Many individuals experience distress regarding their primary sex characteristics. For some, an erection can be a source of "genital dysphoria," leading to a psychological "shutdown" of arousal.
Sex therapy can help individuals navigate dysphoria and redefine what pleasure looks like beyond traditional penetration. Open communication with partners helps alleviate the "performance" aspect of sex. Resources for Further Learning impotence shemale
Sexual performance is not purely physiological. Mental health and self-image play massive roles in how someone experiences their body: impotence shemale
