Psycho-Sexual Issues 

Difficulties with sexual response, such as trouble getting or maintaining arousal, low sexual desire, or difficulty reaching climax (for example, Erectile Disorder, Female Sexual Interest/Arousal Disorder, or Delayed Ejaculation). These are diagnosed when the difficulty is frequent, ongoing, and causes distress. not just an occasional, one-time occurrence 

Feeling nervous, worried, or fearful about one's sexual performance, often to the point that the anxiety itself interferes with the ability to relax and engage naturally during intimacy. 

Discomfort, avoidance, or difficulty allowing emotional or physical closeness with a partner, which can affect both the sexual and emotional aspects of a relationship.