SEXUAL PROBLEMS & SEXUAL PLEASURE

Sexual problems are incredibly common…

…But getting help for sexual difficulties can be challenging

If you’re having difficulties with sexual pleasure it can be difficult to know where to get help.

Often people seek help from:

  • A medical clinic where you have investigations, blood tests, and perhaps offered hormones, creams, PRP injections or even a penile implant. Usually with a urologist, gynaecologist or GP who you may not feel very comfortable talking about sex with and who doesn’t have a sex therapy training. People often become highly medicalised without other factors being explored.

  • A psychotherapist, who might not be very sex positive, who suggests you stop watching porn, go on more dates with your partner. Unfortunately many therapists don’t have a sexology or sex therapy training, lack a training in gender, sexuality and relationship diversity or lack an understanding of underlying medical issues.

  • Reddit forums, coaches, tiktoks. There’s an awful lot of inaccurate information online. Applying other people’s experience or beliefs, whilst sometimes well meaning can be harmful.

Perhaps that’s a bit simplistic! But I have helped many who have had experiences like these previously.

A lot of people are over or under medicalised:

  • Given too much medicine or medicine with no evidence that it is effective - PRP injections for erectile or shockwave therapy for men with psychological erectile dysfunction.

  • Or insufficient medical investigation and treatment. Particularly people with low testosterone or people going through perimenopause and menopause.

I offer something different - bringing together evidence based medical as well as sex therapy approaches - to provide sex positive holistic assessment & treatment.

Common male sexual difficulties include:

  • Erection problems & unreliable erections (sometimes known as erectile dysfunction)

  • Low or loss of sexual desire

  • Anorgasmia - difficulties with having orgasm

  • Rapid and delayed ejaculation

  • Painful sex - sometimes known as anodyspareunia. When anal sex is painful

Common female sexual difficulties include:

  • Loss of sexual desire

  • Painful sex (also known as dyspareunia)

  • Vaginismus - difficulties with vaginal penetration. The pelvic muscles tighten when you try to insert something. Sometimes also known as genito-pelvic pain & penetration disorder

  • Anorgasmia - difficulty having orgasms

As an integrated, sex positive clinical sexologist, I look at the whole picture, exploring:

Heterosexual couple having sexual pleasure. Treatment for sexual difficulties

  • Medical & hormonal

  • Psychological

  • Sexual & erotic

  • Relationships

  • Your wider life & your life history

  • Expectations and social norms around sex

Treatment can include:

  • A non-judgemental, accepting, sex positive space. Just having supportive space to explore the difficulties you’ve been having can be hugely beneficial.

  • Use of medications such as PDE5 inhibitors - tadalafil, sildenafil

  • Use of hormones - testosterone replacement (TRT), HRT, MHT

  • Use of injections - caverject or invicorp

  • Use of locally applied treatment - hormone gels, urethral cream, sprays.

  • Shockwave treatment

  • Sex & Relationship Therapy

Sex doctor, clinical sexologist, space to talk about sex
Testosterone for sexual difficulties - men and women
Medical and sex therapy treatments for sexual difficulties.

Who do I see?

I’m experienced in both men and women’s health as well as LGBTQ+ health.

I’m trained in and aware of all possible diversities of gender, sexuality and relationships. So whoever you are, whoever you love, whatever kind of relationship (or not) you have, and whatever you are facing I will be comfortable helping you.

However, unfortunately I’m not a gender specialist and therefore I’m not qualified to assess for gender incongruence, gender dysphoria or initiate or change medical gender affirming care.