Sexual Problems

 
 

What are sexual problems?

Sexual problems include any persistent difficulty with desire, arousal, orgasm, or comfort during sex. They can affect anyone—regardless of gender, orientation, or relationship status—and often have both physical and psychological components.

“I felt disconnected from my body and ashamed to talk about it. It wasn’t just about sex—it was about confidence, closeness, and identity.”

Different experiences of sexual problems in adults

Sexual problems can range from low libido and erectile difficulties to pain during intercourse, difficulties reaching orgasm, or feeling emotionally shut down during intimacy. These issues may develop suddenly or build gradually over time. They can be linked to life stress, anxiety, low mood, trauma, hormonal changes, or relationship strain.

People experiencing sexual problems often suffer in silence, feeling isolated or ashamed. Some blame themselves or their partner, while others feel anxious or avoidant about sex altogether. These problems may coexist with depression, low self-esteem, or body image concerns. Talking openly and safely about sexual difficulties in a therapeutic setting can be the first step toward healing and reconnection.

“Supporting someone with sexual difficulties is never just about sex—it’s about trust, self-worth, and feeling safe in your own skin.”

Symptoms of sexual problems

  • Low or absent sexual desire
  • Erectile difficulties or premature ejaculation
  • Difficulty reaching or enjoying orgasm
  • Pain or discomfort during intercourse (e.g. vaginismus, dyspareunia)
  • Anxiety or fear related to sex or intimacy
  • Avoidance of sexual contact or relationships
  • Emotional detachment or numbness during sex
  • Feelings of shame, inadequacy, or performance pressure
  • Relationship tension due to mismatched desire or distress
  • Co-occurring depression, trauma history, or hormonal issues
Our approach
 

Our approach to treating sexual problems

At Bloomfield Health, we provide discreet, respectful, and psychologically-informed care for adults experiencing sexual difficulties. Our clinicians conduct a thorough assessment—considering emotional, relational, physical, and contextual factors. We offer evidence-based therapies including CBT for sexual dysfunction and trauma-informed approaches where relevant. We also work with medical colleagues if physical health or hormonal issues play a role. Our goal is to help you rebuild comfort, confidence, and connection—on your terms.

 

Frequently asked questions

No. Sexual problems often involve a combination of physical and psychological factors. We explore both with care.

Absolutely. Emotional wellbeing has a direct impact on desire, arousal, and comfort during sex.

No. Sexual difficulties can affect adults at any age and deserve compassionate, professional support.

We can help you explore this together in a safe space and build understanding and intimacy.

Yes. We offer therapy for couples as well as individual sessions.

No. We may suggest a referral to your GP or specialist for medical screening, but therapy is talk-based.

Yes. Trauma—especially sexual trauma—can deeply impact intimacy. We offer trauma-focussed therapy at your pace.

With the right support, many people rediscover comfort, confidence, and pleasure in their sexual lives.

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