Sex Therapists in New York, NY

See all therapists in New York
Photo of Rachel Rennie, Clinical Social Work/Therapist in New York, NY
Rachel Rennie
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
New York, NY 10005  (Online Only)
Affirming and empathic psychotherapy and sex therapy for those who wish to enjoy life's pleasures and face its challenges.
LGBTQIA+/GNC/Kink/Polyamory/Sex Worker affirming
Affirming and empathic psychotherapy and sex therapy for those who wish to enjoy life's pleasures and face its challenges.
LGBTQIA+/GNC/Kink/Polyamory/Sex Worker affirming
(718) 550-0635 View (718) 550-0635
Photo of Michele Goldman, Psychologist in New York, NY
Michele Goldman
Psychologist, PsyD
Verified
New York, NY 10027  (Online Only)
I am an LGBTQ+ affirmative, trauma informed, sex therapist, who works with both individuals and couples. My approach to the work is relational and interpersonal. Therapy is a place where you can be your truest self, without judgement. It is also a place to explore difficult and sometimes painful topics. I work with individuals and couples who want to feel more comfortable with their sexuality, improve sexual functioning, and have more intimacy in relationships overall. We will explore many aspects of life and relationships that might be impacting sexual functioning including culture, upbringing, religion, biology, and more.
I am an LGBTQ+ affirmative, trauma informed, sex therapist, who works with both individuals and couples. My approach to the work is relational and interpersonal. Therapy is a place where you can be your truest self, without judgement. It is also a place to explore difficult and sometimes painful topics. I work with individuals and couples who want to feel more comfortable with their sexuality, improve sexual functioning, and have more intimacy in relationships overall. We will explore many aspects of life and relationships that might be impacting sexual functioning including culture, upbringing, religion, biology, and more.
(914) 529-6249 View (914) 529-6249
Photo of Nina Duryea in New York, NY
Nina Duryea
LMHCA
Verified
New York, NY 10001  (Online Only)
I'm a nonbinary, queer psychotherapist and sex therapist in NYC taking clients virtually. I work with individuals and couples looking to overcome life's many transitions and challenges in order to reach for fulfilling lives. This may include identifying needs, communication skills, boundary setting, building a somatic toolbox, moving through feelings of shame and grief, or exploring one's identity. I specialize in serving the queer community, entertainers, sex workers, non-monogamous and kink oriented individuals and couples, the neurodiverse, and those living with chronic pain and illness (EDS competent).
I'm a nonbinary, queer psychotherapist and sex therapist in NYC taking clients virtually. I work with individuals and couples looking to overcome life's many transitions and challenges in order to reach for fulfilling lives. This may include identifying needs, communication skills, boundary setting, building a somatic toolbox, moving through feelings of shame and grief, or exploring one's identity. I specialize in serving the queer community, entertainers, sex workers, non-monogamous and kink oriented individuals and couples, the neurodiverse, and those living with chronic pain and illness (EDS competent).
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Photo of Sari Cooper, Center for Love and Sex, Clinical Social Work/Therapist in New York, NY
Sari Cooper, Center for Love and Sex
Clinical Social Work/Therapist, CST, LCSW-R
Verified
New York, NY 10024
I'm the Director of Center for Love and Sex, a practice specializing in sex therapy for individuals and couples. We are highly experienced to work sensitively with clients around issues including: low sexual desire, ED, PE, pelvic pain, and sexless marriages. We are kink, non-monogamy & poly aware. We get that sexuality can be challenging for people to discuss, even with doctors. Our CLS therapists have specialized post-graduate sex therapy training in addition to years of general practice experience, We are highly attuned to clients' embarrassment and at times shame. Clients are also treated for Depression, Anxiety Compulsive Sex.
I'm the Director of Center for Love and Sex, a practice specializing in sex therapy for individuals and couples. We are highly experienced to work sensitively with clients around issues including: low sexual desire, ED, PE, pelvic pain, and sexless marriages. We are kink, non-monogamy & poly aware. We get that sexuality can be challenging for people to discuss, even with doctors. Our CLS therapists have specialized post-graduate sex therapy training in addition to years of general practice experience, We are highly attuned to clients' embarrassment and at times shame. Clients are also treated for Depression, Anxiety Compulsive Sex.
(646) 600-8036 View (646) 600-8036
Photo of David M. Ortmann, Clinical Social Work/Therapist in New York, NY
David M. Ortmann
Clinical Social Work/Therapist, LCSW, CMBT, OSM
Verified
3 Endorsed
New York, NY 10026
Waitlist for new clients
Bring it on! I offer uniquely tailored psychotherapy & sex therapy. Please talk about everything & anything, particularly topics that other therapists don't understand or won't hear. I'm said to have a large capacity for care, compassion, & candor while also being a straight-talker. I synthesize depth psychotherapy, sex therapy, coaching, counseling, and more. Sexual diversity, erotic pleasure, and relational intimacy are areas in which I thrive. We'll forge a deep therapeutic alliance and find, confront, address, and overcome the obstacles keeping you from being the very best version of yourself possible.
Bring it on! I offer uniquely tailored psychotherapy & sex therapy. Please talk about everything & anything, particularly topics that other therapists don't understand or won't hear. I'm said to have a large capacity for care, compassion, & candor while also being a straight-talker. I synthesize depth psychotherapy, sex therapy, coaching, counseling, and more. Sexual diversity, erotic pleasure, and relational intimacy are areas in which I thrive. We'll forge a deep therapeutic alliance and find, confront, address, and overcome the obstacles keeping you from being the very best version of yourself possible.
(646) 374-4300 View (646) 374-4300
Photo of JD Counseling Services, Clinical Social Work/Therapist in New York, NY
JD Counseling Services
Clinical Social Work/Therapist, LCSW-R
Verified
New York, NY 10003
Subspecialty - Sex Therapy: whether in a relationship or single, we may find ourselves struggling with sex/intimacy issues leading to frustration, sadness, shame, and sometimes hopelessness.
For over 22 years, I've enjoyed helping people to develop strategies to reduce stress/anxiety, depression, and successfully navigate common life issues related to career, life transitions, and grief/loss. As we all are trying to cope with the current crisis, we are having to adjust and find ways to maintain our mental health, relationships, friendships, and health. I offer phone and video (FaceTime & Zoom) sessions until we get out of this crisis and can resume office visits. I have sliding scale rates based on household income. Please contact me for more information. Wishing everyone the very best during these challenging times.
Subspecialty - Sex Therapy: whether in a relationship or single, we may find ourselves struggling with sex/intimacy issues leading to frustration, sadness, shame, and sometimes hopelessness.
For over 22 years, I've enjoyed helping people to develop strategies to reduce stress/anxiety, depression, and successfully navigate common life issues related to career, life transitions, and grief/loss. As we all are trying to cope with the current crisis, we are having to adjust and find ways to maintain our mental health, relationships, friendships, and health. I offer phone and video (FaceTime & Zoom) sessions until we get out of this crisis and can resume office visits. I have sliding scale rates based on household income. Please contact me for more information. Wishing everyone the very best during these challenging times.
(917) 636-4119 View (917) 636-4119
Photo of Stanley Riklin, Psychologist in New York, NY
Stanley Riklin
Psychologist, PhD
Verified
New York, NY 10019
Experienced, training, and rapport are important in choosing a Psychotherapist. I am a Senior Psychologist with a 5-star patient satisfaction rating, through decades of work with people of different background and issues. This include problems with anxiety, depression, sex relationship and work difficulties. I have been a full-time instructor in Developmental psychology at Adelphi University, City University, and taught at Psychotherapy institutes. I have also been a Senior Psychologist in hospital settings.
Experienced, training, and rapport are important in choosing a Psychotherapist. I am a Senior Psychologist with a 5-star patient satisfaction rating, through decades of work with people of different background and issues. This include problems with anxiety, depression, sex relationship and work difficulties. I have been a full-time instructor in Developmental psychology at Adelphi University, City University, and taught at Psychotherapy institutes. I have also been a Senior Psychologist in hospital settings.
(917) 650-4480 View (917) 650-4480
Photo of Jenny Mahlum, Clinical Social Work/Therapist in New York, NY
Jenny Mahlum
Clinical Social Work/Therapist, EdM, LMSW
Verified
New York, NY 10023
My specialties in couple's work include conflict management, renewing intimacy, communication skills, discernment counseling, and sex therapy.
With formal training in CBT, AEDP, EMDR, EFT, the Gottman Method & psychodynamic therapy, I blend multiple evidence-based practices to create individualized approaches to change for couples and individuals. As an integrative psychotherapist with additional degrees from Harvard and Northwestern in Psychology & Human Development, I draw on deep knowledge of human behavior. I specialize in working with intimate partners and individuals. I work with individuals and couples to discover what matters most and set long and short-term goals together.
My specialties in couple's work include conflict management, renewing intimacy, communication skills, discernment counseling, and sex therapy.
With formal training in CBT, AEDP, EMDR, EFT, the Gottman Method & psychodynamic therapy, I blend multiple evidence-based practices to create individualized approaches to change for couples and individuals. As an integrative psychotherapist with additional degrees from Harvard and Northwestern in Psychology & Human Development, I draw on deep knowledge of human behavior. I specialize in working with intimate partners and individuals. I work with individuals and couples to discover what matters most and set long and short-term goals together.
(347) 695-8840 View (347) 695-8840
Photo of Michelle Ritz, Psychologist in New York, NY
Michelle Ritz
Psychologist, PsyD
Verified
1 Endorsed
New York, NY 10018
Waitlist for new clients
I provide individual psychotherapy to adults struggling with anxiety, depression, transitions, identity, loss, self-esteem, and relationships. I believe understanding, instead of hiding from fear and shame, provides self-acceptance and consequently relief. The ultimate goal is for you to feel empowered and free to create the life you want. My work is anti-racist, sex-positive, body-positive, poly/CNM affirming, gender affirming, feminist, and culturally responsive.
I provide individual psychotherapy to adults struggling with anxiety, depression, transitions, identity, loss, self-esteem, and relationships. I believe understanding, instead of hiding from fear and shame, provides self-acceptance and consequently relief. The ultimate goal is for you to feel empowered and free to create the life you want. My work is anti-racist, sex-positive, body-positive, poly/CNM affirming, gender affirming, feminist, and culturally responsive.
(646) 374-2074 View (646) 374-2074
Photo of Gwen Butler: Counseling / Sex Therapy Aasect Cert., Clinical Social Work/Therapist in New York, NY
Gwen Butler: Counseling / Sex Therapy Aasect Cert.
Clinical Social Work/Therapist, LCSW, CST
Verified
New York, NY 10011  (Online Only)
Now accepting new clients! I'm an AASECT Certified & Christ-Centered Sex Therapist offering Individual and Couple's Counseling, as well as Workshops, focused on sexual health and pleasure. Whether it's sexual pleasure, dysfunctions, intimacy, sexuality through illness, or trauma, I'm here to help you on your path to personal fulfillment and satisfaction.
Now accepting new clients! I'm an AASECT Certified & Christ-Centered Sex Therapist offering Individual and Couple's Counseling, as well as Workshops, focused on sexual health and pleasure. Whether it's sexual pleasure, dysfunctions, intimacy, sexuality through illness, or trauma, I'm here to help you on your path to personal fulfillment and satisfaction.
(929) 419-4670 View (929) 419-4670
Photo of Wardeh C Hattab, Clinical Social Work/Therapist in New York, NY
Wardeh C Hattab
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
New York, NY 10001
Additionally, I am an AASECT-certified sex therapist.
It can feel daunting to begin therapy. You may know you are struggling with your relationships, work, or personal fulfillment yet it can feel difficult to seek help. In my practice, I will work with you in a safe space to explore and address the difficulties the prevent you from living a fulfilling life. I utilize eclectic approaches including psychodynamic, relational, existential, and attachment-based theories. You can learn more about my practice at www.hattabtherapy.com
Additionally, I am an AASECT-certified sex therapist.
It can feel daunting to begin therapy. You may know you are struggling with your relationships, work, or personal fulfillment yet it can feel difficult to seek help. In my practice, I will work with you in a safe space to explore and address the difficulties the prevent you from living a fulfilling life. I utilize eclectic approaches including psychodynamic, relational, existential, and attachment-based theories. You can learn more about my practice at www.hattabtherapy.com
(929) 209-7865 View (929) 209-7865
Photo of Megan Watt, Marriage & Family Therapist in New York, NY
Megan Watt
Marriage & Family Therapist, LMFT
Verified
3 Endorsed
New York, NY 10001
Additionally, I believe we all deserve to embrace our sexual identities and our experiences of pleasure, as sexuality is an essential aspect of connection.
Life is about connection: to ourselves, our communities, and our relationships. However, with the relentless stress of an increasingly uncertain world, unhealed wounds can be activated, leaving you feeling stuck. Therapy is a useful way to reimagine those connections by exploring, adjusting, and strengthening them. I utilize my background as a performing artist and an integrative approach to help my clients create intimacy in their relationships, implement boundaries, and build resilience. I do this through the use of evidence-based theories, mindfulness, and a playful energy.
Additionally, I believe we all deserve to embrace our sexual identities and our experiences of pleasure, as sexuality is an essential aspect of connection.
Life is about connection: to ourselves, our communities, and our relationships. However, with the relentless stress of an increasingly uncertain world, unhealed wounds can be activated, leaving you feeling stuck. Therapy is a useful way to reimagine those connections by exploring, adjusting, and strengthening them. I utilize my background as a performing artist and an integrative approach to help my clients create intimacy in their relationships, implement boundaries, and build resilience. I do this through the use of evidence-based theories, mindfulness, and a playful energy.
(332) 239-5567 View (332) 239-5567
Photo of Ron Murphy, Psychologist in New York, NY
Ron Murphy
Psychologist, PhD
Verified
New York, NY 10028
I also specialize in sex and marital therapy, having spent over 20 years at one of the leading Human Sexuality Programs in the country.
I really enjoy working with people who want to be helped with painful feelings and experiences that have interfered with their sense of well being. All of us are limited by upsettingly negative emotions that make it harder to accomplish things that would make our lives richer, more comfortable and secure. I base my work on the principles of Mindfulnes Based Cognitive Behavior Therapy. This approach has been shown to be very successful helping anxiety, depression, post-traumatic stress, phobias and many other individual and relationship issues. Like most experienced therapists, I also integrate ideas from other approaches whenever appropriate.
I also specialize in sex and marital therapy, having spent over 20 years at one of the leading Human Sexuality Programs in the country.
I really enjoy working with people who want to be helped with painful feelings and experiences that have interfered with their sense of well being. All of us are limited by upsettingly negative emotions that make it harder to accomplish things that would make our lives richer, more comfortable and secure. I base my work on the principles of Mindfulnes Based Cognitive Behavior Therapy. This approach has been shown to be very successful helping anxiety, depression, post-traumatic stress, phobias and many other individual and relationship issues. Like most experienced therapists, I also integrate ideas from other approaches whenever appropriate.
(212) 288-4660 View (212) 288-4660
Photo of Josephine Olivia Ferraro, Clinical Social Work/Therapist in New York, NY
Josephine Olivia Ferraro
Clinical Social Work/Therapist, LCSW
Verified
New York, NY 10011
EMDR Therapy, Clinical Hypnosis, Somatic Experiencing, AEDP, Emotionally Focused Couple Therapy (EFT), Sex Therapy, Strengths Based approach.
I help clients to overcome obstacles that are keeping them from maximizing their potential. I provide a supportive treatment environment. My specialties include trauma, depression, anxiety, sex therapy, kink aware, bereavement, grief, loss, relationship issues, couples therapy, career issues, codependency issues, LGBTQ issues. During COVID-19 crisis, I am providing online therapy.
EMDR Therapy, Clinical Hypnosis, Somatic Experiencing, AEDP, Emotionally Focused Couple Therapy (EFT), Sex Therapy, Strengths Based approach.
I help clients to overcome obstacles that are keeping them from maximizing their potential. I provide a supportive treatment environment. My specialties include trauma, depression, anxiety, sex therapy, kink aware, bereavement, grief, loss, relationship issues, couples therapy, career issues, codependency issues, LGBTQ issues. During COVID-19 crisis, I am providing online therapy.
(646) 461-7972 View (646) 461-7972
Photo of Alicia Pinkston, Counselor in New York, NY
Alicia Pinkston
Counselor, LMHC, CST, AASECT, LPC
Verified
2 Endorsed
New York, NY 10017
Do you want a healthy, satisfying, and fulfilling sex life? Do you long to increase intimacy, eroticism, and connection in your relationship but struggle to understand and express sexual desires or concerns? You need a safe space to explore these issues, and I can help. Whether you want to rebuild intimacy after an affair, increase your desire for sex, struggle with sexual anxiety while dating, erectile unpredictability, difficulty experiencing an orgasm, or any other sexual issue, I’m here for you. My collaborative approach empowers you to understand, identify and remove any barriers standing in your way of an optimal sex life.
Do you want a healthy, satisfying, and fulfilling sex life? Do you long to increase intimacy, eroticism, and connection in your relationship but struggle to understand and express sexual desires or concerns? You need a safe space to explore these issues, and I can help. Whether you want to rebuild intimacy after an affair, increase your desire for sex, struggle with sexual anxiety while dating, erectile unpredictability, difficulty experiencing an orgasm, or any other sexual issue, I’m here for you. My collaborative approach empowers you to understand, identify and remove any barriers standing in your way of an optimal sex life.
(347) 704-0636 View (347) 704-0636
Photo of Express Yourself Therapy, Clinical Social Work/Therapist in New York, NY
Express Yourself Therapy
Clinical Social Work/Therapist, LCSW, CST, AF-EMDR
Verified
9 Endorsed
New York, NY 10001
We believe people are doing the best they can; you are the expert in your life, not us. Patterns are learned and can be unlearned. You possess the inner wisdom you need. Our job is to help you make the changes you desire. Even dysfunctional behaviors are there for a reason and/or are a response to previous events. Our goals are to help you better understand your feelings and thoughts, find ways of coping and help you feel more like your authentic self. Your intersectional identities of race, religion, class, immigration status, gender, sexuality, and ability all influence who you are and who you are in your intimate relationships.
We believe people are doing the best they can; you are the expert in your life, not us. Patterns are learned and can be unlearned. You possess the inner wisdom you need. Our job is to help you make the changes you desire. Even dysfunctional behaviors are there for a reason and/or are a response to previous events. Our goals are to help you better understand your feelings and thoughts, find ways of coping and help you feel more like your authentic self. Your intersectional identities of race, religion, class, immigration status, gender, sexuality, and ability all influence who you are and who you are in your intimate relationships.
(347) 960-4259 View (347) 960-4259
Photo of Huilin Lai, Clinical Social Work/Therapist in New York, NY
Huilin Lai
Clinical Social Work/Therapist, LCSW-R, CST, EMDR-C, SIFI
Verified
5 Endorsed
New York, NY 10001
Contact me if you are struggling with relationship difficulties, sex, sexuality concerns, trauma, losses of loved ones, ADHD, depression or anxiety. I will help you better understand and accept yourself, and use your own insights and strengths to change and grow. I am also passionate about working with individuals, families and groups with cross-cultural/immigration background. Coming to United States as an international student myself, I deeply understand the challenges in the international community, the painful process of loss and separation from home countries, and difficulties to fit in due to language and cultural barriers.
Contact me if you are struggling with relationship difficulties, sex, sexuality concerns, trauma, losses of loved ones, ADHD, depression or anxiety. I will help you better understand and accept yourself, and use your own insights and strengths to change and grow. I am also passionate about working with individuals, families and groups with cross-cultural/immigration background. Coming to United States as an international student myself, I deeply understand the challenges in the international community, the painful process of loss and separation from home countries, and difficulties to fit in due to language and cultural barriers.
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Photo of Holly Fu, Clinical Social Work/Therapist in New York, NY
Holly Fu
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
New York, NY 10010
I specialize in sex therapy, utilizing a sex positive approach.
Life is like a journey; we only live once, and hope you can enjoy it while being here. However, sometimes, you might find it difficult to find purpose, joy, passion or be your true self. If you feel lost or experience anxiety, or loneliness, I am here to support you to get through the tough times. As a therapist, my approach is warm, supportive and non-judgmental. I believe everyone is whole and complete, and you have all the answers within you. I will focus on providing a safe space for you to explore who you are, helping you better understand/accept yourself and figureing out what you would like to do with your precious life
I specialize in sex therapy, utilizing a sex positive approach.
Life is like a journey; we only live once, and hope you can enjoy it while being here. However, sometimes, you might find it difficult to find purpose, joy, passion or be your true self. If you feel lost or experience anxiety, or loneliness, I am here to support you to get through the tough times. As a therapist, my approach is warm, supportive and non-judgmental. I believe everyone is whole and complete, and you have all the answers within you. I will focus on providing a safe space for you to explore who you are, helping you better understand/accept yourself and figureing out what you would like to do with your precious life
(646) 798-4430 View (646) 798-4430
Photo of Sandi Kaufman, Clinical Social Work/Therapist in New York, NY
Sandi Kaufman
Clinical Social Work/Therapist, LCSW, CST
Verified
2 Endorsed
New York, NY 10017
Do you find yourself in bed with your partner yet at a loss as to how to bridge the gap between you? For way too many of us, sex causes stress, disconnection, and even physical pain. The silence and misunderstandings that accompany this spiral into heartache, loneliness, and shame. If you are feeling frustrated and don’t know what else to do, trust that working with me may actually get you the results you’ve been unable to achieve on your own. My practice as an AASECT certified sex therapist is to motivate couples and individuals with hope and positive action. The style of my work is non-judgmental, and solution-focused.
Do you find yourself in bed with your partner yet at a loss as to how to bridge the gap between you? For way too many of us, sex causes stress, disconnection, and even physical pain. The silence and misunderstandings that accompany this spiral into heartache, loneliness, and shame. If you are feeling frustrated and don’t know what else to do, trust that working with me may actually get you the results you’ve been unable to achieve on your own. My practice as an AASECT certified sex therapist is to motivate couples and individuals with hope and positive action. The style of my work is non-judgmental, and solution-focused.
(347) 846-0159 View (347) 846-0159
Photo of Brenda A Lewis, Clinical Social Work/Therapist in New York, NY
Brenda A Lewis
Clinical Social Work/Therapist, LCSW
Verified
New York, NY 10003
Experienced, effective therapist, focusing on sexuality, relationships & intimacy issues in individuals and couples. Embracing a wide range of ages, backgrounds and multi cultures and work with sexual dysfunction in men and women and all emotional themes involving intimacy. It's important and imperative to find the uniqueness of everyone's story and find healing ways to make the present fulfilling. I strive to understand the people I work with deeply and to address non-working elements in a supportive, non-judgmental and collaborative way. Together, we look to discover, understand and resolve recurring obstacles to your well-being.
Experienced, effective therapist, focusing on sexuality, relationships & intimacy issues in individuals and couples. Embracing a wide range of ages, backgrounds and multi cultures and work with sexual dysfunction in men and women and all emotional themes involving intimacy. It's important and imperative to find the uniqueness of everyone's story and find healing ways to make the present fulfilling. I strive to understand the people I work with deeply and to address non-working elements in a supportive, non-judgmental and collaborative way. Together, we look to discover, understand and resolve recurring obstacles to your well-being.
(646) 759-1681 View (646) 759-1681

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Sex Therapy

Who is sex therapy for?

Sex problems are common in relationships. Many people want a better sex life and want to feel loved and desired by their partner. It is difficult for couples to resolve sexual problems on their own because people often feel ashamed to talk about their sexual desires fearing they are not normal, when in fact a very broad range of preferences and behaviors are normal. A sex therapist can help clarify this and other matters.

Why do people need sex therapy?

Many people do not know how to talk about their erotic needs or their emotional needs, both of which are addressed in sex therapy. Couples often live with sexual difficulties for years before seeking help, and in that time, partners may experience so much disappointment and alienation that they may fear their problems mean they are incompatible. Once people experience disappointment, it is difficult to find resolution without help.

What happens in sex therapy?

People have many misconceptions about what takes place in sex therapy. First, it is a form of talk therapy in which partners discuss their sexual concerns; it does not involve touching or physical exploration of any kind. Sex therapy typically helps couples get comfortable talking to each other about sex so that, in the privacy of their home life, they can openly discuss their sexual desires and make decisions about what they want to do. Couples are typically assigned activities to do at home that build intimacy skills.

What kinds of problems do sex therapists treat?

Very often, partners differ in their degree of sexual desire and struggle over how often to have sex. Or they may have fights about porn use or have difficulty connecting sexually after one partner is unfaithful. Men may have problems with premature ejaculation. Women may find themselves struggling to become aroused or to achieve an orgasm. Sometimes partners feel like they have lost the sense of attraction to their partner. These are all common issues dealt with in sex therapy.