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On the other hand, a person can engage in sexual activity without an actual desire for it.

Multiple factors affect human sex drive, including stress, illness, pregnancy, and others.

Problems can arise from disparity of sexual desires between partners, or poor communication between partners of sexual needs and preferences.

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Other causes include experience of sexual abuse, assault, trauma, or neglect, body image issues and anxiety about engaging in sexual activity.

Physical factors that can affect libido include endocrine issues such as hypothyroidism, the effect of certain prescription medications (for example flutamide), and the attractiveness and biological fitness of one's partner, among various other lifestyle factors.

Freud developed the idea of a series of developmental phases in which the libido fixates on different erogenous zones—first in the oral stage (exemplified by an infant's pleasure in nursing), then in the anal stage (exemplified by a toddler's pleasure in controlling his or her bowels), then in the phallic stage, through a latency stage in which the libido is dormant, to its reemergence at puberty in the genital stage.

Freud pointed out that these libidinal drives can conflict with the conventions of civilised behavior, represented in the psyche by the superego.

Although some specialists disagree with this theory, menopause is still considered by the majority a factor that can cause decreased sex desire in women.

The levels of estrogen decrease at menopause and this usually causes a lower interest in sex and vaginal dryness which makes intercourse painful.A person may have a desire for sex, but not have the opportunity to act on that desire, or may on personal, moral or religious reasons refrain from acting on the urge.Psychologically, a person's urge can be repressed or sublimated.In the week following ovulation, the testosterone level is the lowest and as a result women will experience less interest in sex.Also, during the week following ovulation, progesterone levels increase, resulting in a woman experiencing difficulty achieving orgasm.These factors can include lack of privacy or intimacy, stress or fatigue (medical), distraction or depression.

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