Broad shoulders? Antidepressants and sexual dysfunction. Carriere L. Conforming to certain ideals, which are usually found in advertising and other media. How can you improve your body image so that you can have more sexual enjoyment? Antidepressants and sexual dysfunction. Not being sufficiently aroused can also lead to painful sex and vice versa; painful sex can lead to loss of arousal. The relationship between sexual function, body image, and body mass index among women. Received Nov 10; Accepted Feb Eating disorders can also result in major difficulties with body image. Your vagina may not be as moist as it previously was and lubrication can be a problem. When someone has been abused — sexually, emotionally or physically — they may also suffer low self-esteem and problems with appearance due to feeling belittled or devalued. Gender, sexuality, body image and eating behaviors. Bad Body Image? References 1. Do you have a nice smile? Grabe S.