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Sexual health & relationships · Confidential · Whitechapel, London

Sexual Health & Relationships London

Confidential consultation covering sexual health, function and the relationship context around it — because the three are rarely separable.

Delivered byDr Kishore Bahl, Specialist Urologist
ConsultationAssessment before any treatment
Session timeTypically 15–30 min
DowntimeNone
Back to Men’s HealthAll Services

Educational information — not a substitute for clinical assessment

This page describes sexual health & relationships 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.

Sexual difficulty rarely sits in one person alone. It affects, and is affected by, the relationship it occurs in. A consultation that ignores that context misses most of the picture.

What this condition actually is.

This consultation covers sexual function, sexual health and the relationship context together, rather than treating them as separate problems.

It is appropriate where a difficulty is affecting a relationship, where relationship factors are contributing to a difficulty, or where a couple wants to address something together.

Sexual health screening is available separately through our sexual health service, and we will arrange it where relevant.

What you might be noticing.

  • Mismatch in desire between partners
  • Sexual difficulty that began after a change in the relationship
  • Avoidance of intimacy by either partner
  • Difficulty talking about sex with a partner
  • Anxiety about a partner's response
  • Sexual difficulty following pregnancy, illness, surgery or bereavement
  • Concerns about sexual health that are affecting the relationship

What tends to cause it.

  • Communication difficulty rather than sexual difficulty as such
  • Life transitions — new parenthood, illness, retirement, bereavement
  • Untreated physical problems in one or both partners
  • Differences in expectation, desire or sexual script
  • Anxiety, depression or stress affecting one or both
  • Unresolved conflict expressing itself sexually

How treatment helps.

Consultation identifies whether the difficulty is primarily physical, psychological, relational, or a mixture.

Where a physical cause exists in either partner, it is investigated.

Where the difficulty is relational, addressing it directly is more effective than treating one partner medically.

Onward referral to relationship or psychosexual therapy is arranged where that is the right route.

Why we use focal shockwave.

We use focal shockwave because it delivers energy to a defined depth — up to approximately 12 cm — allowing accurate treatment of deeper structures. Radial devices spread energy outwards from the applicator and lose intensity quickly, which limits them to more superficial targets.

Why focal reaches what radial cannot.

Pulses travel from the probe and converge on a target at depth. The dashed line marks where radial devices stop.

036912 cm Radial device range ► stops here Focal probe Target SkinFat layerMuscleDeepmuscle
Focal shockwave · depth of penetration

What treatment can offer.

A consultation that considers the relationship

A consultation that considers the relationship, not only the individual

Confidential and non-judgemental

Confidential and non-judgemental

Physical investigation available in the same c

Physical investigation available in the same clinic

Couples welcome, individuals equally welcome

Couples welcome, individuals equally welcome

Clear onward routes where specialist therapy i

Clear onward routes where specialist therapy is needed

What to expect during treatment.

  1. Step 1

    A confidential consultation. You can attend alone or together.

  2. Step 2

    Discussion of the difficulty, its history, and the context around it.

  3. Step 3

    Where relevant, physical assessment and investigation of either partner.

  4. Step 4

    An honest view of what is contributing.

  5. Step 5

    A plan, which may include treatment here, sexual health screening, or referral.

Questions people usually ask.

Do we have to attend together?

No. Many people start alone. Attending together is an option, not a requirement.

Is this couples therapy?

It is a clinical consultation. Where formal relationship or psychosexual therapy is appropriate, we can refer.

Is it confidential?

Yes, including from each other where you attend separately. We will be clear about how that works.

Can we have sexual health screening too?

Yes. That is arranged through our sexual health service.

What if only one of us thinks there is a problem?

That is common and worth discussing. It does not mean nothing needs addressing.

Related treatments.

Psychosexual Consultation

Confidential consultation for sexual difficulties where psychological and relationship factors are involved &a…

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Low Libido & Sexual Wellness

Assessment of reduced sexual desire that looks for a cause rather than assuming one — hormonal, psyc…

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Sexual Performance Anxiety

Assessment and treatment for sexual performance anxiety — including checking whether a physical prob…

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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
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