If you could follow gynecologist Jessica Berger-Weiss around in her Silver Spring office for a day, you might be surprised by what you hear. Four to five times a day, every day, women in their thirties, forties and fifties emotionally tell Berger-Weiss about a problem they think is uniquely theirs: "Doctor, I just don't have any interest in sex."
Women in midlife are inundated with emotional and physical reasons why they can't experience a fulfilling sex life. Who hasn't heard the jokes about couples saying so long to sex once they have children? Add in typical midlife events such as stress, illness, depression, medications, relationship problems and plain old boredom, and it's no wonder some middle-aged women have little interest in intimate relations. "Though loss of sex drive is unfortunate, it is common -- almost universal," said Andrew Goldstein, co-director of the Sexual Wellness Center in Annapolis.