Heart disease can lead to fear of exertion. Depression can make all activity, especially sex, difficult. Medications, like some antidepressants and many blood pressure pills, can lead to lower sex drives. As with all medical conditions, your doctor can help you determine if your medical history or medications are causing problems with your sex life. Sometimes this is due to vaginal dryness or decreasing levels of estrogen and progesterone.
Many women have a good response to small doses of hormones, called hormone replacement therapy.
In addition, some women note increased libido when small amounts of testosterone are added. As with all medications, it's best to talk with your health care provider about this. Doctors and other health care professionals are used to talking about private issues like sex, so there is no need to feel embarrassed or ashamed. As mentioned before, men and women have different sexual needs and responses. Women do not automatically experience orgasm, and it usually takes more effort for women to experience orgasm.