Indian couple having a supportive private conversation

Private and respectful

A private space for concerns that are difficult to discuss.

Sexual difficulties can affect confidence, relationships and emotional wellbeing. You can begin with the concern in your own words. The consultation looks at physical health, stress, mood, medicines and relationship factors together.

Call for a private appointment Find your concern

Professional confidentialityHandled respectfully within standard legal and safety limits

Speak in English or HindiExplain the concern in the language most comfortable to you

Individual or couple discussionA partner may join when appropriate, but is not required

Choose what feels closest

You do not need to know the cause before consulting.

Start with the experience that is troubling you. Each pathway explains what may contribute, what assessment involves and how care may help.

Erectile difficulties

Trouble getting or maintaining an erection, including concerns linked with anxiety, mood, medicines or health conditions.

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Premature ejaculation

Ejaculation that happens sooner than wanted and causes distress, avoidance or relationship strain.

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Low sexual desire

A noticeable reduction in sexual interest that may relate to stress, mood, hormones, health, medicines or relationship factors.

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Performance anxiety

Worry, self-monitoring or fear of failure that interrupts arousal, confidence and intimacy.

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Pain or difficulty with intimacy

Concerns such as vaginismus, fear, discomfort or avoidance that need sensitive assessment and suitable referral where required.

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Medication-related concerns

Changes in desire, erection, arousal or orgasm after starting a psychiatric or other medicine.

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Compulsive sexual behaviour

Sexual thoughts, pornography use or behaviour that feels difficult to control and affects daily life or relationships.

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Relationship and intimacy concerns

Emotional distance, communication difficulties or conflict affecting the couple's sexual relationship.

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A whole-person assessment

The concern is explored carefully, without assumptions.

Sexual symptoms can be influenced by anxiety, depression, relationship stress, sleep, alcohol or substance use, diabetes, thyroid or hormonal conditions, and prescribed medicines. Assessment may include a focused medical and psychiatric history, review of medicines and relevant investigations.

Medical factors

Health conditions, hormones, sleep, substances and medicines are considered.

Emotional and relationship factors

Stress, confidence, expectations, communication and intimacy are discussed sensitively.

The right next step

Care may include counselling, medication review, treatment of anxiety or mood concerns, or coordination with urology, gynaecology, endocrinology or another specialist.

Common questions

Questions people often hesitate to ask

When should I consult for a sexual-health concern?

Consider an assessment when the concern is persistent, causes distress, affects confidence or relationships, began after a medicine change, or is accompanied by anxiety, low mood or avoidance.

Is a psychosexual consultation confidential?

Yes. The discussion is handled with professional confidentiality, subject to the standard legal and safety limits that apply to medical care.

Are sexual difficulties always psychological?

No. Physical health, hormones, sleep, substances, medicines, anxiety, mood and relationship factors can overlap. Assessment helps identify the likely contributors and whether another specialist is needed.

Can I attend without my partner?

Yes. An individual consultation is entirely appropriate. A partner may join later when useful and comfortable for both people, but this is not compulsory.

Before your appointment

You do not need to prepare a perfect explanation.

Share what has changed, how long it has been happening, any medicines you take and whether the concern occurs every time or only in certain situations. A partner may join when appropriate, but an individual consultation is also welcome.

Please note: This is psychiatric and psychosexual assessment. Suspected infection, infertility, genital injury, severe pain or another primarily physical concern may require examination or treatment by the relevant medical specialist.