Erectile dysfunction (ED) is the inability to achieve or sustain a hard enough erection to allow penetration during sex, or the loss of an erection during penetrative sex. ED is common and can occur at any age.

Certain medical conditions can increase the chance of experiencing ED such as high blood pressure, diabetes and heart disease.  Psychological factors such as stress, anxiety around sexual performance, difficulties in your relationship and depression can also increase your chance of experiencing ED. Some types of medication can increase the chance of ED as well. 

Ejaculation problems – NHS (www.nhs.uk)

Vaginismus means that the muscles surrounding the lower part of your vagina have gone into spasm making penetrative intercourse uncomfortable, painful or impossible depending on the degree of spasm.

Vaginismus can either be present on the first ever attempt at vaginal penetration, or it can develop later, after some emotional or physical traumatic event, even when there has been successful intercourse in the past.

Most commonly vaginismus is a bodily reaction to a psycho-emotional upset. A first attempt at penetration proves painful, and fear that this will happen again leads to an automatic protective reflex. The vaginal muscles tighten to prevent a recurrence of the pain.

Pain during or after sex can be caused by many things, such as:

• illness
• infection
• a physical problem
• a psychological problem

If you get pain during or after sex, your body may be trying to tell you something is wrong, so don’t ignore it.

Loss of libido – NHS inform

Orgasms and Pleasure