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Susan Kellogg Spadt, PhD, CRNP, IF, CST

Pelvic Pain Specialist

Professor of OB-GYN at Drexel University College of Medicine

Professor of Human Sexuality at Widener University

Assistant Professor at Rutgers Robert Wood Johnson Medical School

Bryn Mawr, PA

Dr. Susan Kellogg Spadt is a nationally recognized expert in pelvic/vulvar pain and sexual dysfunction who treats patients from the greater Philadelphia/tri-state area and throughout the United States. She performs direct patient care and consultative services as a vulvar specialist, sexual dysfunction clinician and therapist.

Dr. Susan Kellog Spadt is a professor of OB-GYN at Drexel University College of Medicine; professor of human sexuality at Widener University; assistant professor at Rutgers Robert Wood Johnson Medical School, and clinical associate faculty at the University of Pennsylvania and Thomas Jefferson University. She is a certified sexual therapist and educator and is a fellow of the International Society for the Study of Women's Sexual Health.

Dr. Susan Kellogg Spadt has authored/co-authored two books, 15 book chapters, more than 75 peer-reviewed articles, and has been a featured columnist in Women's Health Care, The Female Patient, Contemporary Sexuality, and The New York Times.

She speaks internationally on genital health and human sexuality and has been featured in popular venues, including The Today, Show, 20/20, CNN, Cosmopolitan, Discovery Channel and WebMD.

Dr. Susan Kellogg Spadt is currently the director of female medicine at the Center for Pelvic Medicine, Academic Urology of PA, LLC.

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 unhappy young couple after a fight at home

No Desire to Have Sex

Ask the Expert


I am attracted to my partner, but I have no desire to have sex. I'm 35. Is this normal?


A woman's sexual desire is complex and can be influenced by a number of psychological and physiological factors. There is no clear definition of "normal"; only what normal means to you.

Start by asking yourself these questions: In the past, was my level of sexual desire good and satisfying? Has there been a decrease in my level of sexual desire? Is my overall health good or am I feeling exhausted most of the time? Am I under a lot of stress? Am I bothered by my decreased desire and want to increase it?

A women's sexual desire can be affected by a number of factors including medications she's taking, drug or alcohol use, pregnancy, recent childbirth or menopausal symptoms. Issues such as poor body image, dissatisfaction with your relationship or partner, or your partner's sexual problems could be affecting your level of desire as well.

Additionally, medical problems and illnesses (particularly if they are chronic and involve painful conditions) can affect sexual drive, as can mental health, particularly depression and anxiety.

It may be difficult for you, but evaluate your relationship: Do you feel an emotional connection to your partner? Many women say that if they're disappointed or frustrated with their partner or their relationship, it's difficult to feel sexually attracted to him or her. Do you and your partner connect physically without it always leading to sex? Do you give each other hugs and kisses "just because"? Does your partner kiss your neck while you're doing the dishes, give you a foot massage after a rough day on your feet, rub your shoulders when you're tense? All these little things add up to an overall feeling of love and closeness.

If you found yourself shaking your head as you read the above paragraph, it may be time to have a talk with your partner about how important affection is to you (apart from sexual intercourse).

However, if you're happy in your life and happy in your relationship, talk to your health care professional. As stated above, numerous medical conditions can affect libido, including urological problems, depression, hypothyroidism and diabetes, as well as medication side effects.

Also, you may have a condition called female sexual dysfunction, which includes sexual desire disorders. Sexual desire disorders can affect women of all ages. Nearly one in 10 women report having low desire with sexually related personal distress. Your health care professional can explain what this is and the options available for treating it. Be sure to ask about it if you're concerned.

The only way to know if you have a medical condition is by seeing your health care professional.

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