Table 1.

Final map Proposal

Themes	Subthemes	Codes	Examples
1. Clinical Focus	1.1. Categorization of Sexual Problems	1.1.1. Desire	“Change in desire levels, accentuating desire discrepancy and difficulty in maintaining an active sex life” “The anxiety generated by the situation can lead to a decrease in sexual interest.” “Differences in sexual desire levels and dissatisfaction with frequency of sexual encounter as men and women deal with marital conflict in different ways and the lockdown is related to more conflict”
		1.1.2. Erectile Dysfunction	“(…) erectile dysfunction” “erectile problems, eventually without criteria for dysfunction. (…)
		1.1.3. Premature ejaculation	“Premature ejaculation” “Some men who have been inactive will be more anxious, more rapid ejaculations (…)
		1.1.4. Orgasm	“I have had more complaints from women associated with the difficulties in reaching orgasm”
		1.1.5. Transhealth	“More discomfort gender identity issues (diversity and emotional difficulties)” “information about a transgender child.” “concerns about access to trans health care”
	1.2. Psychopathology	1.2.1. Sexual compulsion	“Addiction/pornography addiction”; "Forensic sexology (…) hypersexuality/sexual addiction”
		1.2.2. Emotional distress	“sadness. uncertainty about the future.” “I think the isolation of people who really want a relationship can lead them to emotional difficulties like depression or anxiety”
	1.3. Asepticism	1.3.1. Hygienism	“Hygienist view of sexuality” “People will be more cautious with casual relationships, with the transition to the act in relationships via app”
		1.3.2. Fear of contamination	“(…) Some fears associated with the disease itself and the fear of contamination (especially when one of the couple continues to work outside the home) (…)” “It will have some impact at the beginning (due to fear of contagion (…))”
2. Remapping Relationships	2.1. Sexuality as a battleground	2.1.1. Sexuality as a symptom	“(…) More questioning about the validity of the relationship, using sexuality issues as a reason (…)” “Desire problems associated with increased marital conflicts; sex appears a lot as an expression of marital conflicts” “dissatisfaction with sexuality within the relationship is more obvious” “Lack of satisfaction with sexuality that reflects preexisting problems problems”
		2.1.2. Solitude	“Sexual loneliness, use of apps for sex and tension in developing relationships in this way” “(…) Lack of partners, feelings of loneliness, lack of attractiveness and experiencing disconnection from people”
	2.2. Family Management	2.2.1. Conjugal conflicts	“More marital conflict, lack of pleasure in the relationship” “Conflicts between couples and family management” “More discussions about relationships with extended family, namely the elderly”
		2.2.2. Parenting	“Couples talk more about parenting in the context of sexology, conflicts that arise from parenting” “Family management (children, homeschool, telework)”
	2.3. Relationship Diversity	2.3.1. Non-Monogamies	“I also believe it will affect casual encounters and people who did not maintain stable monogamous relationships” “I imagine that some people who have extra-marital relationships want to make them more ethical and recognized, to justify visits, even during quarantines or future isolations, and as such, to approach polyamorous relationships.”
		2.3.2. Conservatism	“Emphasis on monogamy and commitment relationships as more protective.” “(…) perhaps a return to the idea of the traditional family and monogamy, as happened with AIDS”
3. Reframing Technology Use	3.1. E-health in Sexology Practice	3.1.1. Non verbal comunication	“The clarification and consultation online is somewhat limiting. I like the visual context and I need to properly evaluate facial expression.” “The online approach also has some disadvantages (eg, loss of important non-verbal forms of communication for the therapeutic process)”
		3.1.2. Therapeutic relationship	“Clients prefer intervention in an office, some have postponed interventions for when face-to-face intervention is possible (…)” “Provide an empathetic and close consultation via internet; difficulties in managing remote therapy”
		3.1.3. Referral network	“(...) complaints for which I have no training, I have to refer and many psychology and therapy colleagues are not so available” “Less referral sources (…)”
		3.1.4. Technical resources	“I have a hard time accompanying couples, because the screen is too small to include the 2 members of the couple and even if asking regularly, there is a part of the interaction outside” “Network that fails, interruptions in sound or image, (...) does not always have fixed devices (screen that shakes, falls, etc.) ”
		3.1.5. Digital security	“Difficulties in guaranteeing 100% confidentiality, since the programs are susceptible to suffer piracy” “Secure platforms”
	3.2. TechSex	3.2.1. Sexual Explicit Material (coping strategy)	“(…) Pornography Consumption as a form of coping” “(…) single women will become more addicted to pornography…”
		3.2.2. Technology for Sexual Expression	“It will be a sexuality more focused on online without physical contact” “Technology can also be more present in the experience of sexuality” “Spicing up distant relationships with sexting, using online sexual activity for arousal purposes, search for sex using different apps and platforms”