It's awkward: Here you are with most of your clothes off in bed with this person who you've really just met. You're strangers to each other's bodies and you're coming together for the first time in front of all these people.
But the gravest difficulty, and perhaps the most important, in poetry meant solely for recitation, is the difficulty of achieving verbal beauty, or rather of making verbal beauty tell.
At first, I see pictures of a story in my mind. Then creating the story comes from asking questions of myself. I guess you might call it the 'what if - what then' approach to writing and illustration.