Sex Therapy North East

Sexual Difficulties 

Sexual difficulties can mean lots of different things. Below is a list of some of the most common difficulties that people experience. Each individual and couple has their own specific set of circumstances and experiences and the list is only here to serve as a guide. Whether or not the difficulty that you experience is listed here, please feel free to contact me for a free telephone consultation and I will be happy to discuss whether psychosexual therapy might be able to help you.

 Low (Hypoactive) Sexual Desire

Within the general population there is a continuum of levels of desire. Some people are naturally very interested in sexual activity and others naturally less so. Hypoactive desire is a low libido, (interest in sex), over an extended period of time. It may be something that has occurred having previously had a higher libido or it may be that this has always been the case. Low desire is only a problem when it causes distress or difficulty for the person concerned.

 

Female Orgasmic Disorder/Inhibited Female Orgasm and Female Sexual Arousal Disorder

Every woman is different in the amount and type of stimulation that she needs in order to become aroused or to have an orgasm. Usually, when involved in sexual activity that includes orgasm, women become aroused, are sexually excited, have an orgasm and then return to a resting state. When a woman can become aroused and sexually excited but cannot, or does not, have an orgasm, this may be an orgasmic disorder. When a woman regularly cannot, or does not, become aroused physically, for example not beginning to lubricate naturally or enough, then this may be an arousal disorder.

 

Erectile Disorder

When a man struggles to gain or maintain an adequate erection and this causes him difficulty or distress. A large number of physical and mental health conditions and medications can have an effect on erections and it is important to consult your G.P. and rule these out. This video may be of interest.

 

Male Orgasmic Disorder

When a man can become aroused and receives enough and suitable stimulation but is unable to have an orgasm.

 

Premature Ejaculation.

When a man ejaculates, with little or no stimulation, on or before penetration, and before he wishes to ejaculate, and this causes him difficulty or distress. It is normal for most men to ejaculate quickly when with a new partner or after a break from sexual activity, but this usually settles down after a while and, although sometimes distressing at the time, would not be considered a problem unless it persisted. This video may be of interest.

 

Sexual Addiction

Sexual addiction is, broadly speaking, a compulsion to engage in sexual activities, often of various kinds, even when to do so would cause difficulties and distress to the person themselves and to those close to them. Sometimes it involves illegal activity or potential harm to us or those around us, sometimes it is a way of managing interpersonal relationships.

 

Sexual Pain Disorders:

Dyspareunia. 

When a person experiences regular or persistent pain in the genitals, or deeper in the vagina, during or after sexual intercourse and where this is not due to insufficient lubrication.


Vaginismus.When a woman experiences regular or persistent pain at the lower part of the vagina that causes difficulties in having sexual intercourse. This is usually caused by an involuntary spasm of the muscles in that part of the vagina. More information is available here.

 

 

Paraphilias

Paraphilias are, broadly speaking, sexual fantasies, urges, or behaviours that a person includes in their sexual life to add to, or as fundamental to, their sexual pleasure. There is a very wide range of things that people enjoy as part of their sexual life. When this is legal and involves the consent of those involved, it is not something that needs to be addressed by psychosexual therapy.  If a person finds a paraphilia distressing, or it interferes with their daily life in a way that the person would like to change, then psychosexual therapy may be of assistance.