1 The biopsychosocial complexity of human sexuality
Sexual health is an essential component of overall well-being and balance within a couple. Intimate difficulties rarely have a single cause: they interweave physiological factors, including hormonal or vascular issues and medication side effects; psychological blocks, such as performance anxiety, guilt and past trauma; and relational dynamics within the couple.
2 Care for specific male and female disorders
For women, the work addresses vaginismus, a reflex spasm preventing penetration; dyspareunia, pain during intercourse; reduced desire; and anorgasmia. For men, support targets premature ejaculation, erectile difficulties and anticipatory anxiety. The clinician dismantles performance myths conveyed by society to restore a broader, relaxed sensuality.
3 Therapeutic protocols: sensate focus and progressive exercises
Sessions in the practice consist strictly of conversation. The therapist prescribes progressive behavioural exercises to be carried out privately at home: Masters and Johnson’s sensate focus, rediscovering sensual touch without a genital goal or obligation to achieve a result; gradual use of vaginal dilators to become comfortable with pelvic relaxation; and stop-start techniques.
4 A secure framework, confidentiality and medical coordination
All consultations observe absolute professional confidentiality and informed consent. The sexologist coordinates with gynaecologists and urologists to rule out any organic cause, allowing those consulting to regain confidence, shared pleasure and intimate companionship.
5 Dismantling performance myths and mutual consent
The sexologist recalls that pleasure cannot be reduced to quantitative standards of duration or frequency. By restoring tenderness, slowness and verbal communication in bed, therapy dispels performance anxiety and places mutual attentiveness at the heart of intimate fulfilment.