• "Lost" libido
  • Can't sustain sexual interest once a relationship develops
  • Unable to talk to one’s partners about what is or isn't working
  • No longer desiring partner
  • No longer having sex with partner
  • Uncomfortable receiving or giving sexual touch
  • Disturbed by one’s desires or fantasies
  • Experiencing sexual triggers, or triggering partner
  • Difficulty achieving or sustaining erections
  • Difficulty or inability reaching orgasm
  • Sexual functioning has been impacted by depression or other illness—or the medication prescribed to alleviate it
  • History of sexual trauma
  • Inappropriate behavior

and…

  • Newly single or newly coupled
  • Getting married
  • New challenges, such as birth of a child, new career or education commitment
  • Desire to explore new fantasy, gender identity, or sexual activity
  • Desire to discover new avenues of erotic exploration
  • Desire to increase capacity for pleasure