Way over generalization below but some examples.

Neurodivergent - Explore other gender identities (feminization).

Prostate orgasms - New ways to cum (Pegging, bi, bi-cuckold).

Dealing with trauma (taking control) - Cheating (cuckold), smaller gentiles (chastity), cheating (cuckold), forced acts (bdsm).

Persons making decisions all day - Vaca from having to decide (FLR).

Disabilities (partner) - Let her take control.

Porn addicts thinking its easy sex - Mommy Dom, Findom.