I'm a guy. I've been in a relationship (not currently)where initally we both had very healthy sex drives. At some point her's dimished to a point that it got to be a problem for us. I got to the point with it that I hated to approch her in fear of rejection. Not that I had a probelm with low self esteem, I just didn't want to deal with the frustration that came with rejection. This lead to distance. Then to me rejecting her somewhat out of spite (if she can say no so can I).
In her case it lead to all or a most of the issues honeypot mentioned:
*Lonely *Isolated (I certainly couldn't talk to my girlfriends about it--they'd wonder what was wrong with me that a MAN didn't want me) *Undesirable *Worthless *I loathed my own body *Insecure *Angry *Obssessive *Hurt, Weepy *Hopeless for the future of my marriage *Like a freak of nature *I wondered about my 'masculinity'..did I have hormone problems that made me more "manly"? *Resentful *Punishing. I wanted to get back at him for rejecting me.
This lead to more distance and less communication.
We all know that without closeness and communication there is no way for any relationship to survive, especially a marriage..........