What could lead to a woman's decreased interest in sexual intimacy after a year of marriage?

Question

Hello doctor,

I am facing intercourse related issues after marriage. After one year of marriage, my wife has started saying no to intercourse. During the first year, she enjoyed it, but suddenly, her behavior has changed. I cannot understand why this change has occurred. Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Firstly, I would like to inform you that low Libido has many possible reasons:

Infections - It could be related to a urinary tract infection (consider a urine test and pelvic ultrasound to determine the cause).
Diabetes and hypertension - Ensure that blood pressure and blood sugar levels are well-managed. If you're already on medication, please share the names of your medications.
Hormonal imbalances - Check for issues like low testosterone, thyroid problems (TFT), and high prolactin levels (Prolactin).
Obesity - Consider a plan for regular exercise and yoga.
High cholesterol - Check your lipid profile and consider a regular exercise regimen.
Chronic diseases or medications - Share any relevant details about chronic conditions or medications you are on.
Anxiety - It is essential to recognize that anxiety can also contribute to libido issues.

I suggest you undergo a pelvic ultrasound to rule out pelvic infection, check your thyroid function (free triiodothyronine, thyroxine, and thyroid-Stimulating Hormone, assess your lipid profile for cholesterol levels, monitor blood pressure, and check your random blood sugar (RBS). Engage in open and honest communication with your partner. Ask questions gently and with an open mind. Avoid making it feel like an interrogation. I suggest you consider following questions:

Does she experience pain during sex, possibly stemming from a past painful sexual experience with you or someone else?
Has she ever been left unsatisfied in a sexual encounter?
Is she afraid of getting pregnant?
Does she hold negative beliefs about sex, viewing it as sinful or immoral?
Does she disapprove of the type of sexual behavior expected of her?
Are there unresolved emotional issues between the two of you?

These questions should be discussed openly and honestly as part of a broader conversation. I suggest you seek relationship counseling if you are unsure how to approach the subject or if deeper issues arise during your discussions. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.