Because shy women tend to get overwhelmed more easily, Landes explains, they are more likely to try to deal with their dysfunction on their own instead of asking for outside help, resulting in negative coping strategies. When a woman doesn’t communicate and tries to deal with issues herself, the issues and dysfunction can seem even more overwhelming, building upon and exacerbating one another. Without the tools to fix these issues, women find that problems get worse, not better. And when a woman doesn’t feel right psychologically, it can affect her physically, too, impacting her rate of orgasm and sexual satisfaction. “The psychological and physical components are very intimately related, especially for women,” Landes adds.