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Sexless Marriage: Causes and How to Deal With it in Pakistan

Sexless Marriages

Sexless Marriages, while somewhat similar to a Non Consummated Marriages, refers to a marital relationship in which sexual activity between spouses is infrequent or absent for an extended period. Sexual intimacy is a vital component of a fulfilling marriage. However, many couples in Pakistan find themselves in a sexless marriage due to a variety of psychosocial factors, emotional, cultural, and physical reasons. This topic is often left unspoken, leading to misunderstandings, frustration, and even marital breakdown.

Dr. Farooq Nasim Bhatti, a pioneering sexologist with over 29 years of experience, aims to help couples overcome this barrier to lead healthier, happier lives.

Understanding Sexless Marriages

A “sexless marriage” typically refers to a relationship where sexual intimacy is rare or nonexistent. While it’s normal for a couple’s sexual frequency to fluctuate over time, prolonged abstinence may indicate underlying issues. This absence can affect emotional closeness, communication, and satisfaction within the relationship.

Defining a Sexless Marriage

According to various studies, a sexless marriage is generally defined as one where sexual intercourse occurs fewer than ten times a year. However, it’s important to note that every relationship is unique, and sexual frequency that feels fulfilling to one couple might not be the same for another.

Signs of a Sexless Marriage

  • Reduced Physical Affection: A decrease in hand-holding, hugging, or kissing may be a sign of a disconnect.
  • Avoidance of Alone Time: One or both partners may avoid spending time alone together to prevent potential intimacy.
  • Frustration or Resentment: Over time, the lack of physical closeness can create a feeling of neglect or resentment.
  • Distance and Communication Issues: Emotional distance often accompanies a lack of physical intimacy, leading to poor communication.

Key Causes of Sexless Marriages in Pakistan

Understanding the reasons behind sexless marriages can help couples address the issue more effectively. The causes can be complex and intertwined, involving a mix of physical, psychological, social, and cultural factors.

1. Psychological and Emotional Causes

  • Depression and Anxiety: Mental health issues can significantly lower one’s desire for intimacy and create a barrier to closeness.
  • Past Trauma or Abuse: Trauma related to previous relationships or childhood abuse can cause an aversion to intimacy.
  • Low Self-Esteem: Insecurity about one’s appearance or sexual performance can prevent one from engaging in intimacy with their partner. 

2. Physical and Health-Related Causes

  • Hormonal Imbalances: Low testosterone in men and hormonal changes in women (such as during menopause) can reduce libido.
  • Chronic Illnesses: Conditions like diabetes, heart disease, and high blood pressure are prevalent in Pakistan and can impair sexual desire and function.
  • Medication Side Effects: Certain medications, including antidepressants and blood pressure drugs, can decrease libido as a side effect.
  • Fatigue and Lack of Energy: Stressful jobs, family responsibilities, and societal pressures in Pakistan can lead to exhaustion, leaving little energy for intimacy.

3. Socio-Cultural and Religious Factors

In Pakistan, cultural and religious factors play a significant role in shaping attitudes towards sex and intimacy. Discussing sexual health is often stigmatized, and some people may feel ashamed or guilty about their desires.

  • Strict Social Norms: Societal norms discourage open discussions about sexual health, leaving many couples without a proper understanding of intimacy.
  • Religious Beliefs: While many people deeply respect their religious values, some may misinterpret religious teachings, leading to a perception that sex should only be for procreation.

4. Relationship Dynamics and Communication Issues

Problems in the relationship itself often contribute to a lack of intimacy. Poor communication, unresolved conflicts, and unexpressed resentment can cause couples to drift apart physically and emotionally.

  • Lack of Quality Time: Busy routines, especially in urban areas, can prevent couples from spending meaningful time together, diminishing their closeness.
  • Unmet Emotional Needs: Emotional intimacy is foundational for physical intimacy. When couples do not feel emotionally connected, it often reflects in their physical relationship.

Sexless marriages can often be linked to common sexual health issues such as premature ejaculation, sexual dysfunction, and erectile dysfunction. These conditions can create physical and emotional barriers to intimacy, leading to decreased sexual activity and frustration within the relationship. For instance, erectile dysfunction may lead to avoidance of intimacy due to fear of embarrassment, while premature ejaculation can cause anxiety and impact self-confidence, making it challenging to maintain a satisfying sexual connection.

Sexual dysfunctions like these are not uncommon and can be addressed with proper medical support. If you or your partner are experiencing a sexless marriage due to any of these conditions, consulting with an expert like Dr. Farooq Nasim Bhatti could be transformative. With over 29 years of experience and specialized training in sexology and sexual dysfunction, Dr. Bhatti provides compassionate, professional guidance tailored to help you overcome these challenges and restore intimacy in your marriage.

Also Read: Low Testosterone: Causes, Symptoms, and Treatment

Coping Strategies for Sexless Marriages

Addressing a sexless marriage requires a proactive, compassionate approach. Here are some effective ways to address this issue and work towards a healthier relationship.

1. Open and Honest Communication

Initiating a conversation about intimacy can be uncomfortable but is necessary for resolving underlying issues. Partners should share their feelings without blame, seeking to understand each other’s perspectives. By building empathy, couples can work together towards improvement.

2. Seek Professional Help

Consulting a certified sexologist like Dr. Farooq Nasim Bhatti can make a significant difference. As a medical professional with extensive experience, Dr. Bhatti offers counseling and treatment tailored to each couple’s unique needs, helping them navigate both physical and psychological challenges.

3. Reignite Emotional Intimacy

Fostering emotional closeness is essential for a satisfying physical relationship. This can be achieved by spending quality time together, rediscovering shared interests, or simply showing appreciation for one another. Prioritizing emotional connection often leads to a gradual rekindling of physical intimacy.

4. Consider Individual and Couples Therapy

Therapy is a valuable tool for addressing both individual and relationship issues. For instance, Cognitive Behavioral Therapy (CBT) can help individuals deal with anxiety, low self-esteem, and past trauma, which may be affecting their intimacy.

5. Plan Time for Intimacy

Though scheduling intimacy may sound unromantic, it can be an effective way to restore closeness in busy relationships. Planned time allows both partners to look forward to being together, gradually breaking down barriers.

Why Choose Dr. Farooq Nasim Bhatti for Your Sex Therapy?

With a distinguished background in Sex Therapy and sexual dysfunction treatment, Dr. Farooq Nasim Bhatti, MBBS, Diplomat: The American Board of Sexology (USA), FAACS (USA), is the first MBBS doctor in Pakistan to hold the DABS (USA) degree in the treatment of male sexual health issues, which he obtained in 1999.

Dr. Farooq Nasim Bhatti has presented (more than 20) research papers on the treatment of sexual disorders at international conferences held in Germany, the USA, Turkey, Singapore, South Korea, Hong Kong, Malaysia, India, and Spain, where his work has been highly appreciated.

Dr. Farooq Nasim Bhatti’s unique expertise allows him to treat both psychological and physiological causes of sexless marriages effectively. Dr. Farooq Nasim Bhatti offers Couple and Relationship Counselling for couples facing issues with less sex or no sex. His compassionate approach ensures that patients feel comfortable discussing sensitive topics and receiving the guidance they need to improve their marital lives.

Frequently Asked Questions

Is it common to have a sexless marriage?

Yes, many couples experience periods of reduced intimacy, especially during challenging life stages. However, prolonged absence of intimacy may require attention to restore balance in the relationship.

Can a marriage survive without physical intimacy?

While a marriage can survive, lack of intimacy can affect relationship satisfaction. Couples can work together to find a balance that meets both partners’ needs.

How can counseling help with a sexless marriage?

Counseling can address the root causes of intimacy issues, whether emotional, psychological, or physiological. A professional like Dr. Farooq Nasim Bhatti provides personalized guidance to overcome these barriers.

Are there medical treatments for sexless marriages?

Yes, if a medical issue like hormonal imbalance or chronic illness is affecting intimacy, treatments are available. Dr. Farooq Nasim Bhatti can offer medical solutions alongside counseling for a comprehensive approach.

Conclusion

A sexless marriage can be challenging, especially in cultures where discussing sexual health is taboo. However, with the right approach, couples can rebuild intimacy, strengthen their bond, and find joy in their marriage. Dr. Farooq Nasim Bhatti’s expertise in sexology offers Pakistani couples the support they need to navigate this journey. By addressing both emotional and physical causes, couples can work towards a satisfying, intimate, and loving relationship.

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