As a practicing psychotherapist myself, I am well aware of the pain and frustration that men and women have when sex evaporates from their relationship. One partner in the relationship (typically the male, but certainly not always) seeks to persuade, coerce, control, badger, blackmail or even force the other to consent to having sex, while the other slowly shrinks into withdrawal. One partners' withdrawal is seen as a rejection by the other, creating the perfect environment for the growth of frustration, bitterness, resentment, jealousy, retaliation and eventual death of the relationship.
Couples that enter this ever tightening cycle of pressure -withdrawal-rejection -frustration and resentment frequently blame each other for the problems. And in a society where we're all supposed to be having sex 2-3 times a week in order to be "normal", the last thing we want to do is to ask for help. The internet (to which we can secretly turn for ideas and input) offers very little in the way of respectful, practical or helpful guidance. Having reviewed a number of books on the topic, Rekindling Desire: A Step-by-step Program to Help Low-sex and No-sex Marriages stands out among the crowd by offering a gentle approach to breaking this cycle, as well as encouraging the couple to go beyond merely recovering from their sexual problems, but to press on and create systems that seek to ensure such issues do not become problematic in the future.
While the authors do cover specific conditions (erectile dysfunction, premature ejaculation, vaginismus, nonorgasmia etc), they have concentrated the book very much on the basic building blocks of the relationship itself - intimacy, personal responsibility, trust and effort. This is a wonderfully refreshing approach - most of us would prefer there to be a pill or potion or herbal remedy for what is predominantly an emotional problem. The authors cover the medical issues that can, sometimes, have an effect, but they leave the reader in no doubt that the greatest influence on sexual problems remains in the mind, and specifically in the relationship itself. Quoting from the book - "The way to rebuild desire is a one-two combination of taking personal responsibility for sexuality and being an intimate team. Trust that the spouse will make a good faith effort to deal with inhibitions, anxieties, and traps. Be open to renewed ways to connect physically and emotionally and build bridges to sexual desire."
I recommend this book to my clients, and we use its exercises as prompts for discussions. Psycho-sexual problems are complex, and the authors make no false promises about the books' ability to solve all ills - I join them in encouraging couples and individuals in seeking help from professionals wherever possible. But as a first step towards resolving no- or low-sex relationships, this is an excellent place to start.