Psychosexual consultation · Confidential · Whitechapel, London
Psychosexual Difficulties: Assessment & Support
Confidential assessment for sexual difficulties where psychological and relationship factors are involved — either alone or alongside a physical cause. The medical assessment identifies and treats any physical contributor; psychological and talking-therapy support is provided through our psychology & therapy service.
- Delivered by
- Dr Kishore Bahl, Specialist Urologist
- Consultation
- Assessment before any treatment
- Appointment
- Typically 30 min
- GP referral
- Not required
Educational information — not a substitute for clinical assessment
This page describes psychosexual difficulties and their assessment in general terms to help you decide whether an assessment may be useful. It is not a diagnosis and does not promise a particular result. Suitability, the number of sessions and whether treatment is appropriate at all are decided at consultation. Outcomes vary between individuals and treatment is not suitable for everyone.
Why people come to us about this.
Not every sexual difficulty is best treated with a procedure. Many have a psychological component, and some are entirely psychological in origin. Treating those with a physical intervention alone rarely works.
Book an appointment
Private appointments at our Whitechapel clinic, open 7 days, 9am–7pm. Book online, call or WhatsApp.
What this condition actually is.
Psychosexual consultation addresses sexual difficulties where thoughts, feelings, anxiety and relationship dynamics play a significant part.
It is relevant on its own, and also alongside physical treatment — the two are not alternatives. Many men have both a physical contributor and a psychological one, each reinforcing the other.
This is a consultation-based service. It does not involve a procedure.
What you might be noticing.
- Sexual difficulty that varies by situation or partner
- Anxiety before or during sexual activity
- Loss of desire without an identified physical cause
- Difficulty that began after a specific event or period of stress
- Avoidance of intimacy
- Relationship strain arising from, or contributing to, sexual difficulty
- Physical treatment that has not produced the expected improvement
What tends to cause it.
- Performance anxiety and anticipatory worry
- Depression, anxiety disorders and chronic stress
- Relationship difficulty, communication problems or unresolved conflict
- Past negative sexual experience
- Body image concerns
- Cultural, religious or family expectations creating conflict
- The psychological consequences of a physical problem, which persist after it is treated
How treatment helps.
Consultation establishes what is contributing and in what proportion.
Where a physical cause is present, it is investigated properly rather than assumed absent.
Where psychological factors are prominent, addressing them directly is more effective than repeated physical treatment.
Where both are present, treating both together works better than either alone.
How psychosexual support works here.
- Medical assessment first — to identify and treat physical contributors such as erectile dysfunction, hormonal problems or medication effects.
- Psychological and talking-therapy support — through our psychology & therapy service, for the emotional, anxiety and relationship side of sexual difficulty.
- Joined-up care — when both physical and psychological factors are at play, they are treated together rather than in isolation.
Shockwave therapy is not a treatment for psychosexual difficulty. (read why) Related: erectile dysfunction · premature ejaculation · sexual performance anxiety · Men’s Health.
What an assessment can offer.
Assessment that does not assume the cause before hearing the history
Physical investigation available in the same clinic where indicated
Coordinated approach where physical and psychological factors overlap
Onward referral to specialist psychosexual therapy where that is the right route
What to expect at your appointment.
Step 1
An unhurried, confidential consultation. There is no examination unless there is a physical question to answer.
Step 2
Discussion of when the difficulty started, how it varies, and what else was happening at the time.
Step 3
Questions about mood, stress, relationship and medication.
Step 4
A shared view of what is likely to be contributing.
Step 5
A plan, which may involve consultation here, physical investigation, referral to specialist therapy, or a combination.
Talk to someone who will take it seriously.
Confidential assessment with joined-up medical and psychological support.
Good to know
Questions people usually ask.
Still have a question? Our team can help you choose the right appointment.
Is this therapy?
It is a clinical consultation. Where formal psychosexual therapy is the right route, we can refer you.
Will I be examined?
Only if there is a physical question that requires it, and only with your consent.
Can my partner attend?
Yes, if you would both like that. Some sessions work better individually. Either is fine.
Is it confidential?
Yes. Consultations are private and records are held in line with UK data protection law.
What if there is a physical cause?
Then we investigate it. This clinic has a Specialist Urologist, so both routes are available.
Do I need a referral?
No.
Related treatments.
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Learn more — Premature Ejaculation
Before you book.
Referral
No GP referral needed. You can book directly.
First appointment
An assessment with Dr Kishore Bahl, Specialist Urologist. Treatment follows only if the assessment supports it.
Where
Whitechapel, East London. Whitechapel station is on the Elizabeth line, District, Hammersmith & City and Overground.
Fees
Published in full on our price list.
Privacy
Consultations are private and confidential. You are entitled to a chaperone at any appointment, at no cost.
Speak to a specialist.
Speak to Dr Kishore Bahl, Specialist Urologist, about whether this treatment is appropriate for you.
Book a consultation Call 020 7916 0029 See full pricing on our price list
Tower Bridge Hospital · Whitechapel, East London
Private healthcare in East London — Whitechapel, the City & Canary Wharf
Our clinic at 97–99 Whitechapel Road, E1 cares for patients from across London and the Docklands — including Aldgate, the City, Bethnal Green, Bow, Shoreditch, Canary Wharf, Stratford and Bermondsey — a few minutes’ walk from Aldgate East and Whitechapel stations.
- Open 7 days, 9am–7pm
- Private & confidential
- Easy access in East London
No GP referral needed for most appointments. View prices.