Psychosexual Therapy
The first thing to say is that there is no "normal" when it comes to sex and relationships. Everybody's experience is subjective and unique. If your experience is bringing distress to you and is affecting your well-being and life more broadly, then you need support. Trying to compare experiences is fruitless and unhelpful, because we all experience the world in different ways.
Many factors can affect sexual function. Sometimes our bodies are not quite working the way they should be, sometimes our thoughts are not focused in the right place and sometimes, we just find ourselves in an environment where it is not comfortable to be. Very often, it is a combination of these 3 elements which cause the issue(s).
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Below is a list (non-exhaustive) of the factors which can play a part in impairing sexual function:
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Medical conditions such as:
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Urinary Tract Infection (UTI), Bladder issues, Prostate issues, Bowel issues, Skin conditions (Lichen Sclerosus, eczema, Dermatitis, Psoriasis), Cancer, Polycystic Ovary Syndrome (PCOS), Endometriosis,...
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Use of some prescribed drugs such as:​
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SSRI's (antidepressants), antihypertensives, opioids painkillers​
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Changes in hormonal balance (Menopause for example)​
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Pelvic Floor Muscle Health (under or over toned pelvic floor muscles)
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Childbirth
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Self-worth, self-esteem, self-confidence, body image
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Anxiety
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Sexually Transmitted Infections
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History of trauma (past and/or present)
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Cultural pressure leading to internal conflict
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etc...
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Therapy is a media which is there to help untangle and understand the causes of the symptoms which manifest through sexual dysfunction, and find a gentle path towards resolution.
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Some issues will need more than therapy to get resolved. I work alongside and in collaboration when needed of other professionals to ensure that you get the best and appropriate care to find a sustainable resolution to your issues.
Desire
Desire is a subjective concept which can be define as "wanting".
When someone's appetite for sexual activity is not as they would wish it to be.
Arousal is a beyond voluntary control, it comes as a response to stimuli which can be physical and/or psychological in nature.
Arousal
Orgasm
Orgasm is also a reflex response with partial control.
Orgasm helps the release of Oxytocin which generates a feeling of closeness and bonding.
Both gender can experience pain with sex. Pain is a subjective concept.
Sex and Pain
Erectile
issues
Sexual
Identity
There are various erectile issues: Erectile Dysfunction (ED), Premature Ejaculation (PE), Delayed Ejaculation (DE), Anejaculation.
Understanding who we are, beyond our sex assigned at birth.
Gender
Identity
Understanding who we are, our preferences and desires.
When sexual needs and behaviours infringe and impair daily living.