Seek assessment when erectile difficulty, early or delayed ejaculation, low desire, pain, arousal or orgasm difficulty is persistent, distressing, new, worsening or affecting a relationship. Sexual symptoms should not automatically be labelled psychological: diabetes, cardiovascular or hormonal conditions, medicines, substances, anxiety, depression and relationship factors can all contribute.
Why a broad assessment matters
Sexual health includes physical, emotional, mental and social wellbeing. A careful assessment may therefore cover symptom onset, general health, sleep, mood, anxiety, relationship context, alcohol or substance use, current medicines and relevant investigations.
When should you seek medical care promptly?
Earlier assessment is advisable when the change is sudden, follows injury or surgery, is associated with pain or deformity, or occurs alongside symptoms of diabetes, hormonal illness or cardiovascular disease. Urgent care is needed for severe pain, significant injury or an erection lasting several hours.
Can anxiety or medication contribute?
Performance anxiety, depression, stress and relationship difficulties can affect desire and sexual response. Some medicines can also contribute. Do not stop prescribed psychiatric, blood-pressure or other medication abruptly; discuss timing, dose, alternatives and medical causes with the prescribing clinician.
What happens during a confidential consultation?
The consultation begins with a private history rather than assumptions or judgement. Depending on the concern, the plan may include medical evaluation, medication review, psychological treatment, couple-based work or referral to another relevant specialist.