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The Truth About Sexual Inactivity in Men: Causes and Effects

In the landscape of human sexuality, experiencing fluctuations in sexual activity is more common than many might think. Whether due to shifting relationship dynamics, personal choice, or health-related issues, periods of sexual dry spells are a normal part of life’s ebb and flow. Assuming you are married, this article delves into the complexities of sexual activity, the reasons behind periods of inactivity, and the implications it may have on mental and physical health.


Understanding Sexual Activity

Sexual activity, and the frequency thereof, varies widely among individuals. A 2014 study revealed that the average adult in the U.S. engages in sexual activities about 54 times a year, equating to roughly once a week. However, this figure is merely an average, underscoring the vast range of what is considered “normal” when it comes to sexual frequency. It’s crucial to recognize that everyone’s libido differs, and fluctuations in sexual desire are to be expected.

Factors Influencing Sexual Inactivity

Several factors can influence a person’s sexual activity levels, ranging from health conditions to life changes.

Health Conditions

Chronic health issues like diabetes or an underactive thyroid can significantly impact libido and sexual function. Treatments for diseases such as prostate cancer may also directly affect one’s sexual organs and desire, contributing to periods of sexual inactivity.

Mental Health Conditions

Mental health struggles, including depression and anxiety, can dampen sexual desire. Medications prescribed for these conditions often come with side effects that further inhibit sexual function. Disorders such as hypoactive sexual desire disorder (HSDD) or sexual aversion disorder (SAD) can lead to a marked decrease in sexual interest.

Relationship Dynamics

The quality of one’s interpersonal relationships plays a significant role in sexual activity. Conflicts, breakups, and the dynamics within relationships can all influence one’s sex life, sometimes leading to periods of inactivity.


Asexuality represents a spectrum of sexual orientation where an individual may not experience sexual attraction to others. While some asexual people may still have a libido, their desire for sexual activity with partners may be absent or minimal.


As individuals age, it’s common for libido to decrease, and sexual health issues like erectile dysfunction (ED) become more prevalent. However, treatments are available that can mitigate these effects.

Life Changes

Major life events such as parenthood, career changes, or loss can also impact one’s desire and opportunity for sexual activity.

Consequences of Not Being Sexually Active

For married couple

Stress and Mood

For many, sex acts as a potent stress reliever. A lack of sexual activity can lead to increased stress and a dip in mood for some individuals, as they miss out on the endorphin rush associated with sexual climax.

Erectile Dysfunction

There’s evidence to suggest a link between regular sexual activity and a lower risk of developing erectile dysfunction. However, this relationship isn’t definitive, and more research is needed.

Sexual Performance Anxiety

After a prolonged period without sexual activity, some individuals may experience anxiety about their ability to perform sexually, which can exacerbate feelings of stress and inadequacy.

Health Risks and Benefits of Sexual Activity

Potential Health Risks of Sexual Abstinence

Research on the health implications of sexual abstinence is inconclusive. While some studies suggest links between sexual frequency and various health outcomes, definitive evidence is lacking. For example, ejaculation frequency has been associated with prostate cancer risk, but this doesn’t necessarily translate to significant health risks for those experiencing periods of sexual inactivity.

Benefits of Sexual Activity

A healthy sex life can contribute significantly to mental and physical well-being. Sexual activity, whether with a partner or solo, can improve mood, reduce stress, and even potentially lower the risk of certain health issues.

To Have Sex or Not: A Personal Decision

Navigating Sexual Desire

Sex drive is highly individual and can fluctuate for numerous reasons, including mental health conditions and life circumstances. It’s important to understand that these fluctuations are normal and that periods of decreased sexual activity don’t indicate a problem unless they cause personal distress.

Erectile Dysfunction and Premature Ejaculation Treatments

For those experiencing ED or premature ejaculation, a range of treatments is available, from medication to therapy. These treatments can help manage symptoms and improve sexual well-being.

The Importance of Personal Satisfaction

Ultimately, the measure of a fulfilling sex life varies from one person to the next. Societal pressures and expectations around sexual frequency and performance can create unnecessary stress. Recognizing that sexual satisfaction is deeply personal and subjective is key to maintaining a healthy relationship with one’s sexuality.


Understanding the natural variability of sexual desire and activity is crucial in navigating the complexities of human sexuality. Whether you’re experiencing a period of sexual inactivity by choice or circumstance, recognizing the factors at play and the potential impacts on your health can help you make informed decisions about your sexual well-being. Remember, how long a man can go without having sex varies greatly, and there are no set rules for sexual frequency. What matters most is finding what feels right for you and respecting your own needs and boundaries.


  • How long can a man go without having sex? There’s no limit to how long a man can go without sex, as sexual needs and desires vary widely among individuals.
  • Signs that a man has not been sexually active may include increased stress or changes in mood, but these are not definitive indicators of sexual inactivity.
  • How long can a man stay without sex without experiencing health issues? Periods of sexual abstinence typically do not cause direct health problems, but individual experiences can vary.


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  2. Velurajah, R., Brunckhorst, O., Waqar, M., McMullen, I., & Ahmed, K. (2022). Erectile dysfunction in patients with anxiety disorders: A systematic review. International journal of impotence research, 34(2), 177–186. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8964411/
  3. Symptoms & causes of erectile dysfunction. (2017, July). Retrieved from https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes
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  5. Shigehara, K., Kato, Y., Iijima, M., Kawaguchi, S., Nohara, T., Izumi, K., Kadono, Y., Namiki, M., & Mizokami, A. (2021). Risk factors affecting decreased libido among middle-aged to elderly men; Nocturnal voiding is an independent risk factor of decreased libido. Sexual medicine, 9(5), 100426. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8498958/
  6. Gabrielson AT, Sartor RA, Hellstrom WJG. The impact of thyroid disease on sexual dysfunction in men and women. Sex Med Rev. 2019 Jan;7(1):57-70. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30057137/
  7. Erectile dysfunction. (n.d.). https://www.pcf.org/about-prostate-cancer/prostate-cancer-side-effects/erectile-dysfunction/
  8. Thakurdesai, A., & Sawant, N. (2018). A prospective study on sexual dysfunctions in depressed males and the response to treatment. Indian journal of psychiatry, 60(4), 472–477. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278224/
  9. Rajkumar RP, Kumaran AK. Depression and anxiety in men with sexual dysfunction: A retrospective study. Compr Psychiatry. 2015 Jul;60:114-8. Retrieved from https://pubmed.ncbi.nlm.nih.gov/25818906/


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