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

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

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

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

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

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 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.

— 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

As a sex therapist, most of my professional work has been centered around helping folks navigate sexual issues. I use a sex-positive lens in working with sexual concerns. I will help you develop awareness of emotional and sociocultural factors that impact your sexuality, while also giving you practical tools that can create shifts in your sex life.

— Taylor Pierce, Licensed Marriage & Family Therapist Intern in Portland, OR

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

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

Desire discrepancy, lack of sufficient arousal, pain during sex, out of control sexual behavior, difficulties achieving and maintaining erections, and others.

— Holly Mackin, Marriage & Family Therapist in MT HOLLY, NC

We help couples work through sexual challenges. We help couples with desire discrepancies, communication around sex, sexual trauma history, reconnecting after becoming parents or medical illness, and wanting more enjoyment and fun in sex.

— Thrive Couple & Family Counseling Services, Counselor in Greenwood Village, CO

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

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 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

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

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

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