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Psychosexual therapy

We can only offer psychosexual services to people living in areas covered by Oxfordshire County Council (find your local council on the GOV.UK website). If you live outside of this area, please contact your local sexual health service instead.

What is psychosexual therapy

Some people experience difficulties with sex which can be difficult to talk about. We provide a talking therapy service which can help with a variety of sexual problems.

For example:

  • Painful sex and / or difficulty with penetration, including fears and anxiety about intercourse
  • Premature ejaculation
  • Delayed or absent ejaculation
  • Erectile dysfunction
  • Loss of libido (sex drive)
  • Difficulty getting aroused and / or  reaching orgasm
  • Problems with sex due to other illness or medications, for example cancer treatments

Access to psychosexual therapy

Please book a telephone appointment. We can then arrange a referral for assessment with the psychosexual therapy service if appropriate.

Alternatively,  you can ask your GP or practice nurse to refer you to the psychosexual therapy service. Please note, you cannot self-refer to this service – an initial assessment or GP referral is necessary.

Assessment of erectile dysfunction

We are not able to do a physical medical assessment regarding the causes of erectile dysfunction or prescribe medication for this.

Your GP can help and may wish to do the following:

  • Blood test for: 9am Testosterone level, TSH (thyroid), Prolactin, HBA1c, Lipids
  • Blood pressure
  • Cardiovascular risk assessment
  • Genital examination
  • A trial of the medication Sildenafil (Viagra), if it is suitable for you

What to expect from psychosexual therapy

We provide a service with both medical and psychological expertise and can integrate these skills to help resolve people’s sexual problems. You will meet with an experienced clinician with expertise for a specialist assessment to determine what is likely to be most helpful for you. We provide short-term focused psychosexual therapy on an individual or group basis, to individuals and couples.

What we are not able to offer services for

  • Sexual addiction and sexual compulsion problems, including porn use
  • Questions around sexual orientation
  • Questions around gender identity
  • Relationship problems

But we can signpost you to services / help.

Useful links

College of Sexual and Relationship Therapists (CORST)

Key information on therapy – CORST has a range of factsheets on psychosexual and relationship therapy, including:

  • An advice sheet on common sexual problems
  • Sex and relationships affected by cancer
  • Sex and relationships affected by disability

Lack of desire and / or arousal

Erectile dysfunction

Ejaculation problems

Painful sex for people with a vulva and vagina, vaginismus, vulval pain

Difficulty having an orgasm

Sex addiction

Questions about gender identity or sexual orientation

What is sex therapy? Will it help me?