lt; 0.001). The most common reasons for not seeking help were perceiving problems as not bothersome, followed by shame, embarrassment, and difficulty communicating (personal/emotional barriers). Systemic barriers (e.g., lack of services, long wait times) were rarely reported. Overall, help-seeking for sexual problems is uncommon in this age group, and personal barriers outweigh institutional ones, posing a challenge for effectively targeting no-help seekers and designing effective interventions.