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

I work with various sexual problems ranging from erectile dysfunction, to painful sex, lack of sex drive, compulsive sexual behavior and more

— Meghan Cleveland, Licensed Marriage & Family Therapist in Pasadena, 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

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

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

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 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

My training in sex therapy assists me in helping those with sexual pain or dysfunction, lack of desire, sexual addiction (using sexual acts to feel better or deal with emotions), and other related issues.

— Jodie Shea, Licensed Marriage & Family Therapist in Huntington Beach, 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

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 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 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

Sexuality is often the "elephant in the room". Sexual health is also often the last category of health to be addressed. In my practice, talking about sexuality is normalized as a natural part of your overall well-being.

— Jennifer Minor, Licensed Professional Counselor in Austin, 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

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

You just don't have the energy or desire you used to have. You struggle to feel confident, sexy or adequate. The thought of a sexual experience brings you anxiety and fear. What if you were living a life full of pleasure and desire? Your relationship and sexuality did not bring you stress or fear but closeness and relaxation. With the help of therapy you will begin to udnerstand your sexuality and gain confidence. You will learn to understand you mind and body and lead with control.

— Anna Raport, Marriage & Family Therapist in Germantown, PA

As an intimacy, sex, and relationship therapist, I currently sit on the Board of The Northwest Institute on Intimacy and am a past Board member of the Seattle Counselors Association. As a Certified Gottman Therapist (CGT) and Sex Therapist, I am sometimes hired by The Gottman Institute to consult on sex and sexuality. I also run group therapy for couples experiencing low or no sexual desire or frequency.

— Justin Pere, Licensed Mental Health Counselor in Seattle, WA

Sexual problems can be particularly frustrating and difficult to talk about. The vast majority of humans do it, the vast majority of those have had questions or some issue with sex at least once. But for some reason we aren't allowed to talk about it? Why be in pain and not allowed to tell anyone? Why distance yourself from your partners for fear they will judge you? Why let relationships wither because nobody is getting what they really want? Lets talk about it and get you where you want to be.

— Hannah Smith, Counselor in ,

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

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 a certified sexologist who has worked with individuals experiencing vaginismus, ED, PE, hypo and hyper arousal concerns, and understanding fetishes.

— Dr. Denise Renye, Sex Therapist

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

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

Sometimes the last thing we want to do is talk about sex, especially if there is an issue. Sex therapy is designed to help you and your partner discuss issues that are prohibiting sexual satisfaction and how to resolve those issues. Both physical and emotional issues can prohibit sexual pleasure and sex therapy allows you and your partner to discuss those issues in a safe space.

— Cheri Locke, Licensed Professional Counselor in Katy, TX

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

"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

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 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