SEXUAL DIFFICULTIES &
SEXUAL PLEASURE
Whether you’re struggling to have enjoyable sex, to get or maintain an erection, or concerned about the type of sex you’re having and wondering if your sex life is healthy, I’m here to help you navigate whatever you’re facing.
Common sexual difficulites include:
Unreliable Erections & Erectile Dysfunction
Low Sexual Desire, Libido or Sex Drive
“Sex Addiction” and worries about a high sex drive
Differences in desire between partners
Early, premature or delayed ejaculation
Difficulties with Orgasm
Painful sex
Assessment of sexual difficulties
Being both a GP, sexual medicine specialist and sex and relationship therapist, I look at the whole picture, including:
Medical & hormonal factors
Psychological factors
Your sexual & erotic world
Relationships
Your wider life & your life history
Expectations and social norms around sex
Sometimes this involves further investigations such as blood tests and scans. But often an initial assessment makes it clear no further medical investigation is needed and we can focus on exploring through sex and relationship therapy.
Treatment of sexual difficulties
I can explore with you the full range of treatment options, both medical and psychotherapeutic. This always begins within the creation of a non-judgemental, accepting, sex positive space. Just having supportive space to explore the difficulties you’ve been having can be hugely beneficial.
Medical:
Use of medications such as PDE5 inhibitors - tadalafil, sildenafil
Use of hormones - testosterone therapy (TTh /TRT)
Use of injections - caverject or invicorp
Use of locally applied treatment - hormone gels, urethral cream, sprays
Shockwave treatment
Surgical treatment with a urologist or gynaecologist