Both couples are sexually frigid, the main consideration is related to psychosocial factors, organic factors, drugs and chemical factors. 1. Psychosocial factors: when both couples experience frigidity, the main consideration is related to the couple’s emotional disharmony and insufficient communication of sexual needs and feelings. In addition, the lack of sexual skills, psychological barriers, economic pressure, etc., can also trigger frigidity. 2. Organic factors: (1) Systemic diseases: cardiovascular and cerebrovascular diseases, diabetes mellitus, hyperthyroidism, etc., can trigger frigidity. (2) hypogonadism: abnormal development of male penis, female ovarian dysfunction, etc., can also cause frigidity. (3) Neuropathy: Damage to the central or pelvic nerves can also trigger frigidity. (3) Drugs and chemical factors: if couples use diazepam, spironolactone, chlorpheniramine maleate tablets and other drugs, may lead to patients with low libido adverse reactions. If there is frigidity, the cause is more complex, it is recommended to seek medical examination as soon as possible, and follow the doctor’s instructions for targeted treatment.