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Libido, not sure does it fall under mental health issue, but I've narrowed it down to phycology as i have gone through all the physical and many hormonal fixes for it without any changes.
Im a guy and missing one of the most stereotypical aspect guys have. That's kinda emasculating and i obviously overcompensate and of course this guarantees permanent relationship issues
Overall, It's complicated. Probably closest fit is responsive vs spontaneous desire model.
Likely spontaneous desire. I can easily forget that sex exist, in addition it takes nearly perfect conditions and good timing just to be receptive of getting turned on. Life is rarely perfect and it takes actual effort to set everything up for those perfect conditions. Often times there just isn't enough energy or time left to even get started to get into the mood.