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 have been working with couples and individuals both for a variety of sexual concerns for several years and am now working towards becoming a Certified Sex Therapist. I see folks for a variety of sexual concerns including: sexual dysfunction, pain, differing libidos, lack of pleasure, sexual abuse, LBGTQ+, low desire, non-traditional relationships, kinks, out of control sexual behaviors, and more. I desire to foster a space where you can experience vulnerability around these concerns.

— Julie DiNuoscio, Licensed Professional Counselor in Cincinnati, OH

I work in all areas of sexuality including gender and intimacy

— Melanie Greenberg, in Philadelphia, PA

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

As a Certified Sex Therapist I am trained to treat a myriad of sexual health issues. Because of my extensive experience working with the LGBTQ community, I also have additional expertise at working at the intersection of sexual identity/gender identity and sex.

— Lisa Katona, Licensed Clinical Social Worker

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

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

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

I work with issues that range from sexual trauma to sexual satisfaction. I primarily work with cisgender men who are dealing with erectile dysfunction and premature ejaculation. I also help couples open up communication about sexual needs.

— Michael Salas, Counselor in Dallas, TX

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 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

We hear messages our whole life about what is ok when it comes to sex and sexual identity. Maybe it’s that things such as, you better wait to have sex until your married, but once you’re married you need a sex 3x a week, be heterosexual, be monogamous, if not something is wrong with you. We internalize these messages and feel shame when different, like an outsider. Together we can work to let your authentic self shine.

— Stephanie Iszory, Marriage & Family Therapist in Overland Park, KS

As an author and specialist in sexual health, I work on the deeper causes and issues associated with many common sexual dysfunctions. I also work on relationship issues related to sexual challenges. My approach is especially ideal for complex sexual concerns, where other therapies or medical approaches have been insufficient.

— Dr. Edward Santana, Licensed Marriage & Family Therapist in San Francisco, CA

As an AASECT Certified Sex Therapist, I help individuals and partners improve their sexual health. Issues include, but are not limited to: desire discrepancy, difficulty obtaining and maintaining an erection, difficulty achieving orgasm, low desire/arousal, painful sex, sexless marriage, delayed/premature ejaculation, sexual performance anxiety, history of sexual abuse/trauma, excessive pornography use, unwanted sexual behaviors, sexual shame/guilt associated with religious beliefs.

— Yvette Maassey, Licensed Professional Counselor in San Antonio, 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! Contact me for a 15 minute FREE consultation today!

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

I am a trained sex therapist, along with being a Certified Sex Offense Treatment Provider. I was trained at the Joseph J. Peters Institute in Philadelphia and conduct forensic psychosexual evaluations for pre and post release individuals with sexual offense charges or convictions. I work with individuals and couples to address a broad array of sexual issues, from paraphilic interests to erectile dysfunction.

— Jan Tate, Licensed Clinical Social Worker in Mebane, NC

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 work with couples and individuals who may be feeling out of sync sexually or struggling to create a mutually satisfying emotional and sexual connections to find your voice, really hear your partners needs, heal, explore and ignite a shared and empowered vision for sex! I also specialize in helping people from conservative faith and LGBTQIA+ communities with low interest or confidence in sex explore your own needs, desires, and beliefs around intimacy. You are worthy of pleasure & connection!

— Julie Estrella, Licensed Marriage & Family Therapist in Redlands, CA

If you’re feeling sexually unsatisfied you may experience painful intercourse, decreased desire, or difficulty with orgasm. While addressing sexual dissatisfaction in therapy we will work together to understand your sexual response and anatomy, identify factors that keep you feeling “stuck” or unfulfilled, and build your comfort with engaging in sexual or intimate experiences. Let's work together to build your sexual self-confidence and learn what healthy sexual expression looks like for you!

— Jessica Byrd, Counselor in Tempe, AZ

I focus on sex and intimacy issues for individuals and couples including kink/BDSM, CNM, and alternative lifestyles.

— Kali Kenar, Counselor in Phoenix, AZ

Erectile dysfunction, premature/delayed ejaculation, lack of desire, pain during intercourse, or inability to achieve orgasm can prevent individuals or couples from enjoying the sexual activity and can negatively impact their quality of sexual life. The causes might be physical, psychological, relational or stem from a lack of skills. Fortunately, most sexual problems are treatable! Thorough assessment and proven mind and body based techniques can help restore optimal sexual functioning.

— Dagmara Svetcov, Licensed Marriage & Family Therapist in Allen, TX

Sex and intimacy are important parts of our individual identity, our relationships and life satisfaction. Together we can get to the root of the problem and make a plan to improve the quality of sex and intimacy.

— Dr. Jessika Redman, DBH, Therapist in Tampa, FL

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

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

You are OK no matter what, especially in the area of sex. Sex produces great pleasure but also great vulnerability. I became a sex therapist when I realized that all of my couples have some area of sexual functioning that is not producing the utmost happiness. I have trained with the finest AASECT certified trainers . I have been told that I am approachable, non-judgmental, and accepting of all. I welcome all genders orientations and sexual expressions.

— Jennifer Duke, Licensed Marriage & Family Therapist in Pasadena, CA

Sex is the most vulnerable topic for many people. As a Sexologist I am highly curious about how we express ourselves, what we choose to keep private, and what we keep secret. Maybe you have spoken to a medical doctor and been told everything's fine, but you know it's not fine. Let's include the body/mind, heart, and soul. I create a safe(r) environment in which you can relax and become curious.

— Kelly Rees, Clinical Sexologist in Portland, OR

We help couples to resolve sexual issues in their relationship.

— Paul Scuse, Marriage & Family Therapist in Markham,

As a sex therapy, I have specialized training in sexual problems including performance, functioning, anxiety, compulsions, desire differences, and reduced/loss of of desire. I work from a trauma informed perspective and believe that our sexual desires, needs, and experiences are connected to our overall lives. Additionally, specialize in working with men with sexual based issues and often find our work integrate unlearning harmful masculinity narratives (referred to as toxic masculinity).

— Jesse Kahn, Sex Therapist in new york, NY

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