Sexual and Relationship Concerns Hub

Sexual Function

• Erectile Difficulties

• Premature Ejaculation

• Delayed Ejaculation

• Orgasm Difficulties

• Arousal Difficulties

• Sexual Anxiety and Performance Pressure

Pain and Physical Difficulties

• Pain and Penetration Difficulties

• Sexual Pain in Men

Desire and Intimacy

• Low or Mismatched Desire

• ‘Sexless’ or Low Intimacy Relationships

• Sexual Response and Erotic Patterns

Relationships and Communication

• Communication Difficulties Around Sex

• Post-Betrayal Relational Repair

• Opening a Previously Monogamous Relationship

Health and Medical Factors

• Intimacy, Menopause and Perimenopause

• Sexuality After Childbirth

• Sex After Cancer, Serious Illness or Major Medical Treatment

• Ageing and Sexual Function Changes

Identity, Lifestyle and Alternative Relationship Structures

• Neurodivergence, Sexuality and Relationships

• Kink, Power Dynamics and Non-Traditional Relationship Support

Trauma and Behavioural Concerns

• Intimacy Difficulties Post-Sexual Trauma

• Compulsive Sexual Behaviour and Pornography Concerns

Multiple or Overlapping Concerns?

It is very common for sexual and relational difficulties to overlap rather than existing in isolation.

For example, changes in desire may be linked with anxiety, relationship strain, physical changes, or difficulties with intimacy following stressful or traumatic experiences.

Part of the assessment process is understanding how these factors interact, rather than treating them separately.

You do not need to identify a single cause before seeking support.

If you are experiencing a combination of:

• changes in sexual desire

• difficulties with arousal or erections

• anxiety around sex or intimacy

• relationship strain or avoidance of closeness

• uncertainty about what feels different

this is already enough information to begin the process of assessment.

If you are unsure where your experience fits, complete my contact form or get in touch via email. I can then advise on the most appropriate next step.

Where to go next

Click on any area above to explore more about that concern, how I might work with it, and what support typically involves.