Psychological causes for HSD may include a lack of attraction to one’s partner, fear of intimacy and/or pregnancy, marital or relationship conflicts, religious concerns, de­pression, and other psychological disorders. HSD can also result from negative messages about female sexuality while growing up, treating sex as a chore, a concern over loss of control, or a negative body image (Heiman & LoPiccolo, 1992). Anorexia, sexual coer­cion, and abuse have all been found to be associated with HSD (J. F. Morgan et al., 1999). In one study of survivors of sexual assault, more than half had long-lasting prob­lems with sexual desire (Becker et al., 1986).

HSD in both men and women may also be due to biological factors such as hor­monal problems, medication side effects, and illness. Chronic use of alcohol, marijuana, and/or cocaine have also been implicated in HSD (Abel, 1985).