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Physical: illness, some medications, drug or alcohol abuse, fatigue, depression; high prolactin [a hormone that is raised during breast feeding], a tumour in the pituitary gland [rare], stress, age, thyroid disease, diabetes, pain during intercourse or sexual arousal, oral and injectable contraceptives may affect libido, and vaginal dryness after menopause which causes discomfort and therefore loss of desire to engage in intercourse.
Psychological: distractions of daily living, divorce, childbirth, bereavement, anger; fear: of pain, pregnancy, sexually transmitted diseases, of being infertile; trying too hard; past negative experiences, feelings of shame, inadequacy or embarrassment; negative feelings for her partner, relationship problems.
Stress can cause women to have far more interest in sleep than in sex.
