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The leading cause of SD and ED is mental illness such as generalized anxiety disorder (GAD) and social anxiety disorder (SD). Clinical depression can decrease sex drive and create feelings of isolation which develops into anxiety and stress around romantic and sexual relationships.
Therapy is recommended to combat the root of these sexual issues which often leads to discovering issues of nervousness around sexual performance and sexual trauma.
It can also be noted that sexual identity and gender identity also impact how a person views themselves and others physically. Gender and sexuality insecurities can lead to decreased sexual desire or sexual frustration due to stigma and lack of support.
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