London Psychosexual Therapy Blog

Sexual Aversion: Understanding Fear of Sexual Intimacy and the Path to Healing

Sexual aversion is not a personal failure and not something to 'push through'. It is a protective response from a nervous system trying to keep you safe. It can feel isolating, shameful and confusing but you do not need to face it alone. Healing is absolutely possible.

November 20, 2025

Sexual aversion can affect people of any gender, orientation or relationship status. It may appear suddenly or develop gradually over time. While it can create confusion, shame or relationship strain, sexual aversion is highly treatable. With compassionate, specialised support, individuals can heal underlying wounds, rebuild safety and rediscover connection and pleasure at their own pace.

What is Sexual Aversion?

Sexual aversion refers to a persistent fear, anxiety or avoidance of sexual activity. For some, even thinking about sex triggers discomfort, panic or physical tension. For others, sexual situations feel overwhelming, triggering withdrawal, shutdown or emotional distress.

Sexual aversion can involve:

  • fear or panic during sexual situations
  • a strong desire to avoid sexual contact
  • feeling repulsed or overwhelmed by sexual touch
  • shutting down emotionally or physically
  • distressing intrusive thoughts
  • loss of desire due to fear or anxiety
  • dread or overwhelm when intimacy is expected

Sexual aversion is not a choice. It's a response from the nervous system trying to keep the person safe.

Types of Sexual Aversion:

Generalised Sexual Aversion

Avoidance of all sexual contact or sexual thoughts.

Situational Sexual Aversion

Fear or avoidance only in specific contexts, positions, expectations or with certain partners.

Trauma- Linked Sexual Aversion

Aversion that emerges after or due to post sexual trauma, coercion or negative experiences.

Relationship- Based Sexual Aversion

Occurs within a specific relationship due to conflict, resentment, fear or attachment patterns.

What Causes Sexual Aversion?

Sexual aversion is often rooted in emotional, psychological, relational or physical experiences that create fear around intimacy.

Emotional and Psychological Causes:

  • post or recent sexual trauma
  • anxiety disorders or panic
  • fear of vulnerability
  • body image concerns
  • shame around sex or sexuality
  • conditioning from upbringing or religious messaging
  • internalised beliefs that sex is dangerous or wrong

Relational Causes:

  • unresolved conflict
  • fear of disappointing a partner
  • pressure to perform
  • mismatched desire creating anxiety
  • lack of emotional safety
  • criticism, rejection or negative sexual experiences

Physical Causes:

  • painful sex ( vaginismus, dyspareunia, erectile issues)
  • medical conditions
  • hormonal changes
  • medication side effects

When the body associates sex with danger, threat or vulnerability, aversion becomes a protective response.

How Sexual Aversion Affects Individuals?

Emotional Impact

  • shame or confusion
  • fear of intimacy
  • guilt towards partner
  • loneliness or isolation
  • distress about one's own reactions
  • anger at oneself for shutting down

Physical Signs

  • tension or panic
  • nausea
  • painful muscle tightening
  • dry mouth
  • rapid heartbeat
  • dissociation or freezing

These responses are signs of the nervous system activating protective mechanisms, not signals of personal weakness or disinterest.

How Sexual Aversion Affects Relationships?

Sexual aversion can create:

  • fear of closeness
  • avoidance of physical affection
  • misunderstandings around desire
  • partner insecurity or rejection
  • conflict around intimacy expectations
  • emotional distancing
  • confusion about the future

Most partners misunderstand sexual aversion as rejection but the realist is a pattern rooted in fear, not lack of love.

Psychosexual therapy helps both partners understand and navigate this with compassion and clarity.

How Psychosexual Therapy Helps with Sexual Aversion?

Psychosexual therapy offers a safe, non-judgmental, trauma-informed space to explore the roots of sexual aversion and gradually rebuild safety and connection.

Therapy may include:

  1. Understanding the Origin of Aversion

Exploring emotional, physical or relational causes.

  1. Building Emotional and Physical Safety

Before addressing sex, therapy focuses on:

  • grounding
  • nervous system regulation
  • emotional stability
  • developing communication skills
  • establishing boundaries
  1. Gradual Reconnection with the Body

Using:

  • mindfulness
  • somatic awareness
  • gently body-oriented techniques to help individuals feel safe within themselves.
  1. Reframing Sexuality

Challenging beliefs such as:

  • ' I must perform'
  • ' I will be judged'
  • ' Sex is dangerous'
  1. Reducing Shame

Creating space for vulnerability, validation and self-compassion.

  1. Rebuilding Desire Slowly Through:
  • sensate focus
  • non-sexual touch
  • pressure- free intimacy
  • step-by-step exploration
  1. Healing Trauma ( if present)

Using trauma-informed approaches that prioritise safety and pacing.

  1. Couples Therapy ( if applicable)

Helping partners:

  • understand triggers
  • reduce pressure
  • strengthen emotional intimacy
  • rebuild trust and closeness

Healing sexual aversion is gentle, patient and always guided by the individual's comfort.

With compassion, patience, emotional support and specialist guidance, individuals can rediscover safety, comfort, confidence, desire, pleasure, healthy intimacy and renewed relationship with their body.

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Answers to Your Questions

Frequently Asked Questions

Is sexual aversion the same as low libido?

Can sexual aversion be trauma-related?

Can sexual aversion appear suddenly?

Is sexual aversion treatable?

How long does treatment take?

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