A question about sex, eh! Mary, are you really Canadian? Quick, who scored the winning goal in the 1972 Canada/Russia hockey series? lol

I agree with much of what has been said. This is a complex issue that I doubt has one definitive answer. For example, menopause doesn't lower the libido in all women. Some, for example, find they're more relaxed knowing there is no risk of conception. (Their kids must be terrors.)

I think that fatigue is another factor in this problem. Pain, and getting through the day in pain, is exhausting. Sex takes a lot of energy.

Psychological factors are also at play. In addition to an altered body image, I also think that resentment toward a partner who doesn't always understand the trials of our daily lives can lower desire. "Come hither, you big, insensitive clod." See what I mean?

Cheers