One of the reasons why many people with sexual difficulties fail to get their sexual problems sorted is because of a lack of an integrative approach. Sexual problems arise from a wide range of medical, psychological, and relational & social factors. Very often, there is a complex combination of several contributing factors. At Cambridge Sex Therapy Clinic, I take into consideration all the three aspects of sexual wellbeing:
1. Medical issues, for example, chronic medical conditions (such as cardiovascular disease, diabetes mellitus, neurological disease), post surgery (for instance after prostate surgery or breast cancer), hormonal disorders (such as testosterone deficiency and high prolactin), impact of prescribed medications (such as anti-hypertensives, anti-depressants), age-related, lifestyle-related (for example, smoking, alcohol misuse), etc.
2. Psychological issues, for example, psychiatric conditions (such as depression, anxiety and substance misuse), psychological problems (such as stress, anxiety, low sexual self-esteem and confidence, performance anxiety, fear of failure, life events, previous traumatic sexual experiences), etc.
3. Relationship & social issues, for example, couples relationship and marital problems & previous relationship issues, cultural & religious matters, educational matters, etc.
When you see a medic (for example your GP or a consultant urologist or gynaecologist) for your sexual problem, they may approach your difficulty from a medical perspective. Alternatively, if you see a sex therapist, they may not necessarily factor the critical medical aspects of your sexual wellbeing. I approach sexual problems Bio-Psycho-Socially. This means I take into account your medical history, factor the social (e.g. cultural, religious, educational, etc.) aspects of your sexual wellbeing, and, finally, work psychotherapeutically with your sexual and relationship issues.