Women are more than twice as likely as men to lack interest in sex when living with a partner, a study of British sexual attitudes suggests.
It found that while men and women lost passion with age, women were often left cold by longer relationships.
Overall, poor health and a lack of emotional closeness affected both men's and women's desire for sex.
The findings are based on the experiences of nearly 5,000 men and 6,700 women, published in BMJ Open.
The UK researchers said problems of sexual desire should be treated by looking at the whole person, rather than simply resorting to drugs.
Relate sex therapist Ammanda Major said losing interest in sex wasn't necessarily abnormal, and there were many different reasons why men's and women's needs changed.
Poor physical and mental health, poor communication and a lack of emotional connection during sex were the main reasons why men and women lost interest.
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