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On Desire & Disconnection

You Don't Have a Libido Problem. You Have a Disconnection Problem.

By Dr. Ashley Contorno DPT, PT, FMS, CCRP · May 26, 2026 · 9 min read

If your sex drive feels gone, you are not broken. Your libido is responsive, not spontaneous. Here is what is actually happening, and how to start the loop again.

A lot of people come to me and say, "I just don't have a sex drive anymore."

I hear them. I believe that is how it feels. But I am going to tell you something in this article that might challenge what you have been told, and I need you to stay open to it:

Your libido is not broken. It is not gone. It is not a personality trait you have lost. It is a feedback loop that has been starved, and it is sitting there waiting for you to feed it again.

Most of what you have been sold about your sex drive is wrong. The hormones-only narrative is wrong. The "I'm just not a sexual person anymore" narrative is wrong. The pill-fixes-it narrative is wrong. And the "I should be spontaneously horny like I was at twenty-five" narrative is the most wrong of all.

What is actually happening is much simpler, much more honest, and much more fixable. You have disconnected from your own sexuality, for a thousand legitimate reasons, and the disconnection has trained your body to forget what it feels like to want.

This is the article about how to start remembering.

Why your libido left

Your libido can disappear for a thousand reasons. Every single one of them is valid.

Maybe you never really had one. Maybe it was there and faded over time. Maybe a life event killed it. A breakup. A trauma. A health crisis. Maybe medication buried it (antidepressants, birth control, blood pressure meds, all notorious for flatlining your sex drive). Maybe stress took it. Maybe kids took it. Maybe work took it. Maybe you have been so goddamn busy surviving that sex fell off the list entirely and you didn't even notice until one day you realized you have not thought about being touched in months.

There is always an excuse for your libido not to be there. Life gets in the way. You are exhausted. You are overwhelmed. You are touched out from kids climbing on you all day. You are not feeling attractive. You are dealing with something bigger. Your relationship is stale. You have not orgasmed in so long you have forgotten what it feels like.

All of that is real. All of it is valid.

And your libido is still in there.

It might be buried under ten years of stress and resentment and sweatpants. It might be dormant. It might need some serious excavation. But it is there. The question is whether you are willing to do the work of finding it.

The use-it-or-lose-it truth

Here is the part nobody wants to say out loud:

If you don't use it, you lose it.

Your libido is not a switch that is either on or off. It is a feedback loop. The less you think about sex, the less you want sex. The less you have sex, the less you think about sex. The less you cum, the less you crave cumming. The cycle continues until sex feels like something that belongs to a different version of you. A version that does not exist anymore.

But here is the other side of that loop.

The more you think about sex, the sexier you feel. The sexier you feel, the more you want sex. The more you orgasm, the more your body craves orgasm. The wetter you get, the more you want to get wet again. The harder you get, the more you want to be hard again. It fills its own cup. The loop works in both directions.

There is real science behind this. When you orgasm, your body releases a cocktail of neurochemicals: dopamine (the reward chemical, your brain's way of saying holy shit, do that again), oxytocin (the bonding chemical), endorphins (your body's natural painkillers and mood elevators), serotonin (for emotional regulation). These chemicals do not just make you feel good in the moment. They create a reinforcement loop in your brain. Your brain learns: this felt good, I want more of this. The more frequently you activate that loop, the stronger it gets. The less frequently you activate it, the weaker it gets.

Your brain literally forgets that sex feels good if you go long enough without it.

This is why people who have regular orgasms want more orgasms. And people who have not come in six months cannot remember why they would bother. The biology is working exactly as designed. You just have to restart the engine.

The reframe that changes everything: responsive vs. spontaneous desire

There is a concept in sex research that almost nobody outside of clinicians knows about, and it is the single most important thing I want you to walk away with from this article:

There are two kinds of sexual desire. Spontaneous and responsive.

Spontaneous desire is what most people think libido should look like. You are just randomly turned on. It hits you out of nowhere. You see someone and you want to rip their clothes off. This is the desire model that gets sold to us in movies, in advertising, in every cultural story we have been handed about sex.

Responsive desire is something else entirely. With responsive desire, you get turned on in response to stimulation. The desire comes after the arousal starts, not before.

This matters because responsive desire is far more common than spontaneous, especially in women.

If you have been sitting around waiting to feel spontaneously horny before you engage with sex, you might be waiting forever. But if you start with the stimulation (the touch, the environment, the mental engagement, the lingerie at 2 p.m. on a Tuesday), the desire follows. You do not need to feel turned on to start. You need to start to feel turned on.

This is not a dysfunction. This is how most human sexuality actually works. The fact that nobody teaches us this is criminal.

You don't need to feel turned on to start. You need to start to feel turned on.

When you understand this, the question stops being why don't I want sex anymore? and starts being what am I doing to give my body a reason to want it?

The answer, for most people, is: nothing. They are waiting for desire to show up on its own, while doing absolutely nothing to invite it.

A candle does not light its own flame

Most people lay in bed at 10 p.m. after a full day of work and kids and stress and think, I do not know why I do not want to have sex.

You do not want to have sex because you did absolutely nothing all day to make yourself feel sexual. Of course you do not want it. You did not prime the pump.

A candle does not light its own flame. It needs something to intervene. Same thing with your libido. For most people, sexual desire is not going to spontaneously appear while you are folding laundry. You need to set up the environment, mentally and physically, to feel in the mood. You need to give your brain a reason to think about sex. And then your body follows.

What does that look like? It looks different for everyone. But here are some places to start.

Make it physical. Light candles. Draw a bath with the good shit (oils, salts, the whole thing). Wear something that makes you feel hot. Not for a partner. For you. Put on the lingerie when you are home alone on a Tuesday afternoon and see how it makes you feel. Walk around your house naked. Touch fabrics that feel good on your skin. Silk. Satin. Cashmere. Your body responds to sensation. Give it something to respond to.

Start with your hands. Play with your nipples while you are watching TV. Run your fingers down your stomach. Let your hand rest between your thighs without any agenda. Not to get off. Just to reconnect with the idea that your body is a sexual thing. A lot of people have completely disconnected from the reality that their body is capable of pleasure. You have to re-introduce yourself to it.

Make it mental. Watch porn. There is nothing wrong with watching porn to get turned on. That is literally what it is for. Listen to audio porn. Read erotica. Read those smut books everyone is reading on the plane. Let your brain wander somewhere filthy and do not feel guilty about it. Sext someone. Find someone on a dating app and let the conversation go somewhere that makes your cheeks flush. Your brain is the biggest sex organ you have. If you are not feeding it anything sexual, it is not going to produce sexual desire. That is not dysfunction. That is logic.

Make it sensory with a partner. Tell them to kiss you. Not a peck. A real kiss. The kind that makes your stomach flip. Have them run their fingers lightly down your arms, across your neck, along your inner thighs. Sensory play. Not with the goal of fucking. With the goal of waking your body up. Let arousal build without any pressure to perform or finish. Just feel it.

The point is: do something. Anything. Stop waiting for your body to magically be ready and start creating the conditions for it to get there.

Wanting to want it

There is a difference between wanting to have sex and wanting to want to have sex.

If you are in the second camp, you are not broken. You are at the starting line.

Some people physically want it but the mental piece is not there. Their body responds but their brain is somewhere else. Some people mentally want it (they wish they wanted it) but their body is not playing along. Both are common. Both respond to the same approach: create the environment, engage the senses, and let the loop start building again.

And here is something that might sound wild, but I mean it. Schedule sex.

Put it on your calendar. And when I say sex, I do not just mean with another person. I mean masturbation too. Time with yourself and your body counts. It is still sex. It is still pleasure. It is still feeding the loop. You schedule time to go to the gym. You schedule meetings. You schedule doctor's appointments. Why is your pleasure the one thing that is supposed to happen spontaneously or not at all?

At first it might feel forced. It might feel mechanical. You might be laying there thinking this is ridiculous, I have a calendar reminder to touch myself. That is fine. Do it anyway. Show up for it the same way you show up for a workout you do not feel like doing. Because over time, as the loop builds, as the chemicals start flowing, as your body remembers what it feels like to want, you will stop having to schedule it. You will start craving it. And that craving is your libido coming back online.

A word about hormones

I want to address hormones directly because I know it will come up.

Yes, there is a hormonal interplay that can increase or decrease your desire. Testosterone, estrogen, progesterone, thyroid hormones, cortisol. They all play a role. Menopause, andropause, PCOS, thyroid disorders, medications, all of these can affect your hormonal landscape and by extension your libido. If you are a woman going through menopause and your estrogen has tanked, that is going to affect your desire and your physical response. If you are on an SSRI and serotonin is flooding the system, that can flatline your sex drive. These are real. These are physiological.

But here is what I want you to know. I know people with objectively low hormone levels who still have high sex drives. And I know people with perfectly normal bloodwork who have zero interest in sex. I have seen it over and over.

I believe the mental regulator of libido is a much greater factor than the hormonal or the physical.

That does not mean hormones do not matter. If you suspect a hormonal issue, talk to your doctor. Get bloodwork. Explore your options. HRT, testosterone therapy, medication adjustments, whatever your provider recommends. But do not use hormones as the sole explanation for a missing libido. And do not let a doctor tell you that a pill is the only answer. Because more often than not, the real issue is what is happening between your ears, not between your legs.

One last thing

Your libido is not dead. It is not broken. It is not gone.

It is waiting. Waiting for you to give it permission. Waiting for you to create the space. Waiting for you to stop pretending you do not want it and start doing something about it.

You deserve to feel turned on. You deserve to want to be touched. You deserve to cum so hard you forget what day it is. You deserve pleasure. Not someday. Not when everything is perfect. Not when you have lost the weight or fixed the relationship or finally found the right partner. Now.

The work starts with one decision: stop calling this a libido problem. Call it what it actually is. A disconnection. From your body. From your senses. From the parts of yourself that used to know how to want.

Then go reconnect.

If you're ready to stop surviving and start rebuilding, explore my self-paced programs →

I love you. I am proud of you.

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