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I’m a Therapist—Here’s Why Gay Couples Stop Having Sex

  • Writer: Michael Pezzullo
    Michael Pezzullo
  • May 26
  • 5 min read

Updated: 5 days ago


I’m a Therapist—Here’s Why Gay Couples Stop Having Sex


Gay men spend an exorbitant amount of time looking for sex. Hookup culture is often seen as a core part of gay male identity—fast, fun, and full of potential. Yet, interestingly, when sex is readily available, especially within the safety of a long-term relationship, many couples lose interest. Over time, some stop having sex altogether and decide—explicitly or implicitly—to outsource it to other partners. So, why does this happen? Why do so many gay couples stop having sex with each other?


As a gay men’s therapist and couples counselor, I’ve heard this question countless times. My clients are often confused, sometimes ashamed, and usually frustrated. So let me offer my take—not just as a therapist, but as someone who understands the nuances of gay relationships from both a clinical and cultural perspective.


The Honeymoon Phase

For context, there is a typical arc to sexual activity in most long-term relationships. It’s easy to ascribe a dwindling sex life to time: The honeymoon phase is over. Sure, a lot of people point to the obvious signs: boredom, routine, the desire for variety. These explanations are partially true, but they’re overly simplistic. A lack of sex in a relationship often reflects something deeper.


Rather than chalk it up to tired tropes like “the spark is gone,” it’s more accurate to see it as a sign of disconnection—emotional, psychological, or otherwise. There’s more going on than meets the eye.


It’s Not Really About Sex

That might sound strange, but it’s true: the presence—or absence—of sex is often a symptom, not the cause. Sex is a form of communication. It reflects how partners feel about themselves, each other, and the emotional atmosphere in the relationship. When that connection is frayed, sex is usually one of the first places it shows.


Think of the lack of sex as an invitation to investigate. It’s not just about libido. Assuming you still have sexual desire generally, the issue might lie in the relational dynamics. Let’s explore three of the most common reasons gay couples stop having sex—with each other.


1. You Feel Disconnected

One of the most common reasons for a sluggish sex life is emotional disconnection. You may love your partner, enjoy spending time with them, and even find them physically attractive. But if you feel emotionally distant—unseen, unheard, or misunderstood—your body and mind will often reflect that disconnect sexually. You simply won’t want to be physically close in that way.


They say “the body keeps the score.” And in this case, it might be telling you something crucial: You’re no longer feeling close to your partner. Emotional intimacy is a major ingredient in sexual intimacy. When you feel like roommates instead of lovers, sex often becomes infrequent, forced, or stops altogether.


2. They’re Turning You Off

Let’s be honest—attraction can fade. And that doesn’t necessarily mean your partner has “let themselves go” physically. While bodies can change over time, what often drives disinterest is something more subtle: a shift in personality, behavior, or emotional tone.


Maybe your partner has become emotionally unavailable or distant. Perhaps they’ve developed habits that turn you off—like drinking too much, becoming critical or controlling, or engaging in passive-aggressive behavior. You might not even be fully conscious of the shift at first. But slowly, your arousal fades. What once lit your fire now feels dull or repelling.


We’re drawn to our partners for more than looks. We’re turned on by how they show up in the relationship, how they express love, and how emotionally safe we feel with them. When those factors deteriorate, attraction often follows.


3. You Have an Unmet Need

All of us carry needs into our relationships—emotional, psychological, and yes, sexual. No matter how independent or self-reliant we are, we still need to feel seen, validated, and emotionally attuned to. When those needs go unmet, desire often declines.


Here’s the problem: unmet needs tend to pile up quietly. One partner may feel neglected, unappreciated, or taken for granted. The other may not realize anything is wrong. Over time, this leads to resentment and emotional withdrawal. And when resentment builds, sex is usually the first casualty.


So, when you lean in for connection—whether it’s physical or emotional—you might be holding back, thinking: I’m not going to be satisfied. I’m not going to be met. I won’t be understood. That fear or assumption can become an enormous sexual barrier.


What About Other Causes?

It’s important to acknowledge that other factors may also be contributing to sexual decline. Age can play a role—testosterone levels decline, stamina changes, and health concerns become more prevalent. Medical conditions like erectile dysfunction, depression, or anxiety can take a toll, as can medications that affect libido or performance.


In these cases, it’s crucial not to jump to conclusions about the relationship before ruling out physical causes. A full check-up with your doctor can help determine if there’s a medical or hormonal issue at play. Once those are ruled out, you’ll have a clearer sense that what you’re dealing with is psychological or relational in nature.


Sexual Agreements and Monogamy

Another layer unique to many gay relationships is the openness of sexual agreements. Non-monogamy, when handled with clear boundaries and open communication, can work well for some couples. However, it can also complicate intimacy if not navigated carefully. Some couples find that outsourcing sex—whether occasionally or regularly—takes the pressure off their primary relationship. But others find it accelerates the emotional drift.


Sex outside the relationship isn’t inherently a problem, but it can become one when it becomes a substitute for vulnerability and connection with your partner. If sex with your partner has stopped and sex with others continues, it’s worth exploring what’s emotionally safer about those external encounters.


Seeing A Gay Couples Therapist

If you’ve identified this issue in your own relationship, the next question is: What now?

Don’t expect it to resolve on its own. These patterns, once established, tend to persist without deliberate effort. Start with a conversation. Yes, it might be awkward or uncomfortable—but discomfort is often the gateway to growth.


Be honest with your partner, but also be compassionate. This is likely a shared issue, not one person’s fault. Explore your sexual history together. When did things start to shift? What do you each miss about your earlier sexual connection? What are your current needs and desires?


Therapy can be incredibly helpful here—especially with a therapist who understands gay male relationships and sexual dynamics. A third party can create a safe space for honest conversation and help you rebuild emotional and physical intimacy.


Final Thoughts

Gay couples don’t stop having sex just because time has passed. The reasons are more nuanced—emotional distance, unmet needs, or shifts in attraction. The good news? With self-awareness, open communication, and intentional effort, this pattern can be reversed. Sex can return—not just as a physical act, but as a meanin


gful, joyful connection between two people who truly know and understand each other.


If you’d like to learn more about my practice, you can book a complementary consultation here. You can also read more about my psychotherapy work for gay men here.


Check out my YouTube Channel for more:



Michael Pezzullo

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