Why do I have no feeling during intercourse?
Lack of feeling during intercourse can result from physical changes such as hormonal shifts, nerve injury, vaginal dryness, or psychological factors like stress and relationship issues. A thorough assessment is key to finding the cause.
Detailed Medical Explanation
Having no sensation during intercourse can stem from several factors. Physically, low oestrogen levels, especially around menopause, can thin vaginal tissues and reduce sensation. Nerve damage from surgery, childbirth, or chronic conditions (e.g., diabetes, multiple sclerosis) may impair sexual response. Medications, particularly antidepressants, are known to lower sensitivity. Psychologically, stress, anxiety, or unresolved emotional issues can inhibit arousal and response. Addressing both physical and emotional factors is often required. NHS information.
Clinical Context
It is important to seek a thorough medical and psychological evaluation if you experience no feeling during intercourse. Tailored interventions, including hormone testing, medication review, and mental health support, can be highly effective.
Evidence-Based Approaches
NICE and NHS recommend a multidisciplinary approach, including gynaecological assessment, pelvic floor therapy, psychological support, and sometimes medication adjustments (NICE CKS).