Sexual dysfunction has a strong interpersonal component. A person's view of their own sexuality is largely influenced by culture, society, and personal experience. It may be intimately connected to their own or society's ideas about the appropriate or inappropriate expression of sexual behaviour. These feelings may cause anxiety because of a personal or cultural association of sexual experience and pleasure with immorality and bad behaviour. Anxiety is then expressed physically by the body in a way that prevents normal sexual function. Anxiety can stop or slow the state of sexual excitement that allows for the lubrication or moistening of the female genitalia or penis erection in male.
For women with a male sexual partner, midlife changes in the partner can affect her sexual response. An emotionally healthy relationship with current and past sexual partners is the most important factor in sexual satisfaction. Stress or conflict between a woman and her partner, and current or past emotional, physical, or sexual abuse often influence a women's sexual satisfaction. In addition, even good relationships can become less exciting sexually over time. Although women can remain sexually active and experience orgasms throughout their lives, sexual activity often decreases after age 60. While part of this may be due to a lack of partners, changes such as dryness of the vagina caused by lack of estrogen after menopause.