the worse ones i get are during sex with my fiancé other people might pop into my head and i feel so guilty and disgusted with myself it totally puts me off i didnt have an orgasm until i was 24 because of this i wonder how common this is with people who have ocd  however i know now that its completely normal for things to pop in your head during sex ive been doing mindfulness which really helps me now would definitely recommend to other people im also on citalopram and have high intensity cbt though which probably helped too