Sexual concerns are more common than you may think. Here is a brief overview:

  • Lack of interest in sex or low sexual desire. This means you are not interested in sex or have a low desire for sex, and this bothers you. (Note: this is not to be confused with being asexual, which is when someone experiences little or no sexual attraction to others. For more information, visit “Resources to Learn More” in this guide, and the section: “Resources for Transgender, Genderqueer, Agender, Nonbinary & Asexual Commuities.")
  • Lack of sexual arousal. This means that you’re in the mood for sex, but your body isn’t. In many cases, this happens when you don’t respond to sexual stimulation – either emotional, physical, or a combination of both. 
  • Pain during penetration or during intercourse. This can happen during any type of sex such as oral, finger, vaginal, and/or anal penetration.
  • Delayed or inhibited ejaculation. This occurs when you can’t completely finish ejaculating (coming), or when you can’t come at all.
  • Difficulties reaching or having an orgasm. This can mean either you don’t have an orgasm or there’s a delay in having an orgasm.
  • Erectile dysfunction. This occurs when you can't get or keep an erection firm enough (to stay hard) for sex.
  • Premature ejaculation. This can happen when you finish (or come) before you or your partner(s) wants to.
  • Vaginal dryness or atrophy. When a person’s vagina isn’t wet enough to comfortably have vaginal intercourse, which could be due to vaginal dryness or atrophy. 

Note: this resource aims to provide comprehensive information for all individuals; however, transgender people may have specific concerns and questions, especially if you’ve had gender-affirming surgery. For more information, visit “Resources to Learn More” and the section: "Resources for Transgender, Genderqueer, Agender, Nonbinary & Asexual Communities."