That is the million dollar question. To have a fullfilling sex life, it must NOT be a chore. But for LD/ND spouses, sex is ALWAYS a chore. And if it is a chore, they will NOT be able to maintain a level that is enjoyable to the HD spouse. None of us HD spouses wants maintenance sex, we all want to have sex with someone that COMPLETELY enjoys it. So how do we get the LD spouse to WANT/DESIRE sex? That seems to me to be the ONLY solution to this problem. If they have to work at it, then they most likely will STOP trying in the long run.