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Anxiety and depression can have a negative effect on your sex life. Anxiety is an intense fear, worry, or dread that something bad will happen. Depression is a mood disorder that causes feelings of sadness and loss of pleasure in day-to-day activities for at least 2 weeks. These issues may make it difficult to enjoy sexual activity because you are embarrassed by the way your body looks or feels during sex with long distance vibrator; you feel ashamed about being naked in front of another person; or you constantly worry about what your partner thinks of how well you perform sexually.