- Repeated negative feelings toward sex, due to shame, past abuse or self-esteem problems with body image or sexual ability
- Ongoing thoughts about sex or sexually related activities, but framed in a context of negativity, fear or poor self-esteem
- A sense of anger, shame or sadness regarding sexual encounters from the person’s past – especially if abuse has been present
- Carrying out self-harming behavior or avoidance measures to prevent sex from taking place

