Female Sexual Issues

Women's sexual difficulties are incredibly common, yet they remain one of the least talked-about areas of health. Many women spend years believing that pain during sex is normal, that their lack of desire is just how they are, or that there is something wrong with them for not being able to orgasm. None of that is true.

If sex has become something you dread, avoid, or simply feel disconnected from, you are not alone. These difficulties have real, identifiable causes, and with the right support, they can be resolved. My practice is a safe, private space where you can talk openly about things you may never have felt able to discuss before.

Common issues I work with

I have extensive experience helping women with a wide range of sexual concerns, including:

• Vaginismus and painful intercourse — involuntary tightening of the vaginal muscles that makes penetration painful, difficult, or impossible. This is one of my specialist areas, and it responds exceptionally well to therapy.
• Anorgasmia and orgasm difficulties — difficulty reaching orgasm, never having experienced orgasm, or orgasms that feel muted or unsatisfying. This is far more common than most women realise.
• Loss of desire — a drop in sexual interest that feels out of character, or a sense that your libido has simply disappeared. This can be triggered by life changes, relationship dynamics, stress, or hormonal shifts.
• Sexual shame and shyness — deep-seated feelings of embarrassment, guilt, or discomfort around sex, often rooted in upbringing, cultural messages, or past experiences.
• Sexual confidence and assertiveness — difficulty communicating what you want in bed, setting boundaries, or feeling comfortable in your own skin during intimate moments.

This is not an exhaustive list. If your concern is not mentioned here, please get in touch. I work with a broad range of women's sexual health issues and I am always happy to discuss whether I can help.

My approach

I combine psychosexual therapy with cognitive behavioural techniques (CBT) to address both the emotional and physical aspects of sexual difficulties. For many women, the two are deeply intertwined. Anxiety about sex creates physical tension, which causes pain or blocks arousal, which creates more anxiety. My approach is designed to break that cycle gently and effectively.

Therapy is not just about talking. I also give you practical exercises and techniques to work through between sessions. These are carefully designed, introduced at a pace that feels comfortable, and always discussed and agreed with you in advance. You will never be asked to do anything you are not ready for.

I understand that for many women, simply walking through the door is an act of courage. My consulting room is a completely non-judgmental space. There is no rush, no pressure, and nothing you could say that would shock me. My job is to help you feel safe enough to start making changes.

How therapy works

What to expect in sessions

In our first session, I will ask about your concerns, your history, and what you would like to achieve. I will want to understand the full picture, including your relationships, your general wellbeing, and any medical factors that might be relevant. This helps me create a plan that is tailored specifically to you.

From there, sessions combine conversation with practical work. I will explain each technique clearly and make sure you understand both what to do and why it helps. Each session builds on the last, so you can see and feel your progress over time.

How long does it take?

A typical course of therapy is between 6 and 12 sessions, though some issues may need more time and others respond more quickly. Vaginismus, for example, often shows significant improvement within 8 to 10 sessions. I will always be honest with you about what to expect.

Homework between sessions

The exercises I set between sessions are a key part of the therapeutic process. They are practical, manageable, and designed to help you make gradual changes in how your body and mind respond. Progress comes from the work you do both inside and outside the therapy room.

Take the next step

If a sexual difficulty has been affecting your confidence, your relationships, or your quality of life, taking this step could make a real difference. A free 20-minute consultation call is a gentle, confidential way to start. We will talk about what has been happening and I will let you know honestly whether I think I can help.