If you suffer from decreased libido or erectile dysfunction, you are far from alone. Many women live with a condition called hypoactive sexual desire disorder (HSSD). While it's natural for sexual desire to fluctuate throughout life, women have HSSD when their low sex drives cause stress. Menopause, pregnancy, breastfeeding, and lifestyle changes can cause HSSD. Several factors can affect sexual drive and performance in men and women, including performance anxiety, health, exercise, and medications.