Where did my libido go?

Where did my libido go? Dr Rosie King

Please note: this review contains reasonably direct references to the sexual life of a married couple.

While not universal, it is not uncommon for wives to note that their desire for sex is lower than that of their husband. Australian doctor and sex therapist, Dr Rosie King has written this book to help women understand and address the differences in their sexual desire to that of their partners.

Her aim is to help women and their partners understand:

• How sexual desire works
• How to maximise libido
• How to increase their sexual enjoyment and
• How to create a regular, satisfying sex life even if they have low desire

She identifies the desire complaints she regularly receives, which fall into three categories:

• I don’t want as much sex as I used to
• I want sex, but not with my partner
• I don’t want sex as often as my partner does

She then considers three cornerstones for overcoming low libido, so together with your husband you can work together to:

• Maximise your sexual desire
• Ensure your relationship is happy and healthy
• Make your sexual activity as enjoyable as possible

King then explores the natural range of desire that women feel, and how it can be affected by life circumstances and stages of a relationship. She analyses some of the chemistry and biology behind desire, and what generally are the inhibitors or enhancers of desire for both men and women.

She explores the question that many women ask: “what’s wrong with my libido?”, especially when they compare it to their partner’s. She helpfully explores the following statements:

• For him sex is relaxing, for her it’s hard work
• His desire is robust, for her it’s conditional
• Stress kills off her sex drive, but not his

She explores medicinal options including testosterone therapy, although concludes it should only be used with reasonable caution. She also considers how the media has unhelpfully contributed to the idea that all women should be interested in sex (much of what she is referring to is mainstream media as well as pornography). She notes how the pendulum has swung completely, for pre-1960s it was assumed women were not interested in sex, in fact there were thought odd if they were. Now with the sexual revolution it has gone completely the other way, with the assumption that all women want and get great sex. As she dryly notes, “we have progressed from the Victorian idea of sex as a marital obligation to be endured by women to the modern notion that all women should be sex-crazy.”

She spends some time considering that numerous women in happy relationships are open to sex, and enjoy it when it happens, but rarely pursue it: “they no longer feel levels of lust high enough to motivate them to initiate sex with their partners. This is such a common scenario it must be considered normal.” In this case, often desire comes after arousal, not before, and so changing expectations around desire can help, as “it is not a prerequisite for enjoyable sex”. This is one of the most helpful observations of the book, along with the further explanation and mindset that accompanies it.

She introduces the idea of the pursuer-distancer cycle, and its impacts on a couple. There are helpful analyses here of how both pursuers and distances relate, and what happens when ‘mercy sex’ is granted, when the distancer does not want it but does so out of guilt or other motivations. She encourages both partners to stop blaming and rather establish goodwill, being able to see the situation from both perspectives.

Part 2 turns towards maximising your desire and arousal. When considering desire, she encourages couples to consider the physical, psychological and contextual factors that inhibit their desire, and then turns to relationship and sexual inhibitors, considering ways to address each.

This includes healing your relationship, by fostering goodwill: “Goodwill is the key to a happy relationship and a fulfilling sex life.” There are ways provided to assess your relationship, how much goodwill you have and whether you really need professional help. Then she progresses to ways to increase goodwill, including an attitude of gratitude and appreciation, identifying and avoiding resentment, and communicating love. She considers Chapman’s love languages as well as some of Gottman’s ideas here. Obviously, increasing the overall quality of relationship comes prior to re-establishing a satisfying sex life.

There is a chapter about the male and female bodies, including considering one’s own sex-related inhibitors, with detailed explanations of the form and function of the male and female genitals.

She then works through three things to help:

• Create the right conditions for sex
• Create a strong focus on erotic pleasure (she is open to pornography use here), and there are detailed exercises for individuals and couples to use (there are some similarities here to what Patricia Weerakoon suggests for couples)
• Ensure one is adequately stimulated (she supports fantasy and pornography use)

Part Three turns to balancing your sex drives, and stopping the pursuer-distancer cycle. This will be helpful for couples who are able to communicate about these things. She then consider why we have sex at all, and how to make it easier to say yes to sex, including the concept of good enough sex, being "an enjoyable emotional and physical connection between two people who care for each other".

I don’t tend to read many non-Christian books about sexual intimacy, as there are likely to be numerous things I disagree with or would not recommend. At some points this is the case, including her suggestions to potentially use pornography and fantasy as stimulation, regular use of masturbation for the higher desire partner, a brief comment about the possibility of open marriages (although she acknowledges few people can actually do this) and the suggestion that ‘outercourse’ is a good safe-sex option for teens. But, these are not the main parts of the book, and all her suggestions can be utilised without these options.

However, taking those things into consideration, this is a very helpful book. For those women that experience a ‘desire discrepancy’ from that of their husband, they are likely to find much here to be of help. Whether it’s her honest assessment of some situations (there will be couples who have not have sex for years, and the wife does not want to at all) or her openness about the benefit of change, couples who are stuck in their sexual relationship (or lack of it) may find much of help here.