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Dr. Laura LehmannPsyD, LP · Clinical Psychologist · Franklin, MI

Intimacy and Sexual Concerns Guide · Part 1: Understanding what is happening

The Sexless Relationship: How Couples Drift There

From Dr. Laura Lehmann, PLLC · General education · Published

The short answer

Most couples do not choose a sexless relationship; they drift into it. A stressful period, a new baby, an illness, a medication or a sexual difficulty interrupts sex. Then a cycle of avoidance takes over: initiating feels risky, affection fades so it is not misread, and silence grows. The longer it lasts, the harder it feels to restart, but the cycle can be understood and changed.

What "sexless" means, and who decides

There is no single official definition of a sexless relationship. Some people use the term when sex has stopped entirely; others when it has become rare. What matters more than a number is whether the situation is a problem for either of you.

Some couples are genuinely content with little or no sex. The National Institute on Aging, writing about older adults, notes that intimacy is a feeling of closeness that can occur with or without a physical component, and that some people are content with one without the other. This article is about the more common situation: sex has faded, at least one partner misses it, and neither knows how to bring it back.

A man and a woman sitting on two separate red benches, facing the sea

How the drift usually starts

A sexless stretch usually begins with an interruption rather than a decision. The NHS lists many common reasons desire drops, including relationship problems, stress, anxiety or depression, pregnancy and having a baby, menopause, some medicines, and long-term health conditions. Sexual difficulties such as erection problems or vaginal dryness are on the list too.

Other common starting points include:

  • A demanding season of work, caregiving or financial strain
  • Grief, a move, or another major life change
  • Pain during sex, or fear that it will hurt
  • A rupture of trust, or a conflict that never got resolved
  • One partner's growing anxiety about sexual performance

Any of these can pause sex for a while. The question is why, for some couples, the pause becomes the new normal.

The cycle of avoidance

What keeps a sexless relationship going is usually not the original cause but the pattern that grows around it. The International Society for Sexual Medicine (ISSM) observes that in couples with mismatched desire, the partner with lower desire often feels pressured or guilty and the partner with higher desire feels rejected. Writing about performance anxiety, the ISSM also describes how worry about sex can lead to lost confidence and avoiding sex altogether.

Put together, the cycle often looks like this:

  • Sex is interrupted, and attempts to restart it go badly or get turned down
  • The partner who initiates stops, to protect themselves from another rejection
  • The other partner pulls back from affection, worried it will be taken as an invitation
  • With less touch and fewer attempts, both feel more distant and less sure of each other
  • The longer the gap, the more any attempt feels like a big, high-stakes event
  • Embarrassment makes the subject harder to raise, so nobody does

Each step makes sense on its own. Together they can turn a temporary pause into years.

A woman sitting alone at a table by a large window in a dim room

Why affection often disappears too

One of the quieter costs of this cycle is the loss of everyday touch. When any hug might be read as a request, the partner who does not want sex may avoid touch altogether, and the partner who does may stop offering it to avoid seeming to push. Hand-holding, a kiss hello or sitting close on the couch can vanish along with sex. Non-Sexual Touch and Affection explains why rebuilding that kind of touch often matters.

What the silence can cost

Some couples in this situation describe feeling like roommates. The partner who misses sex may feel lonely, unwanted or resentful. The other may feel guilty, inadequate or watched. Both may wonder privately whether the relationship has a future. The Mayo Clinic notes that for many people emotional closeness is key to sexual intimacy; the reverse is often true as well, and long silence about sex can wear away closeness elsewhere.

Check for medical factors

Because physical causes are so common, it is worth each partner considering whether a health issue is part of the picture. Pain, erection or arousal changes, hormone changes and medication side effects belong with a physician, gynecologist or urologist. If you think a medicine is involved, talk with the prescriber rather than stopping it yourself. It is also worth each partner looking honestly at their own mood, stress and sleep. Low mood and chronic stress commonly flatten desire, and they deserve attention in their own right, not only as a sexual problem.

Beginning to break the cycle

There is no single right way back, but it often helps to start smaller than you expect:

  • Talk about the pattern, not just the sex: "I think we've both been avoiding this, and I miss us"
  • Agree that affection can be just affection for a while, with no expectation attached
  • Name what each of you is afraid of, such as rejection, pressure, pain or failure
  • Address the original cause, medical or emotional, rather than working around it
  • Treat any step back toward closeness as progress, not as a test

Rebuilding Intimacy After a Long Dry Spell goes into those steps in more detail, and When One Partner Avoids Sex looks at the situation from the side of the partner who is waiting.

Where therapy can fit

When a cycle has run for a long time, it can be hard to talk about without old hurts taking over. Therapy offers a structured, private place to do that. It can also help each partner understand their own part of the pattern, including what they learned about sex, closeness and rejection long before this relationship began. Dr. Lehmann offers therapy for intimacy and sexual concerns, which can be part of individual or couples therapy; ask which format fits your situation when you call.

If you are thinking about suicide or feel unable to keep yourself safe, call or text 988 (the Suicide & Crisis Lifeline) or text HOME to 741741. In Oakland County, Common Ground is available at 1-800-231-1127. If a partner pressures, threatens or forces you sexually, or punishes you for saying no, the National Domestic Violence Hotline is free and confidential at 800-799-7233 (or text START to 88788). Call 911 for any immediate danger. Dr. Lehmann's practice is not an emergency service and does not offer after-hours crisis care.

Common questions

Is it too late if it has been years?

Length alone does not decide what is possible. A long gap can make the first steps feel bigger, which is why it often makes sense to start with conversation and affection rather than sex itself.

What if my partner says they are fine with it and I am not?

That difference is worth taking seriously, not settling by one person giving in. It often helps to talk about what sex means to each of you, and what the absence of it feels like, before talking about frequency.

Does a sexless relationship mean someone is having an affair?

Not necessarily. Many of the common causes, such as stress, health, medications and avoidance, have nothing to do with infidelity. If trust is an open question, it helps to raise it directly rather than letting suspicion grow.

Should we just schedule sex to get restarted?

Scheduling helps some couples and adds pressure for others. It tends to work better once both partners feel heard about why sex stopped, and when either can still say no on the day.

If you and your partner are stuck in this cycle, the New Clients page explains how to reach Dr. Lehmann.

Intimacy and Sexual Concerns →

Sources

  1. NHS: Low sex drive (loss of libido)
  2. International Society for Sexual Medicine: How Can Couples Address Mismatched Libidos?
  3. International Society for Sexual Medicine: What Is Sexual Performance Anxiety and How Can One Manage It?
  4. National Institute on Aging: Sexuality and Intimacy in Older Adults
  5. Mayo Clinic: Low sex drive in women

This guide is general education and is not medical advice, a diagnosis, or a substitute for care from a qualified professional. Back to Intimacy and Sexual Concerns Guide.

Dr. Laura Lehmann, PLLC

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