The vaginal lining also becomes thinner and less elastic, particularly if you’re not sexually active. These factors can lead to painful intercourse (dyspareunia). Sexual desire also decreases when hormonal levels decrease. Your body’s hormone levels also shift after giving birth and during breast-feeding, which can lead to vaginal dryness and can affect your desire to have sex. Psychological and social. Untreated anxiety or depression can cause or contribute to sexual dysfunction, nizagara blue pill as can long-term stress and a history of sexual abuse.

The worries of pregnancy and demands of being a new mother may have similar effects. Long-standing conflicts with your partner — about sex or other aspects of your relationship — can diminish your sexual responsiveness as well. Cultural and religious issues and problems with body image also can contribute. Depression or anxiety Heart and blood vessel disease Neurological conditions, such as spinal cord injury or multiple sclerosis Gynecological conditions, such as vulvovaginal atrophy, infections or lichen sclerosus