Relationship issues, hormonal issues, trauma, past sexual abuse, stress, anxiety, depression, medical conditions, menopause, and medical conditions can often cause a low sex drive in women leading to lower performance. Understanding the cause is the first step to treating such sexual issues in women. You can discuss with your doctor, get blood tests and pelvic tests done. A healthy lifestyle, lubricants, communication with your partner, and hormone therapy can help with performance in bed.