Sex Therapists in Madison County, KY

Photo of Shannon Ethridge-Myers, M.A. in Madison County, KY
Shannon Ethridge-Myers, M.A.
MA
Verified Verified
Richmond, KY 40475
I enjoy helping people overcome the sexual and emotional hurdles that hold them back -- sex addiction, porn/fantasy addiction, infidelity/betrayal, body image issues, sexual abuse, spiritual guilt, low self-esteem, lack of sexual confidence, family of origin issues, trust issues, etc. I believe EVERYONE deserves to be a sexually connected, sexually satisfied partner. Healthy sexual relationships can heal a multitude of wounds and bond a couple together in an incredibly synergistic way if they are both willing to do the work to overcome their own fears, anxieties, hurts, and hang-ups.
I enjoy helping people overcome the sexual and emotional hurdles that hold them back -- sex addiction, porn/fantasy addiction, infidelity/betrayal, body image issues, sexual abuse, spiritual guilt, low self-esteem, lack of sexual confidence, family of origin issues, trust issues, etc. I believe EVERYONE deserves to be a sexually connected, sexually satisfied partner. Healthy sexual relationships can heal a multitude of wounds and bond a couple together in an incredibly synergistic way if they are both willing to do the work to overcome their own fears, anxieties, hurts, and hang-ups.
(417) 212-5409 View (417) 212-5409
Photo of Living Well Counseling, Licensed Professional Clinical Counselor in Madison County, KY
Living Well Counseling
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
2 Endorsed
Richmond, KY 40475
Do you find yourself backed into a corner, not knowing what to do? Perhaps it's your relationship, the choices you have made, or an addiction that has lead you on the path you're on. I've assisted many people in finding a new perspective so they can then learn to make new and healthier choices. My hope is for everyone to have a better and more productive life.
Do you find yourself backed into a corner, not knowing what to do? Perhaps it's your relationship, the choices you have made, or an addiction that has lead you on the path you're on. I've assisted many people in finding a new perspective so they can then learn to make new and healthier choices. My hope is for everyone to have a better and more productive life.
(859) 449-7742 View (859) 449-7742
Photo of Joshua Johnston, Marriage & Family Therapist in Madison County, KY
Joshua Johnston
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Richmond, KY 40475  (Online Only)
Therapy is about connecting with another person in such a way that you feel understood and valued, while trusting that your best interest is being served. There are many different ways to achieve this goal. My approach centers on working with people to understand their unique values and beliefs, which ultimately guides their experiences, and developing goals and strategies together to work toward their desired outcome. By asking the question, "what does better look like?", you are already on your way.
Therapy is about connecting with another person in such a way that you feel understood and valued, while trusting that your best interest is being served. There are many different ways to achieve this goal. My approach centers on working with people to understand their unique values and beliefs, which ultimately guides their experiences, and developing goals and strategies together to work toward their desired outcome. By asking the question, "what does better look like?", you are already on your way.
(859) 449-4549 View (859) 449-4549
Photo of Crystal Morgan, Counselor in Madison County, KY
Crystal Morgan
Counselor, MA, LPCA
Verified Verified
Richmond, KY 40475
Have you ever felt like you were missing out on something but not sure what? Do you feel like you could be fulfilled but you don't know how to get there? Are you going through a transition in your life and need reassurance or guidance from a non-judgmental place? If so, now is a good time to reach out and explore your own inner strength to make life feel whole again. I work with individuals from teens to retirement age, couples in different stages of their relationship, and young adults who are trying to find their own identity in this world. I also work with clients who want to change their story and create their own.
Have you ever felt like you were missing out on something but not sure what? Do you feel like you could be fulfilled but you don't know how to get there? Are you going through a transition in your life and need reassurance or guidance from a non-judgmental place? If so, now is a good time to reach out and explore your own inner strength to make life feel whole again. I work with individuals from teens to retirement age, couples in different stages of their relationship, and young adults who are trying to find their own identity in this world. I also work with clients who want to change their story and create their own.
(859) 955-8940 View (859) 955-8940
Photo of Brianna Prewitt, Licensed Professional Counselor Associate in Madison County, KY
Brianna Prewitt
Licensed Professional Counselor Associate, MA, LPCA, NCC
Verified Verified
1 Endorsed
Richmond, KY 40475
Waitlist for new clients
In a world filled with labels and titles, we are all simply human first. Being human means we are all bound to get it wrong sometimes no matter how much we have (or don’t have) figured out. Life is hard, and it’s natural that challenges sometimes cloud the way we see ourselves and the world; however, I believe worthiness is our birthright, and it is my goal as a clinician to help my clients see that their worthiness has no prerequisite and isn’t something to be earned.
In a world filled with labels and titles, we are all simply human first. Being human means we are all bound to get it wrong sometimes no matter how much we have (or don’t have) figured out. Life is hard, and it’s natural that challenges sometimes cloud the way we see ourselves and the world; however, I believe worthiness is our birthright, and it is my goal as a clinician to help my clients see that their worthiness has no prerequisite and isn’t something to be earned.
(859) 484-8681 View (859) 484-8681

Online Therapists

Photo of Daniel R Ellenberg, Counselor in Madison County, KY
Daniel R Ellenberg
Counselor, MA, NCC, LPCA
Verified Verified
Bronston, KY 42518  (Online Only)
You're tired, broken, and weary from trying and failing again and again. Sexual addiction has promised you the world but robbed you of your soul. At times it seems hopeless. You’ve questioned if it’s even possible to be free. This is an understandable sentiment. Sexual addiction is a beast. But despite how impossible it may seem, true freedom can be achieved. My approach addresses three areas of the problem to help you discover lasting freedom. I want to empower you to have control over urges, help you find the roots of the problem and remove them, and ultimately help you change your relationship with sex.
You're tired, broken, and weary from trying and failing again and again. Sexual addiction has promised you the world but robbed you of your soul. At times it seems hopeless. You’ve questioned if it’s even possible to be free. This is an understandable sentiment. Sexual addiction is a beast. But despite how impossible it may seem, true freedom can be achieved. My approach addresses three areas of the problem to help you discover lasting freedom. I want to empower you to have control over urges, help you find the roots of the problem and remove them, and ultimately help you change your relationship with sex.
(606) 617-9741 View (606) 617-9741
Photo of Amy Clark, Counselor in Madison County, KY
Amy Clark
Counselor, MA, LPCC-S
Verified Verified
Florence, KY 41042
In my practice, I specialize in relationship and sex therapy.
As a sex and relationship therapist, I am passionate about guiding people in the journey of exploring their true self. As a person learns to love and accept themselves, they are able to experience a deeper level of intimacy and connection with others. The most gratifying relationship is one that involves two people who are able to connect emotionally, intellectually, sexually and spiritually. I look forward to working with individuals and couples who desire to reach a healthier view of themselves, their relationships and their sexuality. As vulnerable as it can feel to engage in therapy, it can also be a rewarding journey.
In my practice, I specialize in relationship and sex therapy.
As a sex and relationship therapist, I am passionate about guiding people in the journey of exploring their true self. As a person learns to love and accept themselves, they are able to experience a deeper level of intimacy and connection with others. The most gratifying relationship is one that involves two people who are able to connect emotionally, intellectually, sexually and spiritually. I look forward to working with individuals and couples who desire to reach a healthier view of themselves, their relationships and their sexuality. As vulnerable as it can feel to engage in therapy, it can also be a rewarding journey.
(859) 376-1708 View (859) 376-1708
Photo of KIM Counseling Center, LLC, Marriage & Family Therapist Associate in Madison County, KY
KIM Counseling Center, LLC
Marriage & Family Therapist Associate
Verified Verified
Louisville, KY 40204
Waitlist for new clients
As your therapist, I have skills to help individuals who are contemplating marriage or desire to have a loving marriage that works? I will provide resources and tools to those suffering from PMS (Power, Money, Sex).
I believe each day we are blessed with life, we should live it with joy and peace. I also believe whatever happens in life, whether good or bad, we must keep it moving. If you are needing someone to talk to because you have arrived at a point in life where you can no longer move, tired of hiding or keeping your feelings within. My clients are looking forward to moving from a stale place to becoming victorious in their marriage, winning over their addictions, fear, racing thoughts, trauma, depression, and anxiety to reach their life’s dreams and goals. I help teens, individuals and couples with finding their inner joy & peace.
As your therapist, I have skills to help individuals who are contemplating marriage or desire to have a loving marriage that works? I will provide resources and tools to those suffering from PMS (Power, Money, Sex).
I believe each day we are blessed with life, we should live it with joy and peace. I also believe whatever happens in life, whether good or bad, we must keep it moving. If you are needing someone to talk to because you have arrived at a point in life where you can no longer move, tired of hiding or keeping your feelings within. My clients are looking forward to moving from a stale place to becoming victorious in their marriage, winning over their addictions, fear, racing thoughts, trauma, depression, and anxiety to reach their life’s dreams and goals. I help teens, individuals and couples with finding their inner joy & peace.
(502) 747-9073 View (502) 747-9073
Photo of Michelle Stillwagon, Marriage & Family Therapist in Madison County, KY
Michelle Stillwagon
Marriage & Family Therapist, LMFT, CST
Verified Verified
Louisville, KY 40205
As an AASECT Certified sex therapist I offer tools, strategy, empathy, and evidence based interventions for all things related to relationships, intimacy and sex.
I work with couples and individuals who need a systemic perspective on how problems interact in relationships. Then, with my specialized lens, I am able to help clients get “unstuck” after years of no or low quality sex, desire discrepancies, medical issues that create disconnection, and pent up frustrations between partners. I am skilled, humorous, direct, honest, and loving with my clients. And I’m a welcoming, justice oriented, creative thinker who does not judge and is willing to walk alongside you through it all: fear, trauma, doubt, shame, guilt, sadness, and dark nights of the soul.
As an AASECT Certified sex therapist I offer tools, strategy, empathy, and evidence based interventions for all things related to relationships, intimacy and sex.
I work with couples and individuals who need a systemic perspective on how problems interact in relationships. Then, with my specialized lens, I am able to help clients get “unstuck” after years of no or low quality sex, desire discrepancies, medical issues that create disconnection, and pent up frustrations between partners. I am skilled, humorous, direct, honest, and loving with my clients. And I’m a welcoming, justice oriented, creative thinker who does not judge and is willing to walk alongside you through it all: fear, trauma, doubt, shame, guilt, sadness, and dark nights of the soul.
(502) 206-0649 View (502) 206-0649
Photo of Angelina Wedding, Counselor in Madison County, KY
Angelina Wedding
Counselor, LPCC
Verified Verified
Lexington, KY 40509  (Online Only)
I have a wide range of experiences and feel confident working with clients experiencing issues in the following areas: addiction, depression, relationship issues, child & adolescent issues, sexuality, bereavement, anxiety, and codependency.
I love my work and enjoy offering my clients a safe and supportive environment for them to grow and explore themselves. My style is both conversational and relational. I offer an authentic presence within a collaborative, lively relationship in which self-discovery can be non-threatening and perhaps, even fun. I am committed to sharing everything I know which I believe will help heal the difficulties in one's life. I am inspired each day by the courage clients have each moment they show up for therapy. I became a therapist because, to me, the value in life comes when you return to your value within.
I have a wide range of experiences and feel confident working with clients experiencing issues in the following areas: addiction, depression, relationship issues, child & adolescent issues, sexuality, bereavement, anxiety, and codependency.
I love my work and enjoy offering my clients a safe and supportive environment for them to grow and explore themselves. My style is both conversational and relational. I offer an authentic presence within a collaborative, lively relationship in which self-discovery can be non-threatening and perhaps, even fun. I am committed to sharing everything I know which I believe will help heal the difficulties in one's life. I am inspired each day by the courage clients have each moment they show up for therapy. I became a therapist because, to me, the value in life comes when you return to your value within.
(859) 765-7802 View (859) 765-7802
Photo of Waybridge Counseling, Counselor in Madison County, KY
Waybridge Counseling
Counselor, PCC-S
Verified Verified
1 Endorsed
Fort Thomas, KY 41075
Teams include: Couples Therapy Team, Family Therapy Team, Gender Team, Sex-Addiction Team, Sex Assault/Domestic Violence Team, Trauma Team.
Waybridge Counseling is a group practice of specialists who provide treatment for a variety of concerns. Our specialists work in teams and this is a critical element of our success. Each team meets regularly for ongoing training and consultation in the team's specialty. We believe that this significantly increases the quality of counseling we offer.
Teams include: Couples Therapy Team, Family Therapy Team, Gender Team, Sex-Addiction Team, Sex Assault/Domestic Violence Team, Trauma Team.
Waybridge Counseling is a group practice of specialists who provide treatment for a variety of concerns. Our specialists work in teams and this is a critical element of our success. Each team meets regularly for ongoing training and consultation in the team's specialty. We believe that this significantly increases the quality of counseling we offer.
(513) 457-4673 View (513) 457-4673
Photo of Rick Hudson, Licensed Professional Clinical Counselor in Madison County, KY
Rick Hudson
Licensed Professional Clinical Counselor, PhD, LPCC-S, NCC
Verified Verified
1 Endorsed
Louisville, KY 40205
Waitlist for new clients
My work with clients has included addressing depression, anxiety, self-esteem and identity concerns as well as the social/emotional challenges that accompany ADHD, Autism and other disabilities. As a self avowed ‘nerd therapist’ with ADHD myself, I am passionate about working with fellow nerds, outcasts, artists or creatives who may feel out of sync with a mainstream approach. I am particularly adept at assisting clients in identifying their strengths and talents and applying them toward career, educational and other life goals. I am sex positive and endeavor to be an ally to LGBTQ+, poly and kink communities.
My work with clients has included addressing depression, anxiety, self-esteem and identity concerns as well as the social/emotional challenges that accompany ADHD, Autism and other disabilities. As a self avowed ‘nerd therapist’ with ADHD myself, I am passionate about working with fellow nerds, outcasts, artists or creatives who may feel out of sync with a mainstream approach. I am particularly adept at assisting clients in identifying their strengths and talents and applying them toward career, educational and other life goals. I am sex positive and endeavor to be an ally to LGBTQ+, poly and kink communities.
(502) 771-2608 View (502) 771-2608
Photo of Abbie McGohon, Licensed Professional Clinical Counselor in Madison County, KY
Abbie McGohon
Licensed Professional Clinical Counselor, LPCC, NCC
Verified Verified
Louisville, KY 40245  (Online Only)
My goal as a mental health provider is to create an inclusive, non-judgmental space for all clients I work with. I believe in meeting the client where they are at and collectively developing a plan that allows the client to achieve their personal goals. I focus on issues related to self-esteem, relationships, sexuality, sexual health, anxiety, and many other challenges that life brings our way.
My goal as a mental health provider is to create an inclusive, non-judgmental space for all clients I work with. I believe in meeting the client where they are at and collectively developing a plan that allows the client to achieve their personal goals. I focus on issues related to self-esteem, relationships, sexuality, sexual health, anxiety, and many other challenges that life brings our way.
(502) 806-2046 View (502) 806-2046
Photo of Dr. Lauren Elizabeth Downey, Licensed Professional Counselor in Madison County, KY
Dr. Lauren Elizabeth Downey
Licensed Professional Counselor, EdD, LPCC-S
Verified Verified
1 Endorsed
Lexington, KY 40509
I offer counseling to clients and couples from all walks of life who have experienced trauma, personal stressors, sex/relationship issues and everything in between.
Generational trauma, racialized trauma, system-induced trauma... Trauma is far-reaching and multifaceted and to varying degrees, trauma impacts every single person on the face of this Earth as does ones sexuality. As a trauma specialist and certified sex provider, those who seek to gain insight and process trauma(s) and current life stressors related to relationships . Inclusive exploration, culturally responsive, and trauma-based sexuality-informed counseling approaches YOU have the ability to highlight and tap into your own empowerment, peace, joy, and self-love. Growth begins within. If you are ready to do the work, I am here.
I offer counseling to clients and couples from all walks of life who have experienced trauma, personal stressors, sex/relationship issues and everything in between.
Generational trauma, racialized trauma, system-induced trauma... Trauma is far-reaching and multifaceted and to varying degrees, trauma impacts every single person on the face of this Earth as does ones sexuality. As a trauma specialist and certified sex provider, those who seek to gain insight and process trauma(s) and current life stressors related to relationships . Inclusive exploration, culturally responsive, and trauma-based sexuality-informed counseling approaches YOU have the ability to highlight and tap into your own empowerment, peace, joy, and self-love. Growth begins within. If you are ready to do the work, I am here.
(859) 295-3882 View (859) 295-3882
Photo of Sav Shiveley, Clinical Social Work/Therapist in Madison County, KY
Sav Shiveley
Clinical Social Work/Therapist, LMSW
Verified Verified
Fort Mitchell, KY 41011
I create a culture of comfort and empathy, where you are able to openly discuss your relationship with gender, sexuality, and relationships while being assured that you are validated and earnestly understood.
As someone who is both non-binary and gay, I understand the unique pressures fellow LGBTQIA+ individuals endure in social, emotional, and occupational domains of functioning.With a lack of adequate social support, navigating sex, relationships, and intimacy as a queer individual can be much more challenging, especially while considering past traumas, internalized homophobia, and other impediments. Whether it is coming to terms with your newfound gender and/or sexual identity, coming out to your family, friends, or the workplace, or coping with dysphoria.
I create a culture of comfort and empathy, where you are able to openly discuss your relationship with gender, sexuality, and relationships while being assured that you are validated and earnestly understood.
As someone who is both non-binary and gay, I understand the unique pressures fellow LGBTQIA+ individuals endure in social, emotional, and occupational domains of functioning.With a lack of adequate social support, navigating sex, relationships, and intimacy as a queer individual can be much more challenging, especially while considering past traumas, internalized homophobia, and other impediments. Whether it is coming to terms with your newfound gender and/or sexual identity, coming out to your family, friends, or the workplace, or coping with dysphoria.
(513) 643-1382 View (513) 643-1382
Photo of LifeBridge Counseling, LLC (Wally Hollis), Licensed Professional Clinical Counselor in Madison County, KY
LifeBridge Counseling, LLC (Wally Hollis)
Licensed Professional Clinical Counselor, LPCC, MSc, DAACS, CFI
Verified Verified
Lexington, KY 40509
I am a Licensed Professional Counselor specializing in individual & relationship therapy; as well as trauma, grief, & sexuality and porn addiction counseling.
Everyone goes through difficult challenges in life. While you may have been able to cope with the challenges you’ve encountered, it’s always a good idea to seek extra support when you need it. In fact, when you realize you need a helping hand, you’re taking responsibility admirably by facing the challenges you encounter in life. Therapy will give you long - term benefits and the tools you need to overcome the difficulties you encounter.
I am a Licensed Professional Counselor specializing in individual & relationship therapy; as well as trauma, grief, & sexuality and porn addiction counseling.
Everyone goes through difficult challenges in life. While you may have been able to cope with the challenges you’ve encountered, it’s always a good idea to seek extra support when you need it. In fact, when you realize you need a helping hand, you’re taking responsibility admirably by facing the challenges you encounter in life. Therapy will give you long - term benefits and the tools you need to overcome the difficulties you encounter.
(859) 309-5229 View (859) 309-5229
Photo of Patrick Holley M.Div., M.A., LPCC-S, Licensed Professional Clinical Counselor in Madison County, KY
Patrick Holley M.Div., M.A., LPCC-S
Licensed Professional Clinical Counselor, MDiv, MA, LPCC-S
Verified Verified
1 Endorsed
Lexington, KY 40502  (Online Only)
​ ​​Patrick is the author of Grace and Sexuality.
My counseling focus is Marriage and Relationship counseling as well as depression and anxiety. I believe our core problems tend to stem from our desire to be validated and loved by others. When we do not feel worthy, "good enough" or loved we engage in self-protective behaviors (fight or flee), pain comes to the surface and we experience hurt, anger, anxiety and other destructive emotions.
​ ​​Patrick is the author of Grace and Sexuality.
My counseling focus is Marriage and Relationship counseling as well as depression and anxiety. I believe our core problems tend to stem from our desire to be validated and loved by others. When we do not feel worthy, "good enough" or loved we engage in self-protective behaviors (fight or flee), pain comes to the surface and we experience hurt, anger, anxiety and other destructive emotions.
(859) 795-3196 View (859) 795-3196
Photo of Andrea Williams, Counselor in Madison County, KY
Andrea Williams
Counselor, MEd, LPCC, LCADC
Verified Verified
Louisville, KY 40222
Do you feel like your partner is more like a roommate? Has your partner had an emotional/ physical affair? Are addictive behaviors ruining your relationships (alcohol, drugs, porn, sex)? If you said yes to any of these, please schedule an appointment at https://andrea-williams5206. clientsecure.me
Do you feel like your partner is more like a roommate? Has your partner had an emotional/ physical affair? Are addictive behaviors ruining your relationships (alcohol, drugs, porn, sex)? If you said yes to any of these, please schedule an appointment at https://andrea-williams5206. clientsecure.me
(502) 873-3190 View (502) 873-3190
Photo of Melanie McDermott, Marriage & Family Therapist in Madison County, KY
Melanie McDermott
Marriage & Family Therapist, LMFT, CST
Verified Verified
1 Endorsed
Louisville, KY 40222
Congratulations! You have just taken the first step towards positive change in your life and you deserve it. I enjoy working with individuals, couples, and families with a variety of needs and believe that we can achieve the goals you are trying to reach. I am a Marriage and Family Therapist and Certified Sex Therapist. If you are experiencing problems in your relationships that are impacted by: low or high sexual desire, erectile dysfunction, orgasm difficulty, painful intercourse, premature or delayed ejaculation, or desire discrepancy with your partner, I may be the therapist for you.
Congratulations! You have just taken the first step towards positive change in your life and you deserve it. I enjoy working with individuals, couples, and families with a variety of needs and believe that we can achieve the goals you are trying to reach. I am a Marriage and Family Therapist and Certified Sex Therapist. If you are experiencing problems in your relationships that are impacted by: low or high sexual desire, erectile dysfunction, orgasm difficulty, painful intercourse, premature or delayed ejaculation, or desire discrepancy with your partner, I may be the therapist for you.
(502) 276-9097 View (502) 276-9097
Photo of Coralie McEachron, Marriage & Family Therapist in Madison County, KY
Coralie McEachron
Marriage & Family Therapist, LMFT
Verified Verified
Louisville, KY 40204  (Online Only)
I'm dually licensed in CA & KY, and have extensive training in trauma & sex therapy.
I believe that we can get stuck in the mire of hopelessness when we feel overwhelmed, or when our circumstances are more than we can handle. If you struggle with navigating your emotions, finding meaning/purpose, overcoming difficult or painful circumstances of the past (flashbacks, avoidance, fear, triggers) or even the present (arguments, emotional angst, numbness, irritation, anxiety, worry, hypervigilance), I want to support you. I specialize in anxiety; depression; eating disorders; relational issues; sex therapy and education, as well as helping folks work through general/sexual trauma using somatic or body-centered methods.
I'm dually licensed in CA & KY, and have extensive training in trauma & sex therapy.
I believe that we can get stuck in the mire of hopelessness when we feel overwhelmed, or when our circumstances are more than we can handle. If you struggle with navigating your emotions, finding meaning/purpose, overcoming difficult or painful circumstances of the past (flashbacks, avoidance, fear, triggers) or even the present (arguments, emotional angst, numbness, irritation, anxiety, worry, hypervigilance), I want to support you. I specialize in anxiety; depression; eating disorders; relational issues; sex therapy and education, as well as helping folks work through general/sexual trauma using somatic or body-centered methods.
(949) 828-5930 View (949) 828-5930

See more therapy options for Madison County

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.