Sexless Marriage: What Counts, What Causes It, and What Actually Helps

Article hero card: Sexless Marriage — what counts, what causes it, what helps, Daniel A. Burgess, LMFT

“Sexless marriage” is one of the most-searched relationship phrases on the internet, and one of the least-discussed topics in real life. If you found this page at midnight after another silent evening, you’re in more company than you know — and the situation is more workable than it feels.

What actually counts as a sexless marriage?

Researchers typically use a working definition of sex fewer than ten times a year. But the label matters far less than the pattern: what most couples mean when they say “sexless” is that intimacy has stopped, nobody talks about it, and both partners are quietly afraid of what the silence means. A couple having sex six times a year who can talk about it openly is in better shape than a couple having sex monthly through gritted teeth.

The more useful questions than “do we qualify?” are: When did it change? What did we each decide it meant? And who stopped initiating first — and why?

How marriages become sexless — it’s rarely one big thing

Almost no marriage goes from regular intimacy to none overnight. The usual path is a slow negative spiral: a stretch of stress or new-baby exhaustion lowers frequency; someone’s initiation gets turned down a few times and they initiate less to avoid the sting; the other partner notices the withdrawal and reads it as loss of interest; both start protecting themselves; months become years. By the time couples reach my office, the original cause often matters less than the avoidance system that grew around it.

Common ingredients in that spiral include desire differences that were never really talked about (see why mismatched desire isn’t rejection), unresolved resentment, pain or medical changes nobody addressed, pornography conflict that made sex feel contaminated, and — for many couples I work with — religious sexual shame that made sex feel like a duty or a danger long before it disappeared. For LDS and post-LDS couples, a faith transition can also scramble the meaning of sex itself: what was once framed as sacred obligation becomes uncertain territory neither partner knows how to renegotiate.

What doesn’t help

Scheduling more sex without addressing why it stopped. Ultimatums. Waiting for desire to spontaneously return on its own. Treating the lower-desire partner as the identified problem to be fixed. And the most common one: another year of not bringing it up because the last conversation went badly.

What actually helps

Naming it without blame. The turning point for most couples is the first conversation where “we have a pattern” replaces “you have a problem.” That conversation is hard to have alone, which is much of what couples therapy is for.

Rebuilding touch before rebuilding sex. Couples who haven’t been intimate in years usually can’t leap back to intercourse — and shouldn’t try. Reintroducing affection with the pressure deliberately removed lets both partners stop bracing.

Treating the actual causes. If shame is in the room, shame gets addressed. If it’s resentment, the ledger gets worked through. If it’s pain, medical care joins the plan. If it’s pornography conflict, that gets its own careful process. Sexless marriages have causes, and causes have treatments.

You don’t have to choose between the marriage and intimacy

Most couples in sexless marriages still love each other — that’s usually why the silence hurts so much. If this is your marriage, the full picture of how I work with it is on the sexless marriage counseling page. Therapy is available online for couples in California and Utah; coaching and courses are available worldwide.

Where this conversation continues

The blog is what I can say publicly.

There is a category of question this blog can’t hold — the ones needing more nuance than a shareable post allows, where the honest answer is complicated. Those go in the Inner Circle: members-only essays with real clinical depth, and five private forums where you can ask under a name of your choosing. Nothing posted there is public or indexed.

From $19 a month — or a one-year pass that never renews. Cancel in one click. Open to anyone, anywhere; you don’t need to live in a state where I’m licensed.

Daniel A. Burgess, LMFT

Daniel A. Burgess, LMFT

Licensed Marriage and Family Therapist specializing in couples therapy, sexual health, and faith transitions across the Latter-day Saint spectrum. Creator of the Improving Intimacy podcast and community. More about Daniel · Book a free 15-minute consult


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