November 21, 2025

EP 253: Lights Off, Shirt On? Let's Talk About Sex! 5 Reasons Eating Disorders Block Intimacy + What Exactly to Do About It

20 minutes

Okay girlfriend, we're going there. We're talking about the thing nobody talks about when it comes to eating disorders: sex, intimacy, and what's happening (or NOT happening) in your bedroom.

If you've noticed your sex drive has disappeared, you're avoiding intimacy with your partner, you can't be present during sex because you're too busy worrying about what your body looks like, or your relationship is suffering and you don't know why - this episode is for you.

Host Lindsey Nichol gets incredibly vulnerable about her own experience with blocked intimacy during her eating disorder - how she was physically shut down, emotionally unavailable, and performing instead of experiencing. She shares the research-backed reasons why eating disorders completely sabotage intimacy (spoiler: your body is literally in survival mode), and gives you practical tools to address it.

This isn't just about emotional connection - we're talking about SEX. Physical intimacy. The bedroom. Your relationship with your spouse or partner. Because your eating disorder isn't just stealing your relationship with food and your body. It's stealing your relationship with your partner too.

In this episode, you'll learn:

The 5 reasons why intimacy gets completely blocked when you have an eating disorder

Why your libido has disappeared (hint: hormones, energy, survival mode)

How body shame follows you into the bedroom

Why you can't experience pleasure when you're disconnected from your body

How to check your "intimacy temperature" and get honest about where you are

Exactly what to say to your partner about what's going on

Practical steps to start reconnecting

This is real talk. This is vulnerable. This is the conversation we need to have. So grab your favorite Tarjay journal and let's get into it.

Content Note: This episode discusses sexual intimacy and eating disorders openly. Best listened to in a private space.

In This Episode, You'll Hear:

Lindsey's Vulnerable Truth

What intimacy looked like when she was in the thick of her eating disorder

Being in a relationship while physically and emotionally shut down

Not being present during sex - performing instead of experiencing

Constantly worried about what her body looked like during intimacy

Anxious thoughts: "Is my stomach flat enough? Can he feel certain parts? Should the lights be off? Should I keep my shirt on?"

The realization: She wasn't experiencing intimacy, she was performing it

The Research Nobody Talks About

Women with eating disorders experience significantly higher rates of sexual dysfunction

Lower libido, avoidance of intimacy, relationship dissatisfaction are common

We suffer in silence, fake it, avoid it, make excuses

And our relationships suffer while we pretend everything is fine

The Question We're Answering Why is intimacy blocked when you struggle with an eating disorder? And what can you actually DO about it?

The 5 Reasons Why Intimacy Gets Blocked:

Reason #1: Your Body is Literally Shutting Down

When you restrict food, your body goes into survival mode

Sex, reproduction, intimacy are NOT essential for survival

Your hormones tank: estrogen, progesterone, testosterone plummet

Your libido disappears completely

You lose your period (amenorrhea)

Your energy is non-existent

Research shows women with anorexia and bulimia have significantly disrupted hormone levels

All of these hormones impact sexual desire and function

If you have zero sex drive, if intimacy feels like a chore, if you're exhausted - your body is saying "I don't have resources for this"

Your body is trying to keep you alive, not reproduce

Reason #2: You're Disconnected From Your Body

When you spend every day hating, criticizing, punishing your body - you disconnect

You dissociate from physical sensations

The problem: You can't experience pleasure in a body you're not connected to

Intimacy requires being IN your body, feeling sensations, being present

But when you're trapped in your head analyzing what you look like - you're performing, not experiencing

Research: Women with eating disorders report significantly higher body image concerns during sexual activity

This directly correlates with lower sexual satisfaction and avoidance behaviors

You can't enjoy intimacy when you're worried about appearance the entire time

Reason #3: The Shame is Paralyzing

Body shame doesn't stay in the mirror - it follows you into the bedroom

When you feel disgusting in your own skin, how are you supposed to let someone see it? Touch it?

The shame is so heavy that many women avoid intimacy altogether

Making excuses, shutting down, pulling away

Being vulnerable and exposed when you feel shame about your body is terrifying

Intimacy requires vulnerability - shame blocks that completely

Reason #4: You're Emotionally Unavailable

When you're consumed by an eating disorder, there's no room for anything else

Your entire mental and emotional bandwidth is taken up by food thoughts, body checking, planning, restricting, compensating

You don't have capacity to show up emotionally for your partner

Can't connect, can't be present, can't be intimate beyond the physical act

Intimacy requires emotional availability

When your eating disorder is screaming 24/7, you're not available - you're surviving

Reason #5: Control Issues Prevent Vulnerability

Eating disorders are about CONTROL

Intimacy requires letting GO of control, being vulnerable, surrendering

If you can't let go of control long enough to eat without anxiety, how can you surrender during intimacy?

The same rigidity and need for control with food shows up in the bedroom

It blocks true intimacy completely

The Impact on Your Relationship:

What This Means:

Distance and disconnection in your relationship

Your partner might feel rejected, confused, helpless

They might think you're not attracted to them anymore

They might think they did something wrong

You feel guilty, broken, like you're failing at one more thing

"I can't do anything right - not food, not my body, and now not my relationship"

The Truth You Need to Hear: This is not a personal failure. This is a SYMPTOM of your eating disorder.

Just like:

Restriction is a symptom

Body checking is a symptom

Blocked intimacy is a symptom

The Hope: Research shows that as women recover from eating disorders, sexual function, desire, and satisfaction improve SIGNIFICANTLY. Recovery doesn't just give you food freedom - it gives you intimacy freedom too.

If your relationship is suffering, recovery is the answer. Not just for food. Not just for your body. But for your relationship too.

What You Can Do About It (6 Action Steps):

Step 1: Check Your Intimacy Temperature

Get honest with yourself. On a scale of 1-10, where is your intimacy RIGHT NOW?

Not where you think it should be. Not where it used to be. Where is it TODAY?

Ask yourself:

Am I avoiding intimacy?

Am I going through the motions?

Am I anxious the entire time?

Am I emotionally checked out?

Is my libido non-existent?

Am I making excuses to avoid it?

Get real about what's actually happening. You can't change what you won't acknowledge.

Step 2: Recognize This is an ED Symptom

Stop blaming yourself. Stop thinking you're broken or wrong or failing.

This blocked intimacy is a SYMPTOM of your eating disorder.

Your body is depleted. Your hormones are disrupted. You're disconnected. You're consumed.

This isn't about:

Not loving your partner enough

Being inadequate

Being broken

Personal failure

This is about your eating disorder stealing one MORE thing from you.

Name it for what it is: An eating disorder symptom.

Step 3: Bring It Into the Light - Talk to Your Partner

This is the scariest step, but it's the most important.

You have to talk to your spouse or partner about what's going on.

When to Have This Conversation:

NOT in the moment

NOT during intimacy

In a calm, safe space where you can be honest

What to Say (Script): "Hey, I need to talk to you about something that's been hard for me. I've been struggling with my relationship with food and my body, and it's affecting our intimacy. I want you to know it has nothing to do with you or how I feel about you. My body is depleted, my hormones are off, and I'm having a hard time being present. I'm working on it, but I need you to know what's going on."

You Don't Need:

All the answers

A complete plan

To have everything figured out

You Just Need:

To be honest about what's happening

To help them understand it's not about them

To let them in instead of shutting them out

Step 4: Start Small With Reconnection

You don't have to fix everything overnight. Start somewhere small.

Ideas:

Physical touch that's NOT sexual - holding hands, cuddling, hugging

Reconnecting with non-sexual physical intimacy first

Being honest when you're not in the mood instead of forcing it or avoiding it

Working on being present - staying in your body during intimacy instead of in your head

Taking pressure off yourself and your partner

Just start. Somewhere. Anywhere.

Step 5: Work on Body Acceptance

You don't have to LOVE your body to be intimate.

But you do have to accept that your body is allowed to:

Exist

Be touched

Experience pleasure

Take up space

This is work:

Therapy work

Coaching work

Recovery work

Daily practice work

The more you work on accepting your body (not loving it, just ACCEPTING it), the more available you'll be for intimacy.

Step 6: Prioritize Your Recovery

If you want intimacy back in your relationship, you MUST prioritize recovery.

Because the eating disorder is the blocker.

What This Looks Like:

Get support (coach, therapist, dietitian)

Join a community

Do the work of nourishing your body

Work through the shame

Address the control issues

Heal the disconnection

Recovery gives you:

Food freedom

Body peace

Your relationship back

Intimacy freedom

Key Takeaways:

✨ Your ED isn't just stealing food freedom - it's stealing intimacy too

✨ Blocked intimacy is a SYMPTOM, not a personal failure

✨ Your body is in survival mode - sex is not a priority when you're starving

✨ You can't experience pleasure in a body you're disconnected from

✨ Body shame follows you into the bedroom and paralyzes intimacy

✨ You're emotionally unavailable because the ED consumes all your bandwidth

✨ Control issues with food show up as control issues with intimacy

✨ Research shows recovery improves sexual function, desire, and satisfaction

✨ You need to talk to your partner - bring it into the light

✨ Start small: reconnect with non-sexual touch first

✨ Body acceptance (not love) opens the door to intimacy

✨ Recovery gives you your relationship back

Powerful Quotes from This Episode:

"Let me just be really honest with you. When I was in the thick of my eating disorder, intimacy was one of the first things to go"

"I wasn't experiencing intimacy. I was performing it. And I was anxious the entire time"

"Research shows that women with eating disorders experience significantly higher rates of sexual dysfunction, lower libido, avoidance of intimacy, and relationship dissatisfaction"

"But we don't talk about it. We suffer in silence. We fake it. We avoid it. We make excuses"

"When you're restricting food, your body goes into survival mode. And guess what's not essential for survival? Sex. Reproduction. Intimacy"

"You can't experience pleasure in a body you're not connected to"

"Intimacy requires you to be IN your body. But when you're trapped in your head analyzing what you look like - you're performing"

"Body shame doesn't stay in the mirror. It follows you into the bedroom"

"When you're consumed by an eating disorder, there's no room for anything else"

"Eating disorders are about control. And intimacy requires letting go of control"

"This is not a personal failure. This is a symptom of your eating disorder"

"Recovery doesn't just give you food freedom - it gives you intimacy freedom too"

"If your relationship is suffering, recovery is the answer"

"You can't change what you won't acknowledge"

"Stop blaming yourself. This blocked intimacy is a SYMPTOM"

"You don't have to have all the answers. You just have to be honest about what's happening"

"You don't have to love your body to be intimate. But you do have to accept it"

"Your eating disorder has stolen enough from you. Don't let it steal your intimacy too"

Research-Backed Information:

Sexual Dysfunction & Eating Disorders:

Women with eating disorders experience significantly higher rates of sexual dysfunction

Lower libido is common across all ED types

Avoidance of intimacy and relationship dissatisfaction are prevalent

Hormone Disruption:

Women with anorexia and bulimia have significantly disrupted hormone levels

Estrogen, progesterone, and testosterone all tank during restriction

These hormones directly impact sexual desire and function

Amenorrhea (loss of period) is common and signals reproductive system shutdown

Body Image During Sex:

Women with EDs report significantly higher body image concerns during sexual activity

Body image concerns during sex directly correlate with lower sexual satisfaction

This creates avoidance behaviors and performance anxiety

Recovery Improves Everything:

As women recover from eating disorders, sexual function improves

Desire returns as hormones regulate

Satisfaction increases as body acceptance grows

Recovery restores intimacy capacity

Questions to Reflect On:

About Your Intimacy:

On a scale of 1-10, where is your intimacy right now?

Are you avoiding intimacy? How often?

Are you going through the motions or truly present?

What are you thinking about during intimacy? (Your body? His reaction? What you look like?)

When did intimacy start feeling like a chore instead of connection?

About Your Body:

Do you insist on lights off? Shirt on? Certain positions only?

Are you disconnected from physical sensations during sex?

Can you feel pleasure or are you too in your head?

What body parts are you most self-conscious about during intimacy?

About Your Partner:

Have you talked to them about what's going on?

Do they know you're struggling with an eating disorder?

Do they understand why intimacy has changed?

Are you making excuses or being honest?

About Your Recovery:

Is blocked intimacy motivation for you to prioritize recovery?

What would it mean to get intimacy back in your relationship?

Are you willing to do the work to heal this area too?

What's one small step you can take today?

Who This Episode Is For:

This episode is essential listening if you:

Have noticed your sex drive has completely disappeared

Avoid intimacy with your partner or spouse

Go through the motions but aren't present during sex

Can't stop thinking about what your body looks like during intimacy

Insist on lights off, shirt on, or specific positions to hide your body

Feel anxious or panicked about being intimate

Make excuses to avoid sex

Feel guilty about avoiding your partner

Feel broken or like you're failing at your relationship

Have a partner who feels rejected or confused

Want to understand WHY this is happening

Need practical tools to start reconnecting

Are married or in a long-term relationship

Are ready to bring this into the light and talk about it

Want your relationship back

Need to know recovery can restore intimacy

The Conversation Starter (What to Say):

The Script: "Hey, I need to talk to you about something that's been hard for me. I've been struggling with my relationship with food and my body, and it's affecting our intimacy. I want you to know it has nothing to do with you or how I feel about you. My body is depleted, my hormones are off, and I'm having a hard time being present. I'm working on it, but I need you to know what's going on."

Why This Works:

Acknowledges there's a problem

Takes responsibility without self-blame

Reassures your partner it's not about them

Explains the physical reality (hormones, depletion)

Shows you're working on it

Opens the door for support

What Happens Next:

They might have questions

They might be relieved you're talking about it

They might not fully understand (and that's okay)

The important thing is you brought it into the light

Important Truths About Intimacy & EDs:

Your Libido Disappearing is NOT Your Fault: It's biology. Your body is in survival mode. Sex is not essential for survival. Your hormones are disrupted. This is a symptom.

You're Not Broken: Your body is responding exactly as it should to starvation and restriction. This is protective, not defective.

Your Partner Isn't the Problem: Even if you're attracted to them, your body can't prioritize sexual function right now. This isn't about attraction.

Shame is the Enemy: The shame you feel about your body during intimacy is what's blocking connection. The body itself isn't the problem - the shame is.

Recovery Restores Everything: This isn't permanent. As you nourish your body, your hormones will regulate. Your libido will return. Your ability to be present will come back. Intimacy can be restored.

You Deserve Intimacy: Even with an eating disorder, you deserve connection, pleasure, and intimacy. But you have to do the recovery work to get there.

Ready for Support?

Work with Lindsey One-on-One: If you're ready to prioritize your recovery - not just for food freedom, but for your relationship too - Lindsey offers personalized recovery coaching where you work through:

The food piece

The body image piece

The relationship piece

The intimacy piece

ALL of it

Your relationship deserves you showing up fully. Your partner deserves you being present. YOU deserve to experience intimacy without shame, anxiety, or the ED blocking it.

Recovery gives you that. And Lindsey is here to help you get there.

Ready for Support?

Option 1: The Recovery Collective Join Lindsey's group coaching program where you'll get:

Community support from women who understand

Weekly guidance and tools

Accountability for hard days

Strategies for stomach triggers and body image struggles

Option 2: One-on-One Personalized Coaching work directly with Lindsey for:

Custom plan for YOUR triggers and challenges

Weekly support and accountability

Tools specific to your recovery journey

Personal guidance through the hardest moments

Learn more about both options at www.herbestself.co

You don't have to navigate this alone. Let's walk through recovery together.

Connect with Lindsey

Website: www.herbestself.co

Private Facebook Community: Her Best Self Society www.herbestselfsociety.com

1:1 Client Applications: HBS Co. Recovery Coaching - Client Application - Google Forms

Subscribe & Review:

If this episode resonated with you—if you saw yourself in Lindsey's rejection story—please subscribe to Her Best Self wherever you listen to podcasts and leave a review. Your reviews help other women who are tired of perfectionism and people-pleasing find this show and realize they're not alone.

Share this episode with a friend who needs to hear the truth!

About the Host

Lindsey Nichol is a former competitive figure skater turned God-led entrepreneur, boy mom, and digital CEO. She understands how core beliefs formed in childhood can create and maintain eating disorder patterns, and she's passionate about helping women identify and transform these beliefs to find lasting freedom.

If this episode helped you feel hopeful again and remember your worth isn't found in your body or on your plate, please share it with someone who needs to hear this message. Your support helps more women break the chains of limiting beliefs.

*While I am a certified health coach, anorexia survivor & eating disorder recovery coach, I do not intend the use of this message to serve as medical advice. Please refer to the disclaimer here in the show & be sure to contact a licensed clinical provider if you are struggling with an eating disorder.

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By Lindsey Nichol - Certified Health Coach, Eating Disorder Recovery Coach, Food Freedom Coach, Eating Disorder Intuitive Therapy Certified

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