Is Sexual Fantasy Healthy? How to Use Fantasies to Boost Desire and Intimacy

As a Chicago sex therapist, one of the most common questions I hear is: “Is it okay to fantasize?” This question often comes with a mix of curiosity, shame, and worry. For some people, fantasies come easily. For others, fantasizing feels foreign, awkward, or even off-limits.

The reality is that sexual fantasy is a completely normal and healthy part of sexuality. Whether you’re single, in a long-term relationship, or exploring intimacy after a change in life stage, fantasy can play an important role in reconnecting with desire and pleasure.

In this article, we’ll explore why sexual fantasies matter, how they can benefit your intimacy, and practical ways to start fantasizing if it doesn’t come naturally to you.

What Is a Sexual Fantasy?

A sexual fantasy is simply a thought, image, or scenario that creates erotic excitement. Fantasies can range from imagining a romantic, sensual moment with a partner to envisioning scenarios that you would never act out in real life.

Importantly, fantasies are not the same as real-life desires. Many people fantasize about situations they would never want to pursue outside of their imagination. This is one reason why fantasies can be so freeing: they’re a mental space to play, without consequences.

Why Do People Fantasize?

Research shows that nearly everyone has sexual fantasies, regardless of gender, age, or relationship status. Fantasies serve many purposes, including:

• Stimulating arousal: Fantasies can help the body respond when desire feels low.

• Reducing anxiety: Focusing on an erotic image or story can quiet distracting thoughts that interfere with sexual pleasure.

• Exploring identity: Fantasies allow people to try on different roles or explore aspects of themselves in a safe way.

• Enhancing partnered intimacy: When shared (with consent and comfort), fantasies can spark new conversations and closeness in relationships.

The Benefits of Fantasy for Your Sexual Health

For many of our clients, fantasy becomes a tool for healing and growth. Here are some of the benefits we often explore in sex therapy:

Reducing Performance Pressure

If you struggle with anxiety during sex, fantasies can help you shift focus away from “Am I doing this right?” toward erotic imagery that feels exciting. This mental shift can make it easier to stay present and experience pleasure.

Boosting Sexual Desire

Fantasies can reignite interest when desire feels flat. They work like a spark for your erotic imagination, offering new ideas and sensations that the body can respond to. This can be especially helpful for couples navigating loss of intimacy or low libido.

Enhancing Partner Connection

While not all fantasies need to be shared, some couples find that talking about them creates intimacy and trust. Even if you never act out the fantasy, sharing it can help you and your partner better understand each other’s inner worlds.

Healing from Shame and Dysfunction

For those dealing with sexual dysfunction, trauma, or shame, fantasy can be a safe entry point into sexual exploration. Imagining a pleasurable scenario provides a sense of control that real-life intimacy sometimes lacks.

How to Start Fantasizing

Not everyone finds fantasizing easy. Some people worry they “don’t have an imagination,” while others feel blocked by shame or religious or cultural beliefs. If that’s you, here are some steps to begin experimenting with fantasy:

1. Start with Memory

Think back to a time when you felt desired, attractive, or deeply connected. Replay that memory in your mind and allow it to expand into a new imagined scenario.

2. Use Your Senses

Fantasies don’t need to be cinematic. Start by imagining touch, sound, or smell that excites you. For example, the warmth of skin, the sound of breath, or the scent of your partner’s cologne.

3. Try Erotic Media

Erotic short stories, romance novels, or audio erotica can help spark ideas when your own imagination feels blank. Reading or listening can lower the pressure of “making up” something yourself.

4. Focus on Themes, Not Scripts

Instead of creating a detailed storyline, think about a theme that excites you, like adventure, seduction, or tenderness. Let the details fill themselves in naturally.

5. Release Judgment

Fantasies often don’t align with real-life desires, values, or behaviors. That doesn’t make them wrong. Your imagination is a safe place to explore, with no rules.

Common Questions About Fantasy

Is it normal to fantasize about things I don’t want in real life?

Yes. Most people fantasize about scenarios they wouldn’t act on. Fantasy is symbolic and exploratory, not a blueprint for your actual choices.

What if I can’t fantasize at all?

This is more common than you think. Sometimes, anxiety, depression, or trauma makes fantasizing difficult. Working with a sex therapist can help you explore these blocks in a supportive way.

Will sharing fantasies with my partner hurt our relationship?

It depends on how you share them. Approach the conversation with curiosity, not pressure. If your partner isn’t interested in hearing or acting on a fantasy, that’s okay. Talking about fantasies is about connection, not performance.

When to Seek Support

If fantasizing brings up guilt, shame, or confusion, or if you find yourself unable to access fantasies at all, therapy may be a helpful step. At Embrace Sexual Wellness, we help individuals and couples explore fantasies, reconnect with intimacy, and work through concerns like low libido, sexual dysfunction, and loss of desire. You can read more about our work with erectile dysfunction and loss of intimacy, both of which can benefit from integrating fantasy as part of treatment.

TLDR

Sexual fantasy is a natural, healthy part of human sexuality. It can reduce anxiety, boost desire, and bring new energy into your intimate life. Whether you’re imagining something tender or something bold, fantasies offer a private, safe space for pleasure and exploration.

If you’re ready to explore your erotic imagination but aren’t sure where to begin, remember: fantasy is a skill you can practice. And if you need support along the way, our team of Chicago sex therapists at Embrace Sexual Wellness is here to help and are licensed to practice in Illinois, Indiana, Kansas, Idaho and Louisiana.

How Guided Imagery Can Improve Your Sex Life

When it comes to enhancing your sex life, most people think about communication, hormones, or maybe even positions. But what if a powerful and underutilized mental tool could help you reconnect with your body, enhance arousal, and reduce performance anxiety? That’s where guided imagery comes in.

As trusted relationship and sex therapists, we often integrate guided imagery into treatment plans to help individuals and couples strengthen intimacy, feel more confident in their bodies, and safely explore desire. Whether you're experiencing low libido, sexual trauma, or disconnection from your partner, guided imagery can be a powerful pathway to healing and pleasure.

What Is Guided Imagery?

Guided imagery is a mind-body technique that uses mental visualization to promote physical, emotional, and psychological well-being. Typically practiced with a therapist or through self-guided exercises, this method involves imagining scenarios designed to elicit calm, pleasure, or healing.

In sex therapy, guided imagery focuses on cultivating arousal, reducing anxiety, healing from past trauma, and deepening emotional connection. By tapping into the imagination, people can safely explore their sensuality and rewire unhelpful thoughts about intimacy.

The Science Behind Guided Imagery and Sexual Wellbeing

Guided imagery is not just creative daydreaming—it’s backed by science. Neuroimaging studies show that the brain responds to imagined experiences in ways similar to real ones. When used regularly, guided imagery activates neural pathways related to relaxation, pleasure, and even motor function, making it a powerful tool for addressing sexual issues. A systematic review of the literature suggests mindfulness-based interventions can improve sexual desire and arousal in women with low libido.

A 2023 study found that guided imagery interventions significantly reduced anxiety symptoms and improved the quality of life in patients with anxiety disorders. This suggests that guided imagery can be an effective tool for managing anxiety, which is often linked to sexual dysfunction.

How Guided Imagery Can Help Your Sex Life

Reduces Performance Anxiety

Performance anxiety can affect people of all genders and orientations. Whether you're concerned about reaching orgasm, maintaining an erection, or meeting a partner’s expectations, anxiety disrupts the natural rhythm of intimacy.

Guided imagery promotes relaxation and self-trust by allowing the brain to "practice" scenarios in a safe, low-pressure environment. Visualization exercises that focus on confidence, touch, and pleasure can help desensitize the nervous system and break the cycle of fear.

A 2024 study in the Journal of Education and Health Promotion demonstrated that music-guided imagery can improve sexual dysfunction for women. The intervention led to enhanced desire, arousal, and orgasm, indicating that guided imagery can effectively reduce performance anxiety and improve sexual functioning.

Builds Body Confidence

Many individuals struggle with body image issues that interfere with sexual satisfaction. Negative self-perception can lead to avoidance, self-consciousness, or disconnection during intimate moments.

Guided imagery can challenge those beliefs. By visualizing your body as strong, sensual, and worthy of pleasure, you begin to shift your inner dialogue.

A 2023 pilot study published in the Journal of Sexual Medicine found that a virtual, group-based mindfulness intervention for midlife and older women with low libido led to significant reductions in sexual distress. While the study focused on mindfulness, it highlights the importance of mental practices in enhancing sexual well-being, which can be complemented by guided imagery techniques.

Reconnects You to Desire

Life stressors, medical issues, parenting, and relational tension can all dull desire. When arousal feels out of reach, guided imagery offers a way to reconnect with what turns you on without pressure or expectation.

Imagining sensual experiences that evoke warmth, curiosity, or eroticism can reignite the internal spark many clients report losing over time. In fact, guided imagery is one of the most empowering tools we offer in sex therapy when clients seek support for low libido or desire discrepancy in their relationships.

Research suggests that using sexual imagery strategies with a long-term partner may increase desire and infatuation. This indicates that guided sexual imagery can be a helpful strategy for couples to enhance their sexual connection and desire.

Heals Sexual Trauma

Survivors of sexual trauma may struggle with dissociation, fear, or discomfort during intimacy. Guided imagery creates a safe internal space where individuals can explore sensations and touch on their own terms, with full control over the experience.

Through consistent practice, guided imagery can help build new neural associations between sex and safety, reclaiming pleasure as a choice rather than a threat. While more research is needed, guided imagery has shown to be helpful for many health conditions including stress, fatigue, chronic illness, depression and anxiety.

Improves Emotional and Erotic Connection

Couples can also benefit from guided imagery, whether practicing it together or individually. Visualizing emotional closeness, intimacy rituals, or even shared fantasies can reignite erotic energy and deepen connection.

Mindfulness-based therapy practices, including guided imagery, can significantly enhance sexual experiences by helping individuals stay present and focused during sexual activity. Techniques like using positive mental images can influence individuals’ emotional experience, enhance self-awareness, and improve sexual arousal and desire. Accessing imagination and fantasy through guided imagery may increase pleasure and promote positive attitudes about sex.

In sex therapy sessions, we encourage partners to use imagery as a bridge to more open conversations about desire, boundaries, and pleasure. Even just five minutes a day can shift the emotional tone in a relationship.

How to Practice Guided Imagery at Home

Exploring guided imagery doesn’t have to be complicated. In fact, practicing at home can enhance your results when combined with therapy or serve as a great standalone practice.

Here’s how to begin:

Step-by-Step: Solo Guided Imagery for Sensual Connection

• Set the Space. Choose a quiet, comfortable environment where you won’t be interrupted. Use soft lighting or calming music if it helps.

• Focus on Breath. Sit or lie down, close your eyes, and take a few deep, slow breaths. Let your body settle.

• Create Your Scene. Picture yourself in a place that feels sensual, safe, and peaceful—a beach at sunset, a luxurious bath, a soft bed.

• Engage Your Senses. What do you see, hear, smell, feel? Imagine your body relaxed, warm, and open to sensation.

• Add Gentle Touch (Optional). Lightly touch your arm, neck, or chest in a way that feels comforting or arousing. Breathe into the sensation.

• Invite Desire. Think of an erotic or intimate scenario that brings pleasure. Let it unfold slowly. You’re not performing—you’re exploring.

• Return Gently. When you're ready, slowly bring yourself back to the present. Reflect on what you felt and learned.

Practice this a few times per week to start building new pathways between your imagination, body, and arousal response.

Guided Imagery Apps and Tools

If you prefer structured guidance, several apps and recordings can support your practice:

• Insight Timer – Free meditations, including sensual and body-based imagery

• Sexual Mindfulness by Dr. Lori Brotto – Evidence-based resources for sexual healing

• Calm – Though not specifically erotic, many sessions focus on embodiment and self-connection

• Headspace — Free guided meditations and techniques

These tools can help you establish a regular practice and deepen your connection to your body and desires.

Ready to Explore Guided Imagery in Therapy?

Guided imagery is just one of the many tools available to help you live a fuller, more connected sex life. Whether you’re facing challenges around desire, trauma, or relationship dynamics, working with a trained sex therapist can make a profound difference.

What To Do When Your Partner Loses Their Erection: 6 Ways to Respond

Intimacy is a vital component of a healthy romantic relationship, and sexual intimacy plays a significant role in many partnerships. However, it's not uncommon for individuals to experience challenges with their sexual health, including erectile dysfunction or difficulties with erections. If you find yourself in a situation where your partner loses their erection, it's important to respond in a supportive and understanding manner.

How do I deal with my partner’s erectile dysfunction? 

Here are some healthy ways to respond when your partner loses their erection:

Practice Compassion and Understanding

Is ED a reason to break up? It's crucial to remember that experiencing difficulties with erections is not uncommon and can happen to anyone. Erection issues can stem from a variety of reasons, including stress, anxiety, fatigue, medical conditions, or simply random occurrences. It's essential to approach the situation with compassion and understanding rather than judgment or frustration. Avoid blaming or shaming your partner, as it can worsen the situation and create emotional distress. Instead, be empathetic and let your partner know that you understand it's a common occurrence and are there to support them.

Communicate Openly and Honestly

So, how do people feel when they can’t get it up? Open communication is vital in any relationship, and it becomes even more crucial when it comes to sexual health. Encourage your partner to communicate openly about their feelings, thoughts, and concerns regarding their lost erection. Listen attentively without interrupting or making assumptions. Avoid making negative comments or belittling their experience. Instead, offer reassurance and express your support. Remember, your partner may already feel embarrassed or disappointed, so it's essential to create a safe space for them to share without fear of judgment. 

Reframe the Situation

When your partner loses their erection, it's easy to interpret it as a failure or a reflection of their attraction to you. However, it's important to reframe the situation and see it as a temporary setback that does not necessarily indicate their feelings for you. Remind yourself and your partner that sexual performance is not the sole measure of intimacy and connection in a relationship. Unless this is communicated, performance anxiety could escalate. Emotional and mental connections are equally important. Shift the focus from the physical act to the emotional bond and intimacy you share and emphasize that you are still connected despite the temporary challenge.

Offer Support or Solutions

You may wonder if a man with erectile dysfunction could ever satisfy a partner. If your partner is open to it, offer support and explore potential solutions together. However, it's important to approach this with sensitivity and respect for your partner's comfort level. Avoid pressuring them or imposing solutions without their consent. Instead, discuss options such as seeing a healthcare professional, trying different sexual activities, or exploring relaxation techniques together. Encourage your partner to seek medical advice if they are concerned about their sexual health, as underlying medical conditions can sometimes affect erectile function. Remind them that seeking help is a sign of strength and not weakness.

Be Patient and Understanding

Your partner is most likely already wondering how to overcome their ED anxiety. Dealing with a partner's lost erection can be frustrating and disappointing, but it's important to remember that patience is key. Avoid expressing frustration, disappointment, or anger towards your partner, as it can exacerbate the situation and create emotional distance. Instead, be understanding and patient. Reassure your partner that you are not disappointed or upset with them and are there to support them through this challenge. Be willing to step back from sexual activities and focus on other forms of intimacy, such as emotional connection, affection, and closeness.

Prioritize Self-Care

Coping with your partner's lost erection can also be emotionally challenging. It's important to prioritize your own self-care during this time. Take care of your emotional and physical well-being, and seek support from trusted friends, family, or a sex therapist. Engage in activities that help you relax and manage stress, such as getting regular exercise, practicing mindfulness, or engaging in hobbies you enjoy. Remember that taking care of yourself allows you to be better equipped to support your partner in a healthy and understanding manner.

Takeaway

Can erectile dysfunction ruin a relationship? Only if you let it. At the end of the day, sexual intimacy is a personal and sensitive aspect of any romantic relationship, and it's important to approach it with kindness, patience, and understanding. By responding healthily and supporting your partner through their challenges with erectile function, you can strengthen your bond, deepen your emotional connection, and foster a healthy and fulfilling sexual relationship.

Remember that relationships are built on trust, love, and understanding; facing challenges together can ultimately strengthen your partnership. So, be there for your partner, be understanding, and work together towards finding solutions that work for both of you. With mutual support, empathy, and patience, you can navigate this situation healthily and positively!