Shame comes up in almost every sexually related issue I have dealt with in my practice whether it be any of the following:

• you were the victim or the perpetrator of a sexual assault or ongoing sexual aggression and that is now impacting your sexual behaviour

• low or high libido

• inability to orgasm, premature orgasm, delayed orgasm

• porn

• erectile dysfunction

• risky sexual behaviour

• pain with intercourse

• insufficient arousal/lubrication

There can be shame experienced around all of these and they can be very painful and difficult to seek support on and yet they impact our lives, our happiness and our energy.

The causes can be psychological as well as physical and often are a combination of both.

Hormones, medication, what we learnt in our family of origin or our own sexual history all play a part.