We humans are emotionally, cognitively, behaviorally, and sexually changeable creatures. We react, adapt, and evolve. When our personal evolution occurs along expected lines, others label us mature or normal. When it does not, our unique developmental pathways are described as evidence of our immaturity or psychopathology. Sometimes we are more colloquially described as “having problems.”

Sexual life, being an integral part of nonsexual life processes, is dynamic and evolutionary. I think about it as having three broad categories of potential difficulties, disorders, problems, and worries.

Sexual worries detract from the pleasure of living. They abound among people of all ages. Here are examples:

Will I be adequate during my first intercourse?

Will my new partner like my not-so-perfect body?

Does my diminishing interest in sex mean that I no longer love my partner?

How long will I be able to maintain potency with my young wife?

Will I be able to sustain love for my partner?

Is my size adequate?

Am I being able to last longer?