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Couples therapy for sexual dissatisfaction and mismatched desire

One of you wants more, or something different. Sex has become a source of pressure, rejection, or silence. These differences are common, and they can be talked about.

Couples & partners · Secure video across Illinois · Gottman-informed & EFT

What this can look like

  • Different levels of desire

  • Sex feels like a chore or a negotiation

  • Rejection that leads to distance

  • Changes after a baby, illness, or stress

  • Trouble talking about what you each want

  • Feeling more like roommates than partners

Why it happens

Desire differences are common

Mismatched desire is one of the most common sexual concerns couples report, especially during big transitions like becoming parents.

Pressure tends to lower desire

When sex turns into a source of conflict, both partners often start avoiding the topic, and the gap can widen.

Emotional and physical intimacy are linked

Feeling disconnected outside the bedroom often shows up inside it, and the reverse is true too.

How couples therapy can help

01

Talk about it safely

Create a way to discuss sex and intimacy without blame or pressure.

02

Understand each other’s desire

Explore what helps and what gets in the way for each of you, including stress, health, and history.

03

Rebuild intimacy step by step

Reconnect through touch, affection, and closeness that feels good to both of you.

WHAT THE RESEARCH SAYS

Very few couples match exactly

In a study of 255 couples who had recently had a baby, only 5% reported matched desire. Larger gaps were linked with lower sexual satisfaction for both partners.

Questions

Start with one conversation, together.

A free, no-pressure 15-minute phone call. Ask about fees, insurance, or how we work.

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SOURCES

  • Rosen, N. O., Bailey, K., & Muise, A. (2018). Degree and direction of sexual desire discrepancy are linked to sexual and relationship satisfaction in couples transitioning to parenthood. The Journal of Sex Research, 55(2), 214–225. doi:10.1080/00224499.2017.1321732

This page is general information, not a substitute for therapy.