1. Why see a sex problem doctor?
Sexual difficulties are common and treatable. People avoid seeking help because of embarrassment, shame, or uncertainty about where to start. A qualified sex problems doctor looks at the full picture — medical, hormonal, psychological, relational and medication-related contributors — and creates a confidential, personalized plan for recovery. Early assessment often shortens the path to improvement and prevents unnecessary worry.
2. Common sexual problems (women & men)
Sex concerns can be physical, emotional, or both. These are the complaints most commonly seen in clinic:
- Low desire (reduced libido): a persistent drop in interest in sex. Causes include hormones (low estrogen, low testosterone), antidepressants, chronic illness, stress, relationship factors.
- Pain with sex (dyspareunia) and vaginismus: pain can be physical (infections, endometriosis, pelvic floor tightness) or linked to anxiety. Vaginismus is involuntary pelvic floor tightening that makes penetration painful or impossible.
- Orgasmic difficulties (anorgasmia): difficulty achieving orgasm despite adequate stimulation. May be linked to medical, hormonal, neurological or relational causes.
- Erectile dysfunction (ED) and premature ejaculation (men): common, with vascular, endocrine, or psychological roots. Often treatable with medication, counseling, or lifestyle changes.
- Sexual arousal disorders: trouble developing or maintaining arousal. Can be neurological, vascular, medication-related or psychological.
- Sexual side effects of medication or illness: many common drugs and chronic conditions affect sexual function.
Understanding the problem’s type (desire, arousal, orgasm, pain) helps the doctor choose the right sex treatment approach.
3. How a sex problems doctor diagnoses the issue
A thorough, respectful evaluation typically includes:
- Detailed medical & sexual history: medication list, menstrual/hormone history, relationship dynamics, mental health, past surgeries or pelvic trauma.
- Physical examination: pelvic exam for women; genital and neurological exam for men and women to check for local causes.
- Laboratory tests: blood tests for hormones (testosterone, estradiol, thyroid), blood sugar, lipid profile when relevant.
- Targeted imaging/tests: pelvic ultrasound if pelvic pain or structural issues are suspected.
- Validated questionnaires: brief tools to quantify symptoms (eg. FSFI for women, IIEF for men) that measure severity and track progress.
- Multidisciplinary input: sex therapists, pelvic floor physiotherapists, endocrinologists, or psychiatrists may be involved.
Diagnosis is not about labeling — it’s about finding actionable causes to guide sex treatment.
4. Evidence-based sex treatment options
A modern sex problems doctor uses a toolbox of therapies. Most patients receive a combination plan.
Medical & hormonal treatments
- Topical or systemic hormones: estrogen creams, vaginal tablets, or local DHEA for genitourinary symptoms; carefully dosed testosterone in select cases under specialist supervision.
- Pharmacotherapy: PDE5 inhibitors (for ED), selective serotonin modulation strategies for premature ejaculation, and other medications when appropriate.
- Treatment of underlying disease: managing diabetes, thyroid disease, or treating pelvic infections will often improve sexual function.
Behavioral & psychotherapeutic interventions
- Sex therapy and counseling: short-term, structured therapy helps with performance anxiety, communication, and behavioral exercises (sensate focus, graded exposure).
- Cognitive Behavioral Therapy (CBT): addresses negative beliefs, anxiety, and mood that interfere with sex.
- Couples therapy: when relationship dynamics are central to the problem.
Physical therapies
- Pelvic floor physiotherapy: for pain, vaginismus, and some orgasmic problems. Techniques include desensitization, relaxation, and trigger-release work.
- Devices: vaginal dilators for graded penetration practice; vacuum devices or constriction rings for male erectile assistance in some cases.
Multidisciplinary and individualized care
Best outcomes follow a tailored plan combining medical, physical and psychological approaches. Your sex problems doctor will explain risks, benefits, expected timelines, and measurable goals.
5. What to expect at your first visit — Female Sexual Health by Dr. Kusuma
Clinic: Female Sexual Health by Dr. Kusuma
Location: Androcare-Swetha scans, 67-A, Journalist colony, Road no 70, Jubilee hills, Hyderabad-500033
Website: femalesexualhealth.in
At your first visit you can expect:
- A private, non-judgmental consultation where your concerns are listened to in detail.
- A focused physical exam only if needed and with consent.
- A clear explanation of possible causes and a recommended testing plan.
- A personalized sex treatment plan — this might include medication, pelvic physiotherapy, or referral to a sex therapist.
- Guidance on practical next steps and realistic timelines.
What to bring: a list of current medications, any recent test results, and a short note about your main concerns or questions.
(Note: check the clinic website for appointment booking and teleconsult options.)
6. When to seek urgent help
Contact emergency services or seek immediate medical attention if you experience:
- Sudden severe pelvic pain with fever or heavy bleeding.
- Priapism (a painful, prolonged erection lasting >4 hours).
- Thoughts of self-harm or severe mood changes — contact mental health services right away.
For non-urgent but serious concerns (new, severe pain or rapidly worsening symptoms), contact your healthcare provider promptly.
FAQ
Q: How do I find the right sex problems doctor?
Q: What is the typical timeline for improvement after starting sex treatment?
Q: Is sex treatment confidential and private?
Q: Will treatment affect my fertility?
Q: Are sexual problems normal after childbirth or menopause?
Q: Does insurance cover sex treatment?
Author & review box
Author: Dr. Kusuma — Consultant, Female Sexual Health
Experience: Clinical practice focused on female sexual health and related conditions. (Clinic author bio provided by the practice.)
Clinic: Female Sexual Health by Dr. Kusuma — Androcare-Swetha scans, 67-A, Journalist colony, Road no 70, Jubilee Hills, Hyderabad-500033
Website: femalesexualhealth.in
Reviewed on: September 22, 2025
Reviewer: Clinical editorial team, Female Sexual Health
