Understanding Sexual Health Concerns
Sexual difficulties are common, treatable, and rarely discussed. Women may experience pain during intercourse, vaginal dryness, difficulty with penetration, or reduced desire. Men may experience erectile difficulty or premature ejaculation. In many couples the concern belongs to both partners, and it strains the relationship long before anyone seeks help.
There is almost always a mix of physical and psychological factors at work, and both need attention. Hormonal changes, diabetes, thyroid disorders, medication side effects, past infection, childbirth injury, anxiety and relationship strain can all contribute. Our consultations are completely private and conducted without embarrassment on either side.
How We Help
We begin by identifying what is treatable medically, then address the rest with counselling and, where useful, referral.
- Painful intercourse - evaluation for vaginismus, vulvodynia, infection, endometriosis and post-childbirth causes, each treated differently.
- Vaginal dryness - common after menopause, while breastfeeding and with certain medication, and very effectively treated.
- Low desire - hormonal assessment alongside a discussion of stress, fatigue, medication and relationship factors.
- Erectile difficulty and premature ejaculation - assessment for diabetes, blood pressure, hormonal and medication-related causes, with treatment.
- Medication review - several common medicines affect sexual function, and alternatives often exist.
- Post-childbirth concerns - scar tenderness, pelvic floor weakness and confidence, with physiotherapy guidance.
- Couple counselling - both partners seen together where that would help, or separately if preferred.
- Referral - to urology, psychiatry or specialist therapy where dedicated care is appropriate.
Everything discussed in these consultations is confidential. You are welcome to attend alone or with your partner, and to be seen separately if you would prefer to speak privately first.
