A wide range of internal and external factors can lead to female sexual dysfunction. The most common sources of intimacy issues are the natural effects of aging and the physical and emotional shifts women experience due to pregnancy and childbirth. Other common causes include:
- Hormonal changes: As your body produces less estrogen, your body functions differently as its structure adapts. This can limit blood flow to the pelvis, cause skin to thin, and decrease your libido and natural lubrication—changing your response to intimate stimulation.
- Menopause: Both menopausal and post-menopausal women can experience decreases in libido, lubrication, and more.
- Medical issues: Some diseases and conditions, or even taking certain medications, can change your body’s sexual functions.
- Emotional issues: Depression can take a toll on your intimacy and satisfaction, especially postpartum. Other psychological and social stressors such as anxiety, stress, and low self-esteem can also contribute to declining sexual performance.