Sexual anxiety, pain, or discomfort — or lack of desire — are awkward to talk about but important to discuss. "I wish more of my patients felt comfortable asking about painful intercourse and problems with sexual desire and climax," says San Diego-based gynecologist Christine Sterling. "Forty percent of women have sexual concerns, but very few bring it to the attention of their ob/gyn. We have resources to offer and knowledge to impart but many are too nervous to ask," says Sterling.