you do a meeting, do it!

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Your meds are stealing your sex drive

Oh, the irony. You start taking oral contraceptives (OCs) so you can have worry-free sex. Then the magic little pills start sapping your sex drive. Why? OCs contain estrogen, which increases the production of a protein called sex-hormone binding globulin (SHBG), says Michael Krychman, MD, medical director of sexual medicine at Hoag Hospital in Newport Beach, California. SHBG can trap testosterone, affecting your sex drive. Other potential sex-drive-stalling meds: those that reduce blood pressure, anxiety, and acid reflux, and antidepressants.

Sex Rx: Ask your doc about the sexual side effects of all of your drugs. You may also want to try a contraceptive method that doesn't use hormones, such as condoms, a diaphragm, or an IUD.

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Your crazy-busy life

You spend your days working, cooking, working out, taking care of the family. And, still, at 11:30 p.m. Besides totally tuckering you out, the chronic stresses of modern life can also trigger a cascade of hormonal changes that mess with your body's sexual-response cycle. And here's another modern sex buster that adds to all the craziness: today's always-connected technology.

Sex Rx: With spontaneous sex almost out of the question, you need some serious "life management" to work it in, experts say. Put a lock on the master bedroom door and set a technology time limit. Shift gears with a soothing bath, suggests Los Angeles-based sex therapist Linda De Villers, PhD. Plunging into warm water takes you away from the laptops and cell phones that clog up your day. Add a few drops of ylang-ylang essential oil; the aroma is thought to heighten sexual feelings.

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You don’t like your body

Many women find themselves withdrawing or not willing to experiment sexually if they're overweight or have a change in shape due to pregnancy, Clayton says. "Emotionally, we've bought into the media's idealization of what is really sexy. The message is, you have to look a certain way in order to have really good sex."

Sex Rx: "Women have a talent for disliking the very things about themselves that other people find very attractive," De Villers says. Feel free to ask him what he likes about your body; his compliments can help you feel more positive. But don't underestimate the mental boost of shedding some pounds. In a recent Health.com survey, 37 percent of respondents said losing weight makes them feel sexy. In fact, even a five-pound weight loss has been shown to jump-start sex drive.

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You’ve hit perimenopause

Prior to menopause, hormonal shifts -- specifically decreasing estrogen -- lead to physiological changes that can make sex seem about as appealing as running a marathon with a pebble in your sock. Sensitive vaginal tissues become less lubricated, the ensuing dryness leads to pain, and painful sex quickly turns into no sex. Hot flashes don't help matters, either.

Sex Rx: Talk to your physician about the pros and cons of hormone replacement therapy (HRT), which may lessen menopausal symptoms. New research shows an estrogen cream or suppository may ease dryness without the risks of HRT. Lubricants can also help, especially if pain during intercourse is a problem.

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Your man’s just not that into it

You may actually be raring to go, but your partner's engine seems stalled. Perhaps he's emotionally withdrawing, says Bob Berkowitz, PhD, co-author of He's Just Not Up for It Anymore: Why Men Stop Having Sex, and What You Can Do About It. "The usual problems between husbands and wives can play out in the bedroom," he says, especially if your partner has a hard time expressing his feelings properly. Or, he may want you to be more sexually adventurous.

Sex Rx: Talk it out in a blame-free way. "It's understandable that a woman would feel rejected," Berkowitz says. But don't confront him with 'What the hell is going on? Are you cheating on me?' or he'll shut down. If a man's sex life is not working out, he may feel he's failed as a man, because men invest so much of themselves in their sexuality," Berkowitz adds.

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You’re depressed

When you're feeling down in the dumps, desire can take a big hit, particularly if you're female. Women tend to isolate themselves, Clayton says, and that can strain even the strongest of romantic relationships. Antidepressants may lift the dark cloud, but some affect your ability to have an orgasm.

Sex Rx: If you notice your sex drive takes a nosedive after you start a new medication, tell your doctor; she may be able to prescribe an alternative. Consider different avenues of treatment. "Psychotherapy doesn't cause sexual dysfunction and is effective, especially in mild-to-moderate depression," Clayton says. Exercise also helps; it enhances mood and energy, and it boosts blood flow to the genitals.

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Your man is Viagra-ized

The "Viagra-ization" of men isn't just happening to seniors. Younger men are taking the erectile-dysfunction drug, too, sometimes just to enhance performance. The result can be a physical and emotional disconnect. "The man takes the medication and is ready to go, but the woman needs more time to get aroused, to get connected."

Sex Rx: Clayton suggests finding time for some nonthreatening and nonjudgmental sex talk (not in bed), during which a woman can discuss what she needs in bed to even the playing field.

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You like your vibrator better

Reaching for your Rabbit more often than your honey bunny? This is more common than some might think, De Villers says. A vibrator is simpler and more accessible than a cooperating penis. While there's nothing wrong with incorporating sex toys into your love life, becoming reliant on a vibrator -- or even preferring it over your partner -- can be a serious problem.

Sex Rx: If you really are addicted to your vibrator at the expense of your relationship with your partner, talk to a therapist to gain some insight about your relationship, De Villers recommends. If the vibrator gives you more satisfaction than sex with your partner, talk about trying some new moves or even using the vibrator together.

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