It is estimated that couples make love more often than in the first year of being together than in the next few years put together. Novelty certainly has something to do with the level of sexual arousal that a couple experiences. Few couples manage to maintain the intensity of sexual feeling that existed in the beginning of their relationship, but a few lucky ones do.

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If there are serious problems in a relationship, such as a feeling of having 'fallen out of love' or there is a third party involved, or the couple is under a lot of work stress or they are sleep-deprived, chances are that their sex life is the first thing to suffer. A lack of physical attraction can sometimes also play a role, as sexual arousal can be quite dependent on visual stimulation for certain people. Depression and anxiety can also play a big role in causing erectile dysfunction.

It is normal for a couple to not have sex quite as often as in the beginning of the relationship, but if either partner feels sexually frustrated, or a sex life has come to a grinding halt, it may be time to call in professional help. Erectile dysfunction often has physical causes, but could also point to other relationship problems, which may be sorted out with the help of a relationship therapist.

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