The American Medical Association has estimated that several million US women suffer from a female sexual arousal disorder , though arousal is not at all synonymous with desire, so this finding is of limited relevance to the discussion of libido.  Some specialists claim that women may experience low libido due to some hormonal abnormalities such as lack of luteinising hormone or androgenic hormones, although these theories are still controversial. Also, women commonly lack sexual desire in the period immediately after giving birth . Moreover, any condition affecting the genital area can make women reject the idea of having intercourse . It has been estimated that half of women experience different health problems in the area of the vagina and vulva , such as thinning, tightening, dryness or atrophy . Frustration may appear as a result of these issues and because many of them lead to painful sexual intercourse, many women prefer not having sex at all. Surgery or major health conditions such as arthritis , cancer , diabetes , high blood pressure , coronary artery disease or infertility may have the same effect in women.  Surgery that affects the hormonal levels in women include oophrectomies .