Sexual problems, or sexual dysfunctions, can occur at any stage of intimacy, including desire, arousal, or orgasm. While common, they can be difficult to talk about. Issues may include low libido, difficulty becoming aroused (such as erectile dysfunction or vaginal dryness), delayed or absent orgasms, and pain during intercourse. Causes vary and may include hormonal changes, stress, anxiety, depression, fatigue, medications, medical conditions, or past trauma. If you're struggling with sexual concerns, a qualified therapist can help you understand the underlying causes and find effective solutions.