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


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

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

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 want to help people find pleasure, joy, and confidence in their sexuality and relationships no matter what barriers they face. I do this by providing therapy grounded in feminist ideals and collaboration, a focus on strengths, trauma-informed care, and science-backed interventions. I provide a space for you to feel seen where you are.

— Casey Tanner, Counselor in Chicago, IL

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

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

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 THERAPY SEX is the hottest topic around. Our lives are inundated daily with sexuality because without it we no longer survive as humans. Sexuality a major part of being human. With so much shame surrounding sex, misinformation, drama and trauma concerning sex, it is a wonder we are not worse off than we are. Sometimes someone needs is a little education, mature, balanced information and they’re good to go. Other times some need counsel, a little advice, and safe conversation to get healthy. At other times people need therapy, deeper, skilled treatment for sexual issues. All levels are found at the Aspen Center, in Dr. Raymond Jones. SEXUAL DEVELOPMENT, SEXUAL IDENTITY, SEXUAL COMPANIONSHIP, SEXUAL FANTASY, DESIRES AND HEALTHY SEXUALITY are all given equal space at the Aspen Center. Dr. Jones knows how to grow a healthy, sexual being who feels comfortable in their skin, who overcomes the shame and grows into the most healthy, spiritual, intimate sex ever.

— Raymond Jones, Sex Therapist in Covina, 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

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

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

Men who have tried scary gadgets to treat their sexual dysfunctions to no avail can heal themselves with the tools learned in our proprietary programs. Woman are judged in all of aspects of their lives on the expression of their sexuality. We will work together to help woman harness their own powerful sexuality. People suffering from disabilities, injuries and PTSD find enormous relief and comfort through touch therapy sessions.

— Rachael Rainey, Sex Therapist in Sparks, NV

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

Sex therapy is an excellent resource for partners or individuals who are struggling with some aspect of their sexual lives. Some topics that can be addressed in sex therapy include experiences of infidelity, the impacts of fertility problems on sex, healing from sexual trauma, learning to communicate about desires, problems of sex addiction, opening up a relationship/ navigating non-monogamy, or simply wanting to revitalize your sex life in a long-term relationship.

— D Seright, Licensed Marriage & Family Therapist in Rochester, NY

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

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

"Sex is not a thing you do, it is a place you go." Esther Perel stated this and I could not agree more. Unfortunately many of us have not been given clear directions on how to arrive to this place of sexuality, sensuality, and pleasure. I feel confident in supporting you and your partner(s) in exploring, expanding, and healing your sexual relationship with each other and yourself. We’ll work together to create forward-thinking tools to help you speak clearly and sincerely around what you need to enjoy the intimate life you want.

— Madeline Fox, Associate Marriage & Family Therapist in Portland, OR

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

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, Licensed Marriage & Family Therapist in Menlo Park, CA

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