How does lack of sex affect a man? Physical, mental, and emotional impacts explained
- Anastasia

- Jun 18
- 8 min read
Many men wonder how not having sex for a long time might affect them. While everyone’s experience is different, research and expert opinions show that there can be real effects on both the body and mind. A lack of sexual activity may lead to more stress, trouble sleeping, increased anxiety, and even changes in self-esteem.

Physical changes can also happen. For example, men may notice more spontaneous or nighttime erections, or slight changes in blood pressure and immune system response. Emotional impacts can show up too, including feelings of loneliness or frustration. Long-term lack of intimacy might influence relationships and personal confidence, affecting daily life for some men.
Key Takeaways
Lack of sex in men can cause stress and emotional changes
Physical changes may occur during periods of abstinence
Relationships and self-esteem could be impacted over time

Psychological Effects of Lack of Sex
Lack of sexual activity in men can influence mood, thoughts, and even behavior. It often leads to changes that affect both their emotional health and how they view themselves.
Impact on Mental Health
Sex can help reduce stress and promote a sense of closeness. When a man goes without sex for a long time, it may impact his mental health. He might notice that he feels more irritable or less motivated.
Some men experience a drop in mood or feelings of loneliness. These changes are linked to reduced levels of oxytocin and endorphins that sexual activity can produce. Without these hormones, it may be harder for a man to feel happy or relaxed.
Being sexually inactive can sometimes worsen symptoms of depression or anxiety in certain people. If a man already struggles with mental health, a lack of sex might make these challenges more difficult.
Changes in Self-Esteem
Self-esteem is how someone sees and values themselves. Not having sex can affect a man’s self-esteem, especially if he links sex to his identity or confidence. It is common for men to feel less attractive or less important when they are not sexually active.
He may start to question his desirability or ability to please a partner. If a man tries to start sex and gets rejected often, it can be even more damaging to his sense of self-worth.
For men in relationships, a lack of sex might cause them to worry that their partner is not interested anymore. This concern can sometimes turn into insecurity, which can hurt both self-esteem and the relationship. More insight on this is available at BetterHelp.
Increased Anxiety and Depression
Going without sex can lead to higher rates of anxiety and even symptoms of depression. Some men are more anxious about their relationships, sexual performance, or whether they are still attractive to others.
Sexual activity can help lower anxiety by releasing endorphins and reducing stress. Without it, those protections are gone. Higher anxiety can disrupt sleep, cause mood swings, and make daily life harder.
Depression is also a risk. Men may become withdrawn or lose interest in activities they once enjoyed. The psychological effects can also impact their libido and sexual desire, leading to a cycle of avoiding intimacy. There is more detail about these effects on mental health at Medical News Today and WebMD.
Physical Health Consequences for Men
A long period without sexual activity can cause changes in a man's sexual health. It may impact hormone balance, physical responses, and blood flow in ways that affect both the body and mind.
Sexual Dysfunction and Low Libido
When a man goes without sex for a long time, his interest in sex or libido might decrease. A lower sex drive can make it harder to become interested or excited about sex again. Some men notice fewer sexual thoughts or fantasies during periods of no sexual activity.
Over time, a lack of sexual activity may contribute to sexual dysfunction and reduced self-confidence. Men may feel unsure about their sexual ability or experience anxiety about future sexual activity. These feelings can create a cycle where low libido continues because of worry or stress about performance.
Effects on Erections and Arousal
Prolonged abstinence can make erections less frequent or less firm. Men in their 50s and older may be at greater risk for erectile dysfunction and changes in testicular tissue. Erection quality can decrease because the body is not practicing the physical process of arousal.
Some studies suggest that regular erections help keep blood vessels in the penis healthy. Without them, a man may find it takes longer to become aroused or maintain an erection. This can add to feelings of frustration or embarrassment during sexual encounters.
Changes in Blood Flow and Dopamine
Sexual activity increases blood flow throughout the body, especially in the pelvic area. When a man is not sexually active, blood flow to these areas can decrease. Over time, this may impact how easily he becomes aroused and how strong his erections are.
Dopamine, a brain chemical linked to pleasure and motivation, is also affected by sexual activity. Without regular release, dopamine levels may drop, which can lower mood and motivation. As a result, a man may feel less energetic both sexually and in daily life.
Relationship and Social Impacts
Lack of sex in a man's life can have a strong effect on his closest relationships, including his emotional connection with his partner. It may also impact how couples communicate and deal with issues, and can sometimes lead to changes in behavior, such as increased risk of infidelity.
Challenges in Intimacy and Emotional Connection
A man who is not having sex with his partner can begin to feel distant or disconnected. Intimacy is not just about physical touch; it includes trust, vulnerability, and shared experiences. Without regular sex, couples may lose some of that closeness.
Emotional distance can grow over time. One or both partners might feel unwanted or unloved. This can also lower self-esteem and may lead to feelings of anxiety or insecurity, as men often look to their sex lives for affirmation and connection.
Routine sexual activity helps many couples feel united, valued, and bonded. When this is missing, some men may find it harder to express affection in other ways, which can weaken the relationship even more. Studies have shown that men in sexless relationships often report lower happiness and satisfaction with their partners.
Communication and Relationship Issues
Not having sex can put a strain on open and honest communication between partners. Men might avoid talking about their needs out of fear of hurting their partner’s feelings or making things worse. This can lead to misunderstandings and built-up resentment over time.
Couples may start to argue more about unrelated topics, which can hide the real issue. Some men might pull away or avoid conflict, making problems harder to fix. Research points out that feeling rejected or unwanted in a relationship because of a lack of sex can lead to mental and physical health problems, including depression.
Effective communication is important for solving these issues. Without it, both partners may feel isolated or unsupported, leading to further relationship problems.
Effects on Couples and Infidelity
The lack of sexual activity can sometimes cause one or both partners to seek sexual or emotional satisfaction outside the relationship. A man who feels rejected or dissatisfied might become more vulnerable to infidelity.
Unmet sexual needs can put stress on both the man and his partner. If the issue is not addressed, it could lead to further damage to trust and commitment. This tension creates a cycle where couples become less likely to talk about their sex lives, allowing problems to grow.
Couples who recognize these risks may benefit from being open about their feelings and working together to find solutions. Ignoring the situation often leads to ongoing relationship issues and long-term dissatisfaction for both partners.
Long-Term Outcomes and Considerations
Long-term sexual inactivity can lead to changes in both mental health and physical sexual function. These effects may impact sexual performance, emotional wellness, and day-to-day relationships.
Premature Ejaculation and Sexual Dysfunction
Men who go without sexual activity for a long time might notice changes in how their body responds during sexual intercourse. Some may experience premature ejaculation when they become sexually active again. This can be caused by anxiety or by reduced confidence.
Long breaks from sexual activity can also lead to lower libido, making it harder to become aroused or maintain an erection. Problems like erectile dysfunction or delayed ejaculation may become more noticeable with time. These issues are often linked to stress or a drop in self-esteem, which may be heightened by a lack of intimacy. In some cases, it becomes a cycle: less sex leads to more performance problems, which then make men want to avoid sex even more.
Broader Effects on Sexuality
A man’s sense of sexuality can shift after months or years without sexual activity. Emotional effects may include lower self-esteem and less confidence in intimate situations. Some men may feel disconnected from their partners, resulting in communication challenges or a drop in emotional closeness.
Not having regular sexual intercourse may also increase feelings of anxiety or frustration. In relationships, this can sometimes make it harder to discuss needs or feelings openly. Over a long period, sexual inactivity may lead to increased stress, as some studies suggest it can affect mood and mental health if it continues for months or years.
Impacts on Sexual Intercourse and Lifestyle
Men who do not engage in sexual activity for extended periods may see broader lifestyle changes. They might feel less motivated to seek out sexual experiences or form close intimate relationships. Some research has found that those who have sex less than once a month may face higher risks for certain health problems, including heart disease.
Sexual inactivity can also influence how a man sees himself and interacts with others. Over time, this may cause changes in his social life, routines, or even how he manages stress. These lifestyle effects are different for everyone but are often tied to the emotional and physical changes that come with not having regular sexual intercourse.
Frequently Asked Questions
Men who go for long periods without sexual activity may notice changes in their bodies, emotions, relationships, and even their hormones. Mental health and feelings about intimacy can be affected too, depending on each person's situation.
What physical effects can men experience from abstaining from sexual activity?
Some men may have a drop in sexual desire if they do not have sex regularly. Not being sexually active does not damage the body physically for most men, but it may reduce erections or lessen sexual satisfaction over time. Physical effects vary from person to person.
Can a man's mental health be affected by an absence of sexual intercourse?
Yes, a lack of sex can affect mental health. Some men may feel increased stress, anxiety, or sadness. Others could experience lower self-esteem. These feelings might happen when the lack of sex is unwanted or when it affects their relationship connection or self-image.
Are there any long-term health complications for men who do not engage in sexual relations?
In most cases, there are no major long-term health risks from not having sex. Regular sex might have some health benefits, such as supporting heart health, but stopping does not usually lead to disease or serious problems for healthy men. There may be less protection from some of the positive effects of regular sexual activity, like stress reduction.
What are the common emotional outcomes for men who live without sex?
Men who live without sex for a long time might experience feelings of loneliness or insecurity, especially in a relationship. They may struggle with self-worth or emotional connection. Emotional effects are more common if the lack of sex is unwanted or there are problems with intimacy.
How does a prolonged period without sexual activity potentially impact a man's relationship?
Men in relationships may feel less close to their partner if they are not having sex. This can lead to less communication, more conflict, or feeling disconnected. Over time, relationship problems such as lower trust or satisfaction may develop.
What hormonal changes might occur in men due to a lack of sexual activity?
Testosterone levels are not likely to fall a lot just because a man is not having sex. However, in some men, long periods without sexual activity could lead to small shifts in hormones. These changes are usually minor and do not often cause big health problems.







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