Narcissistic personality disorder is a mental health condition in which people have an unreasonably high sense of their own importance.

Individuals with narcissistic personality disorder may experience sexual difficulties due to various psychological and interpersonal factors. These can include a lack of empathy or consideration for their partner's needs, a focus on self-gratification, difficulties with intimacy and emotional connection, and a tendency to objectify their partner. Additionally, underlying insecurities and a need for constant validation may contribute to performance anxiety and challenges in forming genuine, satisfying sexual relationships. It's important to note that each person's experience is unique, and a comprehensive assessment by a mental health professional is necessary to understand the specific causes and address them appropriately.