*Unrealistic expectations about sex, relationships & romance
*Difficulty relaxing
*Stress due to overloaded schedules and lack of time
*Relationship conflicts
*General or emotional disconnection from your partner
*Anxiety or Depression
*Unfulfilling sexual practices or sexual problems
*Sexual shame from being raised to believe sex is “dirty”
*History of sexual abuse as a child or teen, or date rape
*Demands of childbearing and rearing leading to exhaustion
*Sexual boredom or issues with your partner’s technique or approach
*Lack of attraction to your partner
*Physical illness, hormonal issues and some medications
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