Sexual Problems

A sexual problem, sometimes called a sexual dysfunction, is a problem during any phase of the sexual sexual act (such as desire, arousal or orgasm). Although many people experience trouble with sex at some point, it is a topic that many people are hesitant to discuss. There are a number of specific sexual disorders, including sexual desire disorders (low libido), sexual arousal disorders (inability to become aroused – erectile dysfunction or vaginal dryness, for example), orgasm disorders (delay or non-appearance of orgasms) and sexual pain disorders (painful intercourse, most commonly affecting women). A sexual problem can occur suddenly or develop slowly, over an extended period of time. The reasons for sexual problems can widely vary but may include factors such as fluctuating hormones, aging, stress, anxiety, depression, fatigue, diet, medications, illness or past sexual trauma. If you are dealing with sexual problems, a qualified professional therapist can help you identify the cause and help you develop ways to cope. Reach out to one of TherapyDen’s sexual problems experts today.

Meet the specialists

I work with women who have sexual issues ranging from vaginismus to low libido to menopause-related symptoms. My goal is for every woman I work with to have as pleasurable of a sex life as she wants to have. I also work closely with an OBGYN who specializes in sexual pain issues, as often sexual issues have both physical and mental components.

— Brandie Sellers, Licensed Professional Counselor Intern in Allen, TX

Healthy sex and sexuality is all-encompassing and impacts us both at a physiological and psychological level. Using my education and training, together we can peel back the layers of shame society places on us and create a healthy space to explore sex and the facets of our lives affected by sexual problems.

— Heather Sexton, Counselor in SAINT CLAIRSVILLE, OH

I am passionate about building strong and supportive relationships for couples throughout their life experiences. With over a decade of direct clinical psychotherapy work and sexual health advocacy and education, I brings compassion and understanding to your hardest issues. I help to fuse the interconnections of sexual health ideals and "real life" for women and couples in a creative and approachable way.

— Angela Jensen-Ramirez, Licensed Clinical Social Worker in Austin, TX

In addition to being an Licensed Professional Counselor Intern in TX, I am also a Certified Sex Therapist through the Texas Sex Therapy Institute. I completed additional education and training in order to be competent to work with various sexual dysfunctions and sexual topics.

— Katherine Mitchell, Counselor in Houston, TX

You are not satisfied with what’s happening (or not happening) in your bedroom. You would like more sexual intimacy in your relationship with your partner but every time you ask for it, it blows up in your face. You are struggling with performance anxiety or sexual pain and you’ve been avoiding having sex all together. Is low libido or a sexual dysfunction keeping you from enjoying your sex life? Then, let’s get to work!

— Eleni Economides, Licensed Marriage & Family Therapist in Rochester, NY

Low sexual desire Infidelity Mismatched desires and needs within a couple Physical sexual pain Emotional sexual pain Erectile dysfunction Delayed or impaired orgasm or ejaculation concerns Lesbian, gay, bisexual, transgender, gender queer, intersex, and asexual health or curiosity Sexual trauma Embarrassment and anxiety in regards to sexual situations Concerns over what is “normal”

— Kelifern Pomeranz, Clinical Psychologist in Menlo Park, CA

Do you struggle with sex and intimacy? I see individuals and couples that discuss having pain with sex, issues with premature ejaculation, fear of disclosing their sexual health status, and issues with differences in sexual desire, and lower libido. These are some of the top common issues I hear about when individuals and couples come into therapy wanting to improve their sexual experiences. I provide a comprehensive approach incorporating the mind, body, and emotions in sex therapy treatment.

— Janet Bayramyan, Licensed Clinical Social Worker in Valley Village, CA

Clients who report sexual problems, report varying libidos, lack of sexual desire, lack of pleasure during sex, infidelity, pornography watching/addiction, difficulty getting or maintaining an erection, lack if intimate connection, triggers during sex related to previous trauma.

— Marissa Talarico, Counselor in Vancovuer, WA

There is so much shame & stigma around sex and pleasure that addressing it can feel difficult if not downright embarrassing. I am a globally renowned expert on managing complicated sexual feelings and physical problems. Nothing is taboo or off limits in my practice. I am amply skilled at working with diverse communities especially LGBTQ & alt sex / kink / poly communities.

— Cyndi Darnell, Sex Therapist in NYC, NY

We are all entitled to a healthy, safe, and creative relationship with our own bodies and our own sexuality, however we choose to express this. Many, if not most, of us live with unhealthy and unhelpful messages about sex and sexuality that we have downloaded from a toxic and shame-based culture. Others of us have the additional burden of surviving real trauma around sex, whether physical or emotional or both. I've made it a personal mission to help people overcome shame and sexual disconnection. I use both practical sex-education (most of us never got!) as well as gentle exploration of the emotional and symbolic sides of sex and sexuality to lead people to more healing, fulfillment, and joy in their sexual and intimate lives.

— jonathan burstein, Licensed Marriage & Family Therapist in Berkeley, CA

I partner frequently with local professionals who specialize in the medical and physical side of sexual wellness: OBGYNs, pelvic floor PTs, and primary care providers are amazing places to start your journey of healing. My job is to support your journey and attend to the challenges that arise in your sexual life - with training in the physiological and emotional factors in sexuality, I am equipped to walk with you as you reach your goals.

— Katrina Knizek, Counselor in Spokane, WA

My specialty is helping people with sexual problems, particularly: erectile dysfunction, premature ejaculation, low libido, vaginismus, painful sex, lack of orgasm, lack of sex between partners, and sexless 'marriages.' Helping people overcome sexual fears, inhibitions, and performance anxiety so that they can be their best sexual self is my passion.

— Natalie Finegood Goldberg, Licensed Marriage & Family Therapist in beverly hills, CA

I have experience working with sexual problems including avoidance and compulsions. I also enjoy supporting communities that can experience stigma and oppression around sexuality, including those in open relationship, involved in kink and sex work and those identifying as Transgender and GNC.

— Sarah Blaszczak, in Portland, OR

Many couples and individuals struggle with sexual issues because there is so little guidance for it. My specialties in this area include women and sex, couples' difficulties with sex, and more.

— Kerry Cohen, Licensed Professional Counselor in Portland, OR

I am a sex therapist that can help you with sexual problems such as low/no desire, differences in desire between you and your partner, and painful sex.

— Cara Allan, Licensed Marriage & Family Therapist in Denver, CO

Sexual problems in a relationship can cover a wide spectrum of needs. Sometimes it is a desire discrepancy, other times it speaks to a physical or psychological trauma that has been experienced. I come from an approach of sexual empowerment and sex-positivity as I help my clients come to a better understanding of their own sexual and intimate needs and boundaries in a relationship. Helping clients recover from an affair or other sexual betrayal is a particular specialty of mine as well.

— Kristal DeSantis, Marriage & Family Therapist in Austin, TX

Sex therapy includes addressing a wide array of concerns, such as difficulty with orgasm, sexual or pelvic pain, and problems achieving or maintaining an erection. Couples often meet with a Sex Therapist to work out tension or conflicts about how often and in what ways they want to have sex. I take a practical approach to work with individual clients and with couples who want to make improvements in their sex lives. The foundation of Sex Therapy includes giving people basic educational information and access to resources as a first step. If that doesn't result in the changes you want to make, then we consider more specific suggestions that are tailored to your particular problem. As you try the suggestions and recommendations of the therapist, hopefully you see improvement. If not, then we know more reflective or intensive therapy is indicated.

— Kate McNulty, Clinical Social Worker in Portland, OR

Infidelity/affairs/cheating, pain with intercourse, lack of desire or interest in sex, improving communication about sex, overcoming past sexual abuse or trauma, enhancing current sex life, resuming sex after baby, troubling fantasies, non-monogamy/open relationships, exploring sexual orientation or gender identity, poly relationships, kink, among others

— Corrin Voeller, Marriage & Family Therapist in St. Louis Park, MN

Concerns about sexual functioning take a nuanced and specialized approach. I have specific training in treating concerns about sexual functioning including erectile dysfunction, sex addiction, low desire, and differing libidos. I bring sensitivity, compassion, and practical solutions that produce lasting results.

— Megan McDavid, Sex Therapist in Portland, OR

It's easy to understand why anyone would have sexual problems. No one teaches us how to be healthy sexual beings. We're taught all kinds of stuff that's wrong and we have to make up a lot of what we do by trial and error. It's a silly way to learn something so vital to our lives. I'm sure that whatever you struggle with is common. It won't surprise me. Come see me to find out what no one would teach you in a safe caring way.

— Eddie Reece, Licensed Professional Counselor in Alpharetta, GA