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Depression can affect your sexual identity, particularly if you’re a woman. Women with depression often experience lowered sex drive and an aversion to sex with internal vibrator for ladies, which may be related to their low self-esteem. In addition, depression can cause a person to feel less attractive and desirable because of the way they feel about themselves on a day-to-day basis.Anxiety can also impact your sexual identity and self esteem. If you have anxiety problems like panic attacks or obsessive compulsive disorder (OCD), then you may have trouble becoming aroused during sex or achieving orgasm due to the overwhelming nature of these issues in your life that distracts from being able to relax enough for sex.These issues are important points for anyone who has anxiety or depression but especially those who also experience problems with their sexuality as well as their self esteem