If you want to delve into the cultural origin of this pressure, we have a specific article on aesthetic pressure and sexuality. Here we focus on something more concrete: what happens in your mind at that moment, and how to come back.
We spoke with Marcela Leite, clinical psychologist at Desenhar Futuros, about a very common phenomenon: stopping feeling the body during intimacy because the mind is occupied monitoring it.
What happens in your mind when you worry about how you look
As Marcela Leite explains, when someone is worried about how their body looks during an intimate encounter, their attention shifts from the bodily sensations, essential for arousal, to monitoring their own body. Thoughts like “Is my belly noticeable?” or “Did they see my stretch marks?” take up the mental space that should be dedicated to touch, pleasure, and the present moment.
When the mind is so occupied with these worries, the person ends up being more ‘in their head’ than in their body, feeling stimuli with less intensity, which reduces arousal and involvement in the encounter.
Additionally, low self-esteem and body dissatisfaction are often accompanied by anxiety, shame, and fear of rejection, emotions that activate an “alert mode” making it difficult to relax. This alert mode hinders feeling pleasure and reaching orgasm.

The exercise that helps return to sensations
Even before reaching intimacy, Marcela Leite recommends incorporating small practices of body awareness into daily life:
- Notice the breath.
- Notice the sensations of the body while sitting.
- Notice the temperature of the hands.
These are simple exercises that train attention towards bodily sensations, making it easier to carry that same awareness into intimate moments later.

Another exercise is to spend a few minutes recognizing something that your body allows you to do like breathe, move, feel well-being. For example, say the phrase “Today I acknowledge that my body has allowed me to…”. This practice has shown effects in reducing self-criticism and increasing self-compassion.
Important: this is a starting point and does not replace specialized psychological support if body dissatisfaction persistently interferes with sexual life.
Communication with a partner is also key: openly discussing insecurities and comfort needs helps create emotional safety, and that safety reduces the “alert mode”, facilitating being present and enjoying.
Men and women don't experience it the same way
The way experiences of body dissatisfaction are strongly linked to social norms, and it's not the same for men and women. Women are often more exposed to the pressure of achieving an “ideal” body (slimness, absence of imperfections, youth) which reinforces self-criticism and shame focused on appearance. For men, the pressure is often more linked to performance: erection, size, or endurance during the encounter.
Both genders can feel the weight of body dissatisfaction in sexuality, but with different nuances: for women, it's often related more to appearance, and for men, it's linked to performance.

You can consult with the team at Desenhar Futuros if you prefer psychological intervention for your case. You can also write to Vivelavita to receive guidance on any area of sexual education; we will be happy to assist and inform you.
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