Support for low sexual desire
Support for low sexual desire
Losing interest in sex, or wanting it far less or more than your partner, is one of the most common concerns people bring to therapy. Doctor-led support, online across the UK or in person in Swindon.
- GMC Registered Doctor (MBBS, MRCGP)
- COSRT Registered Psychosexual Therapist (No. 4539)
- Online across the UK, or in person in Swindon
Desire changes, and that’s normal
Desire naturally rises and falls over a lifetime. It becomes a concern when the change upsets you, or when a gap in desire between partners causes distance, guilt or conflict.
Low desire affects people of every gender and age. It is rarely about one thing, and it is rarely a sign that something is wrong with you or your relationship.
What can affect desire
- Body: tiredness, pain, hormonal changes including the menopause and after childbirth, long-term illness, and some medications such as certain antidepressants
- Mind: stress, low mood, anxiety, body image worries, and past experiences
- Relationship: unresolved conflict, poor communication, routine, or sex that has become painful or pressured
- Life: work, caring responsibilities, young children, and cultural or religious messages about sex
Many people also find their desire is more responsive than spontaneous: it appears once closeness and touch begin, rather than out of the blue. Understanding this alone can take a lot of pressure off.
How therapy helps
We’ll start by understanding what’s affecting desire for you. Therapy may include:
- Information about how desire and arousal really work
- Identifying the brakes that switch desire off, and the things that help it
- Communication work for couples with different levels of desire
- Sensate focus and other gradual exercises to rebuild intimacy without pressure
- Considering medical factors such as hormones and medication, with checks to discuss with your GP where useful
You can come on your own or as a couple. See also couples and relationship therapy.
Session fees
Start with a short, confidential conversation
The introductory consultation lets us talk about what brings you here before you commit to ongoing sessions.
Appointments cancelled or rescheduled with less than 48 hours’ notice may be charged in full. A limited number of reduced-fee spaces may be available; please email to discuss this confidentially.
Frequently asked questions
Is low desire a medical problem?
Sometimes physical factors such as hormones, illness or medication play a part, which is why a doctor-led assessment can help. Often several things combine.
Can the menopause affect desire?
Yes. Hormonal changes, vaginal dryness, sleep problems and mood changes can all affect desire. There are options that can help, and it is worth discussing them.
My partner wants sex more than I do. Can therapy help?
Yes. Differences in desire are very common. Therapy helps couples understand each other and find ways to be close that work for both of them.
Do I need to come with my partner?
No. You can come on your own, as a couple, or start alone and invite a partner later.
More answers on the FAQ page.
Understand what’s changed, and what can help
A confidential 30-minute online conversation for £60, with no commitment to ongoing sessions.
Book Your Introductory ConsultationRelated support
Written by Dr Kahverry Rajeswaran MBBS, MRCGP, GMC-registered GP and COSRT-registered psychosexual therapist. Last reviewed: 22 October 2026