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On the other hand, a person can engage in sexual activity without an actual desire for it.Multiple factors affect human sex drive, including stress, illness, pregnancy, and others.Biologically, the sex hormones and associated neurotransmitters that act upon the nucleus accumbens (primarily testosterone and dopamine, respectively) regulate libido in humans.Social factors, such as work and family, and internal psychological factors, like personality and stress, can affect libido.

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A person who has extremely frequent or a suddenly increased sex drive may be experiencing hypersexuality, while the opposite condition is hyposexuality.These factors can include lack of privacy or intimacy, stress or fatigue (medical), distraction or depression.Environmental stress, such as prolonged exposure to elevated sound levels or bright light, can also affect libido.However, the levels of testosterone increase at menopause and this may be why some women may experience a contrary effect of an increased libido.Certain psychological or social factors can reduce the desire for sex.

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