I have a good relationship with a supportive man, but my body feels ‘closed up’. Is it down to hormones – and does it happen to all women?

I am a 34-year-old woman. Throughout my 20s I enjoyed sex so much I found it difficult to resist. I was fairly promiscuous and my body became aroused without effort. Now, seemingly out of nowhere, my libido and interest in sex have almost disappeared, which has devastated me. I strongly suspect it’s due to a drop in hormone levels.

I am very healthy, not stressed, don’t drink or smoke and have a good relationship with a communicative and supportive man. But sex is now often painful, as I struggle with a loss of natural lubrication and I feel “closed up” and unaroused. I now feel I have to have sex when I simply don’t want it and my partner feels discouraged that I never initiate. Even in the event that I feel aroused psychologically by an idea or fantasy, my body won’t respond.

Pamela Stephenson Connolly is a US-based psychotherapist who specialises in treating sexual disorders.

If you would like advice from Pamela on sexual matters, send us a brief description of your concerns to [email protected] (please don’t send attachments). Each week, Pamela chooses one problem to answer, which will be published online. She regrets that she cannot enter into personal correspondence. Submissions are subject to our terms and conditions.

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