Erectile difficulties
Trouble getting or maintaining an erection, including concerns linked with anxiety, mood, medicines or health conditions.
Private and respectful
Sexual health concerns deserve a clear medical conversation.
Many sexual difficulties involve a mix of physical health, stress, mood, medicines, confidence and relationship factors. A confidential assessment helps identify what is contributing and which kind of care is most appropriate.
Reasons people consult
Common concerns that can be assessed
There is no need to decide beforehand whether the cause is physical or psychological. The purpose of the first consultation is to understand the whole picture.
Premature ejaculation
Ejaculation that happens sooner than wanted and causes distress, avoidance or relationship strain.
Low desire
A noticeable reduction in sexual interest that may relate to stress, mood, hormones, health, medicines or relationship factors.
Performance anxiety
Worry, self-monitoring or fear of failure that interrupts arousal, confidence and intimacy.
Pain or difficulty with intimacy
Concerns such as vaginismus, fear, discomfort or avoidance that need sensitive assessment and suitable referral where required.
Medication-related concerns
Changes in desire, erection, arousal or orgasm after starting a psychiatric or other medicine.
Compulsive sexual behaviour
Sexual thoughts, pornography use or behaviour that feels difficult to control and affects daily life or relationships.
Relationship and intimacy concerns
Emotional distance, communication difficulties or conflict affecting the couple's sexual relationship.
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.
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.