The consequence of anxiety
Something I see regularly in my consulting room, as I'm sure all therapists do (!) is anxiety. Most people I speak to don't immediately see the correlation between anxiety and sexual dysfunction they are presenting with. In fact, anxiety and sexual dysfunction have a highly complex relationship. Panic and worry have a physical effect on your body, ramping up the production of stress hormones like adrenaline that make you feel on edge. Often there is a strong cause and effect, this catch-22 tends to amplify both issues and lead people to feel isolated.
If you are experiencing anxiety and it is affecting your body image, ability to be intimate, or orgasm. Speak to a professional. Treating your anxiety in the first instance can often greatly alleviate sexual dysfunctions.