The World Health Organisation (WHO) defines sexual health as ‘a state of physical, mental and social well-being in relation to sexuality. It requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence.’
The way in which an individual expresses his/her sexuality is influenced by cultural, religious, sexual orientation and societal factors. Sexual problems may be complex and can impact negatively on our health and relationships.
Our approach with problems relating to intimacy and sexuality is holistic and may require a multi-disciplinary team, made up of Sexual Medicine Practitioner, Physiotherapist, Psychologist-sexologist, Gynaecologist or Urologist.
There are many contributing factors which may impact negatively on sexuality. These include chronic medical illness, prescription or over-the-counter medication, stress, life-style factors, hormonal changes during life stages and ageing, cancer treatments, previous sexual abuse or trauma, relationship characteristics and perception of body image.
Female sexual disorders include a decreased libido/desire and arousal, absent or difficulty attaining orgasm, lubrication problems, pain during intercourse/vaginismus and disorders of the external genitalia.
Male sexual disorders include low libido, hormone disorders, erectile dysfunction and ejaculation disorders which may be premature or delayed.
Screening and treatment of Sexually Transmitted Diseases and contraception is included with sexual health.
‘Good sex is all about good communication and great sex forms part of a rich and complex area of human experience’.