Sexual distress can include but is not limited to situations where
you or your partner experience:

• Performance Anxiety
  - losing an erection before ejaculation
  
  
• PE premature ejaculation
  - ejaculating before penetration or too early
  
  
• Delayed ejaculation
  - not being able to ejaculate or only being able to ejaculate
  sometimes such as outside of penetrative sex or alone
  
  
• Retrograde ejaculation
  - reaching orgasm with no ejaculation release outside
  the body, and the ejaculate diverts to the bladder
  
  
• Impotence
  - not being able to get or sustain an erection
  
  
• Pyronies Disease
  - painful and fibrous plagues bend the penis which can
  sometimes make penetrative sex impossible
  
  
• Low sexual desire
  - you have lost the willingness to be sexual or you just can’t
  think the sexual thoughts that usually precede sexual activity
  
  
• Desire discrepancy
  - where one person in the relationship wants sex more than
  the other person in the relationship
  
  
• Arousal difficulties
  - you can think the thoughts but you don’t get
  physically aroused
  
  
• Orgasm difficulties
  - you get physically aroused and want to reach
  orgasm but can’t
  
  
• Dyspareunia
  - a woman feels a deep pain with sexual intercourse
  or with her partner’s thrusting
  
  
• Vaginismus
  - penetrative sex might be impossible or you feel a burning,
  stinging sensation at the vaginal opening and sexual penetration
  is either really painful or impossible