Men's
sexual health.

Difficulty getting or maintaining an erection sufficient for sex. Often involves a mix of physical, psychological, and relational factors. Therapy works on the psychological and relational layer alongside any medical treatment your GP has organised.

Ejaculating sooner than you or your partner would like, more often than not. One of the most common — and most treatable — sexual concerns in men. Therapy uses evidence-based behavioural techniques alongside work on the anxiety, avoidance, and self-criticism that often build up around it.

Difficulty reaching orgasm, or being unable to reach orgasm at all, despite adequate stimulation. Less talked about than premature ejaculation but no less treatable — and often missed by GPs and partners alike.

Reduced or absent sexual desire — or a sustained gap between your desire and your partner's. Both are common, both have multiple drivers (hormonal, psychological, relational, contextual), and both respond well to structured psychosexual therapy.

Anxiety about sexual performance — getting hard, lasting long enough, satisfying a partner — that ends up interfering with the very thing you're worried about. Common across all ages and stages of life. Treatable.

Sexual behaviour or pornography use that has become difficult to control, is taking up significant time, or is causing problems in your work, relationships, or wellbeing. Therapy works on the function of the behaviour, not just the behaviour itself.

Avoidance of sex or sexual situations driven by anxiety, shame, past experiences, or previous difficulties. Common after periods of erectile or performance difficulties — and often the thing that keeps the original problem stuck.

Difficulty talking about sex with a partner — what you want, what's not working, what's changed. Most couples never learn how to have these conversations directly, and the cost compounds over time.

Questions about sexual orientation, gender identity, kink and BDSM, non-monogamy, or how any of these fit with the life you've already built. Therapy is a place to work through these questions without pressure to land in any particular place.

When the most emotionally significant relationships in your life are with people you've never met — content creators, paid companions, AI partners, or online figures. Increasingly common, rarely talked about, and worth working through if it's started to substitute for real connection or cost more than you can sustain.

Pain during or after sex — and the anxiety, avoidance, and relationship strain that builds around it. Causes are often medical (skin conditions, pelvic floor issues, post-surgical pain, prostatitis), so I'll work with your GP or specialist as part of the picture, alongside the psychological and relational work.