What could be the physical reason why a woman doesn't want to have sex?
When we talk about sex and the feelings around it, we must remember that we need to be relatively healthy and that our desire to live must exist. If we are both healthy and enjoy life, our sex drive will come naturally.
Physical reasons why a woman doesn't feel like having sex could be: a disease that disturbs the hormone level, a disease with chronic pain e.g. rheumatic pain, a disease that leads to exhaustion and fatigue, a disease that influences the whole life situation, such as cancer or AIDS, a disease that leads to depression, consequences that make a woman unable to become pregnant, and a number of different medicine usages.
A gynaecologist or an urologist can establish if you suffer from some of the the alternatives above, or if there exist other physical reasons.
The gynaecologist/urologist will ask you a set of questions regarding the mentioned symptoms, and if necessary he/she will also do a gynaecologist survey (to examine the sexual organ). He/she also might take a sample of your blood.