Take all the physical problems that happen with women. Lets say a woman loses all desire because her body quits on her. How do you address that?
The question is how does she address that? My sister is suffering through just about the worst imaginable physical situation for a woman sexually (hysterectomy, pelvic radiation, probable radiation destruction of her ovaries) and she just keeps working at salvaging her sexuality. She was so happy the other day because she found some vitamin E capsules that seems to be helping. Many people retain some form of sexuality even in the event of paralysis. I don't think physical problems are ever the core issue although lack of desire or willingness to address physical problems may be part of the core issue.
"Tell me, what is it you plan to do with your one wild and precious life?" - Mary Oliver