There are many other factors that can reduce sexual desire, for which they wouldn't qualify as HSDD per se. Painful Conversations Some husbands are trying to be sensitive. Research , books and articles written on sexual desire in married women, the Viagra myth with men, why women have sex, how romance lasts, and the impact of domestic life on sexual passion offer couples some information that may help them understand the lack of sexual desire in their marriage. Married women with low sexual desire reported that one of the downsides of marriage was giving up on their own appearance. And there is a real poverty, a painful searing one, in this kind of aloneness. Couples should feel free to explore and experiment in these areas. According to Sims and Meana, married women with low sexual desire report that having a partner who is no longer taking pride in his appearance makes sexual desire and connection more difficult for them. As a man ages, the testosterone slowly decreases which may cause a noticeable change in libido, size and firmness of the erection, as well as force of ejaculation. Anti-hypertensive medicines, medications used for migraines, and most of the SSRIs Prozac, Paxil, Zoloft , so useful for certain anxiety and depressive disorders, can dramatically lower libido. Medical Help? Violence and Abuse Low sex drive in women has many potential causes, including underlying medical issues, emotional or psychological problems, or work- and family-related stress. I have a very high sex drive, and she has a very low sex drive. You're forcing her into a corner where she has no choice except to adopt a defensive attitude. Some feel they are wrong to expect their marriage partners to have sex with them. If decreased desire in a husband or wife becomes a problem, couples need to begin the solution by having a heart-to-heart talk outside of the marriage bed.