• "Lost" libido
• Can't sustain sexual interest once a relationship develops
• Unable to talk to one’s partners about what is or isn't working
• No longer desiring partner
• No longer having sex with partner
• Uncomfortable receiving or giving sexual touch
• Disturbed by one’s desires or fantasies
• Experiencing sexual triggers, or triggering partner
• Difficulty achieving or sustaining erections
• Difficulty or inability reaching orgasm
• Sexual functioning has been impacted by depression or other illness—or the medication prescribed to alleviate it
• History of sexual trauma
• Inappropriate behavior

and…

• Newly single or newly coupled
• Getting married
• New challenges, such as birth of a child, new career or education commitment
• Desire to explore new fantasy, gender identity, or sexual activity
• Desire to discover new avenues of erotic exploration
• Desire to increase capacity for pleasure