Sexuality and Sexual Dysfunctions

Clinical evaluation and
specialized follow-up

Sexuality is a fundamental part of health and identity, but it remains one of the most difficult topics to discuss.

Many people live for years with sexual difficulties that affect their self-esteem, relationships, and well-being, even though, in most cases, effective treatment is available.

At The Clinic of Change, we approach sexuality in a clinical, compassionate, and non-judgmental manner.

When sexuality
becomes a problem

  • Do you feel anxiety, fear, or pressure related to intimacy?
  • Do you experience persistent difficulty with sexual desire, arousal, or pleasure?
  • Do you avoid intimacy for fear of failing or feeling frustrated?

Seeking support isn't a sign of weakness, but a step toward taking care
of yourself and your relationship.

What Are
Sexual Dysfunctions

Sexual dysfunctions are persistent difficulties that interfere with desire, arousal, orgasm, or sexual satisfaction. 

  • Erectile dysfunction
  • Premature ejaculation or other ejaculatory disorders
  • Decreased or absent sexual desire
  • Difficulty reaching orgasm
  • Pain during sexual intercourse

They can affect both men and women at any stage of life and are much more common than people realize. They do not indicate a lack of ability, attraction, or interest in one’s partner.

Factors That Influence
Sexual Response

Sexuality is influenced by physical, psychological, and relational factors. Performance anxiety, depression, stress, and even certain medications can significantly interfere with sexual response.

Unrealistic expectations created by pornography and social media can also contribute to insecurity and frustration.


y Clinical Assessment of Sexuality

Understanding the problem without taboos

The follow-up begins with a thorough clinical assessment, conducted in a safe and confidential setting, which allows for an understanding of the difficulty, the factors involved, and the emotional and relational impact, thereby determining the most appropriate course of treatment.


n Therapeutic Approach

Based on the assessment, follow-up may include:

  • Individual or couples psychotherapy
  • A specific study on anxiety and related emotions
  • Psychiatric follow-up, when indicated
  • Therapeutic adjustments to preserve sexual function

The goal is to address the root cause of the problem and promote a
healthier and more satisfying sex life.

In what situations might this support
be appropriate?

  • Persistent sexual difficulties
  • Personal or relationship-related distress
  • Avoidance of intimacy
  • Seeking a serious, non-judgmental clinical approach