Psychosexual issues are psychological issues related to sexuality, rather than physical ones. They can manifest from a variety of sources, such as stress, anxiety, depression, and trauma. These issues can range from minor and temporary to long-term and severe. Some common psychosexual issues include loss of sexual desire, painful intercourse, difficulties with orgasm, arousal disorders, erectile dysfunction, premature or delayed ejaculation, and general breakdowns in a couple's sexual relationship.
If you are struggling with your sexual performance, feeling a lot of anxiety when it comes to sex and intimacy, or if this area of your life is causing you stress or concern, it may be beneficial to seek professional help. Cognitive Behavioural Therapy (CBT) and seeing a psychologist who has specialist training in dealing with psychosexual issues are typically the most effective therapies. To determine if the issue is psychological or physiological, it is best to first consult with your GP to rule out any physical causes. However, if you are able to experience sexual pleasure on your own, it is more likely to be a psychological issue.