Examine your emotions

To have satisfying sex, you need to feel good about yourself. So start by examining your own emotions.

If pain has left you physically scarred, unemployed or unable to contribute to management of your home, your self-esteem could be so battered that you feel you are unattractive and undesirable to your partner.

Awareness that your physical and emotional distance is hurting your partner may add to your anxiety, fear, guilt and resentment.

Stress can also worsen underlying difficulties in your relationship. Even strong relationships can be challenged by medical problems or chronic pain. Being aware of emotional conflict and what's causing it is an important first step in strengthening your relationship with your partner. Counseling may help.