3.
Sexual Dysfunctions and Organic pathologies
All sexual dysfunctions can potentially have organic roots and should always have been investigated by a Medical Practioner before sex therapy can take place. Here are the most common Sexual Dysfunctions I offer treatment for :
Male Sexual Dysfunctions:
As I mentioned about 90% of the men who contact me will never book an appointment. It may be surprising to some but not to professionals of sexual medicine. The hardest thing to treat is not the sexual dysfunction it is the avoidance men develop in response to their sexual issues. While numerous men reach out every week by email, phone or whatsapp, the fear of confronting the problem means that in most cases they will not follow through with a session. Avoidance may result in men avoiding intimate situations with their partners, avoiding meeting potential partners or drinking too much ahead of a sexual encounter. In the vast majority of cases, sexual dysfunctions can be resolved successfully and durably but most men will never see the benefit because neither professionals nor loving partners can get them to address the issue. Time is never your friend and may worsen both your sexual dysfunction and your avoidant coping strategies.
Book a sex therapy session for:
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Erectile Dysfunction (ED): Difficulty achieving or maintaining an erection sufficient for sexual activity.
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Rapid Ejaculation: Ejaculating sooner than desired during sexual activity
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Delayed Ejaculation: Difficulty or inability to reach ejaculation, even with prolonged sexual stimulation.
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Low Libido (Hypoactive Sexual Desire Disorder : Reduced interest or desire for sexual activity.
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Anorgasmia: Difficulty reaching orgasm, despite adequate sexual stimulation.
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Sexual Aversion Disorder: Strong aversion or avoidance of sexual contact.
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Andropause: Slower arousal and changes in the intensity of orgasm may be observed.
Female Sexual Dysfunctions:
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Hypoactive Sexual Desire Disorder (HSDD): Persistent or recurrent absence of sexual fantasies and desire for sexual activity.
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Female Sexual Arousal Disorder (FSAD): Difficulty in achieving or maintaining sexual arousal, leading to discomfort or dissatisfaction during sexual activity.
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Genito-Pelvic Pain/Penetration Disorder (GPPPD): Persistent difficulty with vaginal penetration, pain during intercourse (dyspareunia), or fear of pain.
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Orgasmic Disorder: Difficulty reaching orgasm or a delay in orgasm despite adequate sexual stimulation
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Sexual Aversion Disorder: Strong aversion or avoidance of sexual contact.
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Vaginismus: Involuntary contraction of the muscles around the vagina, making penetration painful or impossible.
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Postmenopausal Sexual Dysfunction: Changes in sexual function due to hormonal fluctuations during and after menopause.
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Body Image and Sexual Dysfunction: Negative body image impacting sexual self-esteem and function.
Menopause and Andropause:
While menopause andropause are part of the normal life cycle and can not be seen as pathologies as such we know that both women and men are reporting high level of sexual difficulties during this transitional time. While you should always consult your General Practitioners to rule out organic pathologies that can develop or be associated with menopause or andropause, it is very likely that the solution to issues such as decreasing libido can be best explored in the sex therapy setting
Cancer:
When Cancer invite itself in our lives, we rarely worry or care about how it will impact our intimacy or our sex life and rightly so. Our life energy is totally turned towards survival and recovery. Unfortunetely, all too often our intimacy and our sexual life become collatteral victims of the fight we wage against this disease. Cancer takes so much from our lives that we should try to safeguard what can be preserved, if it is not sex itself at least intimacy must be salvaged. In the therapy space, we will talk through the pain, the loneliness, the powerlessness you must have experienced and together we will find ways to weave back the experiences of both partners to ensure intimacy can thrive again.