Native English speaker here. It can have a sexual meaning, depending on context. It’s not always like that though.

You might check out the Radiohead song “Creep” to hear it in this context:

When you were here before / Couldn’t look you in the eye / You’re just like an angel / Your skin makes me cry / You float like a feather / In a beautiful world / I wish I was special / You’re so fuckin’ special /

But I’m a creep / I’m a weirdo / What the hell am I doin’ here? / I don’t belong here / I don’t care if it hurts / I wanna have control / I want a perfect body / I want a perfect soul / I want you to notice / When I’m not around… /