Sexual Problems

Many of us at different life stages may experience sexual problems and feel very alone with this difficulty. Our family background, our life experience and the way sex is portrayed in the media can lead us to be unrealistic in our expectations of sex or to misunderstand what is possible

Most sexual concerns, however, have a psychological component and it can be helpful to talk these through with a qualified professional.

Lack of fulfilling sex is one of the commonest reason for relationship breakdown. Sexual problems treatment may help to strengthen your relationship as well as to improve your own wellbeing.

Sexual Problems Help

Problems with Sexual Desire

Common problems around sexual desire maybe about too much, too little or none. We are all different and these differences should be valued, honoured and accepted. Any sexual issues that negatively affect your quality of life should be discussed with a doctor. Some of the most common reasons for seeking sexual problems treatment are as follows.


People who identify as asexual, experience none or little sexual attraction to others They still form intimate emotional attachments and maybe sexual at times, but these attachments are not driven by sexual arousal and attraction.

Loss of Desire

There are many reasons why lack of sexual desire occurs. Life events such as bereavement, pressure at work and day-to-day stresses may mean that sex becomes of secondary importance.

Loss of desire is a well-known side effect of some medications, such as anti-depressants, and depressive illnesses. Sometimes losing interest in sex can be a response to dissatisfaction, disappointment, anger or unhappiness in relationship because of communication difficulties.

High desire

Having a lot of sex and high desire can sometimes be positive for an individual. When it starts having a detrimental effect on other aspect of your life and makes it difficult to engage in and form the type of relationships that you want, then you may have a problem.

Uncomfortable sexual desire.

Sexual fantasies are very common and diverse; we may even be aroused by fantasy that we would not want to be part of. It is important to bear in mind that a fantasy is what it says; it is not reality or an action.

Difficulty in have Sexual Intercourse

Sexual problems may have a physical component that may need to be identified and addressed alongside the emotional effects.

Orgasmic Difficulties

Both men and women can experience difficulties in achieving an orgasm. There are some individuals who rarely or never orgasm. Whilst not all individuals need or want to orgasm to enjoy their sex lives, you may find yourself in a situation where would like to achieve orgasm with your partner or yourself.


Some women have difficulties with penetrative sex, and may never have been able to be penetrated, despite wanting this to happen. Smear tests may have been very difficult or impossible to do, and tampon use may be difficult. This can be extremely distressing for both the sufferer and their partner.

Erectile difficulties

‘Some men have difficulty in obtaining and maintaining an erection, which makes penetration difficult or impossible. This can be very upsetting for the sufferer and their partner. There is often blame, guilt and stress involved in such situations.

Ejaculation problems

Premature ejaculation means the man ejaculates too quickly which may leave the person and their partner frustrated.

Delayed ejaculation is a medical condition in which a male cannot ejaculate, either during intercourse or by manual stimulation with a partner. Delayed ejaculation can have body or mind causes. Some medication can also interfere with ejaculation.

Sex addiction

While many people are very sexual and may enjoy a very active sex life with many partners, this does not make them a sex addict. However, when a person’s sexual behaviour becomes out of control and interferes with their life, making it difficult for them to form the type of relationships they want, it can be described as a problematic behaviour, which may be described as an addictive or compulsive behaviour

When to Seek Help for Sexual Problems

Sex is an important activity for pleasure and procreation. It should not be a cause for stress. If you are concerned about any aspect of your sex life or sexual problems are damaging your relationship, it is a good idea to seek help.

Dr Balu’s Approach to Sexual Problems Treatment

Sexual problems can be very sensitive and complicated, so the treatment approach must be adapted to each individual. Dr Balu may recommend:

  • Talk therapy to explore your feelings about sex and relationships
  • Couples counselling
  • Lifestyle advice to improve your health and reduce stress
  • Treatment for any underlying causes, which may require referral to another specialist

Call us to find out how we can help with your sexual problems originating from your body and/or mind.

Dr Balu
Please Call me
Dr Balu Pitchiah MBBS, MRCPsych, CCST,MBA (OXON)
Dr Balu Pitchiah
Specialist in
  • Addictions
  • Anxiety disorders, agoraphobia, panic disorder and social phobia
  • Bipolar Disorder (Bipolar Affective Disorder, Manic Depression)
  • Medically unexplained physical symptoms, Somatisation
  • OCD
  • Personality disorders
  • Various other psychiatric conditions
  • 29, Weymouth Street, London W1G 7DB

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