Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are worried about your sexual relationship with your wife. Now, low sex drive can be due to various reasons - both medical causes like hormone imbalance, etc. as well as psychological causes like relationship problems, stress, etc.. The first step in the management of this problem is to have a detailed evaluation. This will include a medical evaluation and a psychological assessment. Further management would depend on the likely diagnosis. Since this seems to be distressing you quite a lot, it is important to seek professional help. So, I would advise you to consult a psychiatrist for a detailed evaluation and further help. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist