
Emma (51) is happily married but misses sex due to her husband's low libido. Every month she visits a gigolo, and recommends it to any woman.

Glossary
Over half of Dutch women had a period of low desire in the past year. That makes it the rule more than the exception.
Libido is the strength of someone’s desire for sex. It isn’t a fixed trait but a quantity that fluctuates with health, hormones, medication, stress and the relationship someone is in. A low libido is not in itself a disorder; it becomes one only when someone is bothered by it.
| English term | libido, identical. In plain speech also sex drive |
| Origin | Latin libīdō, “desire, sexual craving”, from libēre, “to please, to want” |
| In Dutch since | 1901–1925, at first as a psychoanalytic term via German |
| Not to be confused with | arousal. Desire and arousal are two different things, see sexual response cycle |
| How common low desire is | over half of women and three in ten men had a period of it in the past year (Rutgers, 2023) |
| When it’s called a problem | only when it happens often and it bothers you |
More common than almost anyone thinks, and that figure is Dutch.
Rutgers studied it together with the RIVM and Statistics Netherlands (CBS) in the Sexual Health Monitor 2023, among over 15,000 people aged 18 to 80. They asked which problems had lasted at least three months in the past year.
The result: over half of women had, in the past year, a period of at least three months with little or no desire for sex. For men that was three in ten. Measured more broadly, at least one of the listed problems occurred in three in five men and three quarters of women.
This is no fringe group. For women, a period of low desire is the rule more than the exception, and anyone who knows that starts looking at it differently.
On one condition, and the study states it explicitly.
Rutgers asked it in three steps: did the problem occur, how often, and were you bothered by it. Of the women with a period of low desire, the researchers write that only a small part of this group reports that it happened often and that it bothers them, and so meets the definition of a sexual dysfunction.
Those two conditions together are the whole distinction. Often. And being bothered by it. Someone who has low desire for half a year and feels perfectly fine about it has no disorder, just a phase.
Measured more narrowly, on the question of whether it happened often or always, one in six women was left. Thirteen percent of men and 30 percent of women had one or more sexual problems often or always in the past year.
From Latin, and it only took on its current charge around 1900.
Etymologiebank traces it back to the Latin libīdō, “desire, sexual craving”, derived from libet, “it pleases”, from the verb libēre, “to please, to want”. Dutch took the word in between 1901 and 1925, at first as a psychoanalytic term that came in via German. The earliest Dutch attestation is in De Groene Amsterdammer of 1911.
That psychoanalytic origin explains a misconception still going around. Sigmund Freud used the word in a narrow sense: the Psychoanalytisch Woordenboek quotes him saying that he called the energy of the sexual drives libido, “and only these”. He described it as a quantitatively variable force that could serve as a gauge for sexual processes.
It’s Carl Jung who later stretched the concept to general psychic energy. Anyone who says today that libido “is about more than sex” is saying something that holds for Jung and explicitly not for Freud.
Because a lot bears on it, and rarely just one thing at a time.
Thuisarts.nl, the patient information of the Dutch College of General Practitioners (Nederlands Huisartsen Genootschap), keeps it short: it’s perfectly normal to have periods with less desire for sex. As common causes the site names busyness, stress and little attention to each other or to yourself.
On top of that, physical factors play a part: hormonal changes, medication, illness and fatigue. What role those play in your case isn’t something a glossary page can judge, and not something you should sit puzzling over yourself either.
What this page can say: a low libido is almost never one cause with one switch. Thuisarts therefore names as the first step something relational rather than something medical, namely giving more attention to your relationship and to sex.
“A low libido means something is wrong.” Not by the definition. There’s a dysfunction only when it happens often and it bothers you. Thuisarts even adds that it may simply be part of who you are and that you feel fine about it.
“If the desire isn’t there, nothing comes.” That’s the old drive model, and it’s out of date. Desire can also arise after arousal is already under way; how that works is on sexual response cycle.
“Libido is a fixed personal trait.” The word comes from a theory that saw it as a measurable, more or less constant force. The figures show something else: over half of women had a period of at least three months with low desire in the past year. That’s movement, not a trait.
“Libido is about more than sex.” That’s Jung, not Freud. Freud limited the word explicitly to the energy of the sexual drives.
Within this glossary, the sexual response cycle explains why desire can also come after arousal, which is exactly what pulls the ground from under the assumption that a low libido is the end of the story.
Off this site, Thuisarts.nl is the place to start with complaints, because GPs use that information themselves. Anyone who wants to read up on the Dutch figures finds them in the Sexual Health Monitor 2023 by Rutgers, chapter 8.
Some of the women who write to me do so because desire at home has dropped away and the conversation about it has stalled. What I can mean in that is limited, and it’s not a treatment. What an arrangement looks like when you’re mostly seeking time and attention is on the page about intimate togetherness.
Libido is about the strength of desire; the terms below are about how that desire arises and what happens with it.
Frequently asked questions
Libido is the strength of someone’s desire for sex. The word comes from the Latin libīdō, “desire, sexual craving”, and entered Dutch around 1911 as a psychoanalytic term. It isn’t a fixed trait: libido fluctuates with health, hormones, medication, stress and the relationship you’re in.
Over half of women and three in ten men had a period of at least three months with little or no desire in the past year. That comes from the Sexual Health Monitor 2023 by Rutgers, the RIVM and CBS, among over 15,000 people in the Netherlands aged 18 to 80. A period of low desire is, by that measure, the rule more than the exception.
On two conditions at once: it happens often and it bothers you. Rutgers writes of the women with a period of low desire that only a small part of them reports it happened often and that they’re bothered by it, and so meets the definition of a sexual dysfunction. Thuisarts.nl adds that it may also simply be part of who you are and that you can feel fine about it.
Thuisarts.nl names as the first step something relational rather than something medical: giving more attention to your relationship and to sex. The usual causes of lower desire, according to that site, are busyness, stress and little attention to each other or to yourself. There’s also a second route: desire can arise after arousal is under way, which means that waiting for desire isn’t always the right order.
If it bothers you, go to your GP, especially with new medication or a sudden change. Thuisarts.nl is the starting point that GPs use themselves. This page explains a concept and is not medical advice. If you’re mostly seeking time and attention, and the conversation at home has stalled, intimate togetherness explains what an arrangement with me involves and what it isn’t.
Blog
This page gives the figures and the definition. What it's like when desire at home falls away, and what people do then, is in these articles.

Emma (51) is happily married but misses sex due to her husband's low libido. Every month she visits a gigolo, and recommends it to any woman.

How a gigolo can lower the stress and raise the pleasure of your first sexual experience, with experience, patience, and no pressure.
Learn more
I'm Victor. Some of the women who write to me do so because desire at home has dropped away and the conversation about it has stalled. What I can mean in that is limited, and I'd rather say so beforehand than after. Write me any time; there's no obligation attached.
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A woman or a couple? Lovely that you are here, I would love to speak with you.