Is low sex drive threatening your marriage? Sexual drive decreases with age in both men and women. Hormonal changes, fatigue, social changes, “empty nest syndrome”, return of grown children to the home, caring for ill parents, stress, loss of a partner, health of a partner, medical conditions, medications, substance abuse, changes in body image and self-esteem are some of the factors that can affect women’s sexual function. Yes, women are complex beings! An expert healthcare professional can help identify these factors and provide counselling and education about lifestyle changes and treatments.