Sexless Marriage Help
Sexless Marriage: Why It Happens and How to Rebuild Intimacy
Maybe sex has become infrequent, or stopped altogether. Maybe one of you wants it and the other avoids it. Maybe every conversation about it ends in defensiveness or silence or doesn’t happen at all.
You are not alone. Between 15 and 20 percent of married couples are in a sexless marriage, and millions more are in low-sex marriages that feel just as painful. This page is for both of you; the partner aching for connection and the one who has pulled away. Understanding what is really happening is the first step toward changing it.
About Laura
Laura How is a relationship therapist specialising in sexless marriage, desire mismatch, and intimacy breakdown. This page draws on her clinical experience and research to explain why sexual intimacy breaks down and what actually works to rebuild it. She works with couples and individuals worldwide, helping them restore intimacy, emotional connection, and sexual confidence. Laura also shares insights on relationships and intimacy with an audience of over 30,000 subscribers on YouTube and through her Love & Cherish podcast.

A sexless marriage is not just a bedroom problem. It is a relational problem — and it requires both partners to address it together.
FEMALE SEXUAL DESIRE IN LONG-TERM MARRIAGE
If sex feels distant, pressured, or confusing, this is where to begin.
In many sexless marriages, the issue is not simply frequency. It is a shift in how female desire functions over time. This guide explains responsive desire, emotional safety, hormones, body confidence, and how women can rebuild a healthy relationship with their sexuality.
What Is a Sexless Marriage?
The clinical definition is straightforward: fewer than ten sexual encounters per year. But that threshold, while useful as a benchmark, misses the point for most couples who are struggling.
A couple having sex twelve times a year but where one partner feels consistently rejected, unseen, or unwanted is not in a healthy marriage just because they technically clear the bar. And a couple having sex less frequently than they once did, but where both feel desired, connected and close, may not be in crisis at all.
What actually defines a sexless marriage is not frequency. It is the presence of desire discrepancy that goes unaddressed, the lack of physical closeness, and the replacement of warmth and connection with distance, guilt, and resentment. It is the feeling for one or both partners, that something important has gone, and that raising it is either pointless or too risky to attempt.
If that is where you are, the number of times you had sex last year is less important than what that pattern means for both of you, and what is driving it.
The Prevalence of Sexless Marriages
Sexless marriage is far more common than most couples realise and far more damaging when left unaddressed.
01
Globally Widespread
15–20% of married couples are in a sexless marriage
02
Closer to Home
29% of UK couples describe their relationship as sexless
03
A Growing Problem
50%+ decline in marital sex frequency since the 1990s
Common Causes of Sexless Marriage
The decline of sexual desire in marriage is almost never simple. It usually involves a combination of biological, emotional, relational, and cultural factors that compound over time.
Hormonally, desire (particularly for women) shifts significantly after pair bonding and childbirth. The honeymoon phase, fuelled by oxytocin and novelty, does not last, and many couples mistake that natural transition for evidence that something is wrong. Add chronic stress, poor sleep, screen use, and a culture that consistently places individual fulfilment above relational investment, and the conditions for desire erode over years.
Desire discrepancy, where one partner wants sex more than the other, is the norm in long-term relationships, not the exception. The problem is not that it exists, the problem is what happens when it goes unaddressed. The higher-desire partner feels rejected and resentful. The lower-desire partner feels pressured and avoidant. Without honest conversation, the gap widens until intimacy feels impossible to restore.
What Sexual Rejection Does to a Marriage
Marriages rarely collapse because of one dramatic event. They disintegrate slowly, through the accumulation of small but repeated rejections. The eye roll. The cold shoulder. TheN’ot tonight’. Each one feels minor in isolation, but compounded over months and years, they become devastating.
Gottman’s research on bids for connection shows that how partners respond to small moments of reaching; for comfort, contact, or closeness is one of the strongest predictors of relationship survival. Partners who consistently turn away, slowly starve the relationship of the warmth it needs.
When sexual needs go unmet for long periods, the consequences extend far beyond the bedroom. Emotional connection dries up. Everyday affection disappears. The higher-desire partner feels unwanted as a person, not just as a lover. The lower-desire partner feels chronically guilty and increasingly avoidant of any physical closeness at all. Left long enough, criticism, contempt, defensiveness, and stonewalling take hold; and once those patterns are established, they are very difficult to reverse without help.
Why Sex and Trust Are Inseparable & Essential
Sex and trust are not two separate elements of a marriage that happen to be related. They are deeply interdependent; each one sustaining the other, each one capable of diminishing the other.
You cannot have meaningful sexual connection without a general sense of trust and safety. If one partner feels criticised or emotionally unsafe, desire will retreat. Sexual vulnerability requires genuine security, and that security is built, or damaged, in the everyday moments of a marriage long before anyone gets to the bedroom.
But the reverse is equally true. Sexual intimacy actively builds trust. Physical closeness, oxytocin release, the experience of being accepted and wanted; these reinforce the bond in ways that conversation alone cannot replicate. When sex goes, trust lowers and when trust lowers, sex feels even less safe. The two feed each other in both directions, which is also why restoring one can begin to restore the other.
“When sex is avoided, the stress of its absence dominates a marriage. When it is embraced, it takes its natural place — fuelling the relationship rather than creating drag and tension.”
What Sex Actually Means in a Marriage
For men, popular culture reduces sexual desire to something shallow or immature; which creates shame around expressing a need that is, in reality, deeply relational. Many men in sexless marriages feel not just physically frustrated but emotionally invisible.
For women, the messaging is different but equally damaging. Female desire is routinely downplayed, and desirability tied narrowly to age or appearance. When intimacy fades, women can internalise this as evidence of being undesirable, even when that is entirely untrue.
What sex represents is worth exploring honestly. Is it a way to feel desired? A space for genuine vulnerability? A way to reconnect after conflict? For most couples it is all of these things at different times, which is precisely why its absence is felt so deeply, and why restoring it matters so much.

“Choosing intimacy is not just good for your marriage. It is good for your health, your confidence, your children, and ultimately for the next generation of relationships they will build.”

Is Sex a Need or Just a Want?
One of the most damaging arguments in a sexless marriage is also one of the most common: sex isn’t a real need. You can survive without it.
Technically true. But you can also survive without feeling loved, valued, or emotionally connected. That does not make those things optional in a marriage.
A need is a ‘psychological or physiological requirement for wellbeing’, and sexual intimacy meets that definition. Brain imaging studies show that social rejection activates the same pain-processing systems as physical injury. When touch and intimacy are consistently absent, stress hormones rise, immune function drops, and mental health suffers. For many people (particularly men), sex is not primarily about physical release. It is about emotional connection, feeling wanted, and experiencing love in a language that feels real to them.
Dismissing a partner’s need for intimacy as just a want is not a neutral observation. It is a conversational dead end that leaves the higher-desire partner feeling invisible and increasingly alone and it does not make the need go away.
If You Are the Higher-Desire Partner
Wanting sexual intimacy in a marriage is not needy or unreasonable. It is a legitimate emotional need. A monogamous relationship is by definition a sexual relationship, and expecting one partner to accept indefinite celibacy without discussion is not a position a loving partner can reasonably hold.
The pain of repeated rejection; wanting to be close to the person you chose and being consistently turned away, is real and serious. Many people describe a slow erosion of self-worth, energy, and hope. That is not an overreaction. It is the predictable consequence of a genuine need going unmet for too long.
What you can control is how you approach the conversation with clarity about what you need and genuine curiosity about what is going on for your partner. The goal is not to win. It is to finally be heard, and to understand enough about what is happening on their side to find a way forward together. If you have been trying to have this conversation for months or years without progress, you do not have to keep trying alone.
If You Are the Lower-Desire Partner
You are not broken. Low desire after years of partnership, childbirth, stress, hormonal changes, or unresolved tension, is extremely common. But staying silent about what is actually going on is not a solution.
Your partner’s need for intimacy is real. Dismissing it as shallow or optional, however tempting when you are already overwhelmed, does not make it go away. It adds distance, resentment, and a level of disconnection that becomes very hard to reverse.
What your partner needs is not for you to force yourself into something that feels wrong. It is for you to be honest about what is actually getting in the way and willing to work on it together. That willingness, even without immediate change, shifts everything. Sometimes what is getting in the way is complex enough; hormonal, psychological, historical – that individual sessions are a useful starting point if couples work feels like too much right now.
IS YOUR MARRIAGE IN CRISIS?
Book a 1-Day COUPLES Intensive with me

Laura How
Relationship Counsellor & Coach

How to Rebuild Intimacy in a Sexless Marriage
There is no single solution, because there is no single cause. But these principles work across almost all cases — and most of them you can begin today.
1. Break the Silence Around Sex
Have an honest conversation where both of you say what sex actually means to you. Not how often, but what it represents. For the higher-desire partner, it may be the primary way they feel loved and chosen. For the lower-desire partner, it may feel like pressure, obligation, or one more demand on an already depleted person. Neither is wrong. But as long as one is saying “I want it” and the other “I don’t” without understanding what lies beneath, the conversation goes nowhere.
Approach your partner’s withdrawal with curiosity rather than accusation. Not “what is wrong with you?” but “what is going on for you?” When you have the conversation, it can go one of three ways: willingness to engage, defensiveness that can shift with patience and support, or refusal to engage at all — which is itself important information, and the point at which professional help becomes necessary.
2. Understand How Responsive Desire Works
Many people, particularly women, do not experience desire before intimacy begins. They experience it once it has started. Waiting to feel like it almost guarantees sex never happens. This is simply how responsive desire works, and understanding it removes a significant layer of shame and confusion for both partners.
3. Restore the Physical Language Between You
If sexual reconnection feels too big a leap, begin with non-sexual physical closeness — cuddling before sleep, holding hands, a hug that lasts longer than two seconds. These small acts rebuild the physical language between partners and create the conditions in which desire can return.
4. Remove the Obstacles to Sexual Connection
Medication, hormonal changes, mental health, stress, body image, unresolved resentment, poor sleep. None of these fix themselves. Many couples find that addressing one specific barrier unlocks progress that months of trying had not achieved. Be honest with each other — and if needed with a GP — about what is actually getting in the way. Where multiple factors are compounding, specialist support can help untangle what is driving what.
It’s also worth asking a harder question here: is sexlessness the cause of the disconnection between you, or a reflection of it? If intimacy broke down first, rebuilding it intentionally can be the catalyst for wider repair. If it followed betrayal, ongoing hostility, or deep resentment, the emotional healing has to come first. Knowing which is true for you changes where you begin.
5. Work as a Team
The couples who make real progress stop trying to win the argument about sex and start treating it as a shared problem to solve together. As long as one partner pursues and the other retreats, both are locked in a dynamic that makes intimacy harder and the distance wider.
The shift that changes everything is agreeing on a simple premise: sex matters in this marriage, it isn’t optional, and it isn’t something one of us wants and the other can take or leave. It’s something we both need to figure out — together. Not will we or won’t we, but how do we get there from here.
That reframe turns two people facing off across a problem into a team working on one. And that’s when real progress tends to begin.
6. Let go of Resentment
When resentment has built up over months or years, intimacy can feel unsafe or inauthentic — not because the connection is gone, but because it’s buried under accumulated hurt. A deliberate reset — both partners agreeing to set down what has passed and approach each other with fresh eyes — isn’t naive. It’s often the thing that makes everything else possible.
This doesn’t mean pretending nothing happened or skipping past pain that hasn’t been properly acknowledged. It means making a conscious decision, together, that the marriage you’re building from here matters more than being right about what went wrong before.
7. Question the Narratives You’ve Both Absorbed
The stories we carry about sex, desire, and what our partner’s needs say about them do quiet, persistent damage. “His need for sex is shallow.” “Her lack of desire means she doesn’t love me.” “Desire just dies in long marriages.” None of these are true, and all of them make repair harder.
It’s worth looking at where those stories came from — friends, culture, media, a childhood home where intimacy was never modelled well. Couples who make real progress tend to move away from this noise, and toward a shared commitment to each other that’s stronger than the narratives working against them.
8. Make Intimacy Intentional
Making a deliberate, protected space for physical connection feels unromantic until you realise that waiting for the perfect spontaneous moment is exactly what has kept intimacy off the agenda. Put it in the diary. Protect it. Treat it as a commitment rather than a chore.
Intentional intimacy is often a temporary measure — a jump start, not a permanent way of operating. As intimacy is restored, things usually begin to change quite quickly. Each positive experience generates warmth and gratitude, which motivates more closeness, which creates more desire. Over time a virtuous cycle develops and spontaneous connection returns naturally. But it rarely gets there without the deliberate first steps.
If the answer is still no when the moment arrives, that is of course perfectly fine. But if it’s a no far more than a yes, if it’s a persistent pattern, then the work is in understanding why.
9. Make Your Marriage the Priority
Most couples don’t consciously decide to stop prioritising each other. It happens by default. Work expands. Children take everything. The bills need paying, the house needs running, and by the time you’ve both collapsed on the sofa the TV goes on and the phones come out. The relationship — the actual relationship, not the logistics of sharing a life — gets whatever’s left at the end. Which is usually not much.
The couples who rebuild intimacy successfully tend to have made a decision, explicitly, that this stops. Not because everything else matters less, but because a strong marriage makes everything else more manageable. When you’re genuinely a team — connected, warm, on each other’s side — the hard stuff is still hard, but you’re facing it together rather than across a growing distance.
That means protecting time that currently goes elsewhere. Putting the phones down. Choosing each other over the path of least resistance at the end of a long day. But it also means going further than just being present — it means actively enjoying each other. Switching the TV off and actually talking. Planning something new. Going somewhere neither of you has been. Bringing back some of the energy that existed when you were still trying to impress each other. Novelty matters more than most couples realise — new shared experiences create presence and attention, and have a habit of making you see your partner afresh rather than through the fog of routine.
10. Keep the Conversation Alive
Thirty minutes once a week — not during an argument, not at the end of an exhausting day — to ask: how are we doing? What do we need more of? What got in the way? This habit keeps the conversation alive and prevents the slow drift back into silence that undoes progress.
And broaden what you count as progress. More sex is one measure, but so is more warmth, more laughter, more affection, more moments where you both feel genuinely seen. These things matter. Noticing them — and saying so — builds momentum and reminds both of you that change is possible and that it’s already happening.
What My Couples Say
“Laura was our last hope as a couple. We were in such a bad place that we even fought on the way to our first session. Communication felt impossible. Laura met us in that space and helped us rebuild it. We now leave sessions feeling hopeful, understood, and more connected than we thought possible.”
Susan
“Initially we considered Laura to be our couples counsellor from the reviews, then after meeting with Laura for an initial chat, we knew that Laura would be our choice, based on how she just got what was going on for us so quickly and what needed to change for us to move forward in our relationship.”
Julie
“Couples counselling with Laura exceeded our expectations. She guided us with warmth, honesty, and empathy. We felt supported but also challenged in the right ways. The changes we made have strengthened our relationship, and we are truly grateful for the experience.”
Yanka
When a Sexless Marriage Needs Therapy
Some situations are too entrenched to move without help. Months or years of bidirectional withdrawal, compounding barriers, resentment that has hardened — these rarely resolve through goodwill alone. If you have been trying and not getting anywhere, that’s not a sign of failure. It’s a signal that the patterns between you need skilled support to shift.
One sign that professional help has become necessary is when physical avoidance has spread beyond sex entirely. Many couples in this situation stop kissing properly, stop touching, stop reaching for each other in the small everyday ways that once came naturally. A hug becomes awkward. A kiss goodbye disappears. The body learns to stay at a safe distance, and over time that distance hardens into the new normal. When affection itself has been lost — not just sex — the gap has usually grown too wide to close without help.
Coming early makes the work faster and the outcomes significantly better. Therapy isn’t the last resort — it’s often the thing that turns genuine effort into genuine change.
Ready to Get Support?
If you’re struggling in a sexless marriage, working with a therapist who understands intimacy and long-term relationship dynamics can make a significant difference.
All of our therapists deliver the ‘Laura How’ approach. The same research-backed, solution-focused methodology featured in our YouTube content and podcast. Marijke and Zac work under Laura’s close, case-by-case supervision to ensure you receive the proven strategies and values-driven ethos that define our work. While they bring their own personality and experience to sessions, they follow the same integrative framework. You’ll work consistently with the therapist you choose, receiving personalized support grounded in the Laura How methodology from start to finish.
Click More Info to get to know them better, see their availability, and book your first session.

Zac Fine – Masculinity Therapist
Zac is a psychological therapist specialising in men’s emotional wellbeing, healthy masculinity and relationship dynamics. Much of his work involves helping men understand intimacy, rejection, desire mismatch, and communication within long-term relationships.
Session Fee: £100 per hour
Specialisms: Couples, Men’s Issues
Availability: Monday – Tuesday

Laura How – Therapist & Coach
Laura is a relationship therapist specialising in sexless marriage, desire mismatch, and intimacy breakdown in long-term relationships. Her work combines direct, emotionally honest therapy with practical strategies to help couples rebuild sexual and emotional connection.
Session Fee: £150 per hour
Specialisms: Couples, Sexual Intimacy
Availability: Tuesday-Thursday + Friday Intensives

Marijke – Integrative Counsellor
Marijke works with couples who want to rebuild connection and intimacy in long-term relationships. Drawing on decades of personal and professional experience, she helps partners develop honesty, emotional maturity, and responsibility in order to repair trust and restore closeness.
Session Fee: £100 per hour
Specialisms: Couples, Young People
Availability: Monday – Tuesday
Frequently Asked Questions About Sexless Marriage & Couples Therapy
If you’re here, you’re probably exhausted. You may have tried talking, arguing, ignoring it, fixing yourself, fixing them, reading, researching, even giving up. A sexless marriage rarely happens overnight, and it rarely has a single cause.
These are the questions couples most often ask before they reach out.
