Relationship Problems:-

• Lack of Connection with Partner.
• Unresolved Fights.
• Trust Issues.
• Concern of Partner’s Ability to having Sex.
• Not enough Privacy.

Psychological Cause:-

• Mental Health Condition like Depression,Anxiety.
• Low Self Esteem.
• Past Negative Sexual Experiences.
• H/o Physical,Emotional,or Sexual Abuse.
• Financial Stress and Work Stress.
• Exhaustion from caring for young children and aging Parents.

Physical Causes:-

• Illness such as Cancer,CHD,DM,HTN,Neurological
  Problems,Hyperthyroidism,Tuberculosis etc.
• Sexual Condition like ED,PE.
• Pain during sex or can not orgasm.
• Surgery of genital organs or Breast.
  Fatigue.
• Changes in body Images e.g. poor body image.
• Medication of HTN, DM, Antidepressant, Antiallergics
  and Use of SSRIs.

Hormonal Causes:-

• Pregnancy
• Breastfeeding
• Reduced Hormonal Levels
• Hormonal Contraceptives in the form of Pills, Patches or Implants.
• Menopause due to decrease in estrogen.

Lifestyle Habits:-

• Too much Alcohol
• Smoking
• Drug Addiction
• Age:-Due to reduction in Testosterone and Estrogen.

• Relationship Counselling.
• Treating Sexual Problems:- Medicines for ED,PE etc.
• Lubricants for Vaginal Dryness.
• CBT:-Cognitive Behavioural Therapy for Depression and Anxiety.
• Meditation:-For Stress and anxiety.

• HRT:- Hormonal Replacement Therapy, Where the cause is hormonal.
• Changing Medicines for HTN,DM etc.
• Sex Therapy
• Sensate Focussing
• Pharmacotherapy
• Ginseng
• Yohimbine
• Ashwagandha
• Flibanserin
• Bupropion