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

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

I have specialized training in sex therapy and have extensive experience with paraphilia-related disorders, sexual health concerns, desire discrepancy issues, erectile/ ejaculation issues and sexual pain.

— Alana Ogilvie, Licensed Marriage & Family Therapist 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

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, Licensed Marriage & Family Therapist in St. Louis Park, MN

Trained under the supervision of an AASECT Certified Sex Diplomate for 2 years

— Leor Ram, Licensed Marriage & Family Therapist in Beverly Hills, CA

Shame around kink/fetishes Coming out/changing identity Orgasm problems (too much/too many/ not enough/not at all) Desire & libido difficulties Lack of knowledge/confidence/skill Explore deeper and more connected sexuality Struggling with sexual confidence/body image Concerns around porn consumption/seeing sex workers/ attending sex parties/hook-up sex Exploring troublesome turn-ons & turn-offs

— Sophia O'Connor, Sex Therapist in Denver, CO

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! Contact me for a 15 minute FREE consultation today!

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

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

Sexuality is a topic that is tough for many people to talk about and it's even harder to seek help when we are experiencing sexual problems. Maybe you have sexual pain, low desire, erectile dysfunction, are questioning your sexual identity, or premature ejaculation. Though not an exhaustive list, these are all natural occurrences for human beings and they can cause significant distress. I offer a safe, non-judgmental space to gently and effectively work through these issues with you.

— SkyeBlu Cutchie, Counselor in Seattle, WA

I am currently in training with the University of Michigan to obtain my certification in sex therapy. This is an area that I wanted to get the best training and education to be able to offer competent and well-researched therapy techniques to my clients. Unfortunately, anyone can call themselves a sex therapist without training in it. Please ask questions of myself or any therapist about what training they have to offer this type of specialty care.

— Maria Carrington, Therapist in Lakewood, WA

Sexuality and Sexual Health and Functioning Self-Esteem around Sex and Communicating Needs in the Relationship Issues around Sexual Abuse & Sexual Trauma Specializing in Male sexuality and intimacy issues, premature ejaculation, erectile dysfunction, delayed ejactualtion.

— Adrian Scharfetter, Licensed Marriage & Family Therapist in Sacramento, CA

My background as a sexuality educator as well as being sex therapist means that I can give high quality information from an ethical, pleasure positive and clinically sound place. I teach classes on sexual skills and pleasure and keep up to date on classes, retreats and other info to help my clients create a healthy and robust sex life.

— Jamila Dawson, Sex Therapist in Los Angeles, CA

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

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

I specialize in helping couples navigate desire discrepancy, find creative solutions for low sexual unions, and supporting those who are negotiating extra-marital relationships. Perhaps you have recently discovered your partner’s infidelity, wanting to better understand your own liaison, or are looking to find solutions for consensual non-monogamy or polyamorous configurations. I am comfortable and experienced exploring matters of the heart and its seemingly oppositional needs.

— Sara Okman, Licensed Marriage & Family Therapist in San Francisco, CA

I support women (and men) with pelvic pain, including: painful sex, vaginismus, vulvodynia, dyspareunia, vulvar vestibulitis, IBS, interstitial cystitis, endometriosis, vaginal atrophy, lichen sclerosis, prostatitis and more.

— Dr. Anna Yam, Clinical Psychologist in San Diego, CA

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

I am a certified sex therapist working with clients who have sexual trauma affecting their sexual healing in their present life and relationships. I have experience working with couples and individuals with sexual problems, including low and high libidos, erectile dysfunction, post traumatic stress disorder, and sexual trauma and abuse.

— Rebecca Walush, Counselor in Aurora, CO

It takes courage to deal with difficult and deeply personal topics. On the surface we may be able to suppress urges, stay faithful, and act accordingly; however, many of us are unaware of the true impact this primitive drive has on our behavior, relationships and life outcomes. Since much of sexuality lay beneath our consciousness, it takes a clinician with a specific skill set to aid in exploration.

— Peter Bippus, Associate Marriage & Family Therapist in Beverly Hills, CA