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What can you come to us with?
Sexual difficulties
Erectile difficulties, premature ejaculation, pain, low libido - these are subjects that are hard to raise even with a partner, let alone with someone from outside. And yet most such difficulties have an explanation and effective ways of working with them. At the Unique practice in Warsaw you will find a space where they can be talked about openly and without judgement.
Book a visitSexual difficulties are common and yet among the least often treated. The reason is simple: they are not easy to say out loud. Meanwhile most of them respond well to therapy, and the sooner the work begins, the less fear and avoidance builds up around them.
Very often a mechanism joins the original difficulty and sustains it far more effectively than the original cause: the fear of failing again. Tension affects the body's responses, and each new experience confirms your fears. Breaking that vicious circle is usually one of the first goals of the work.
Talking about sex with a specialist is no different from talking about any other symptom. Shame stays outside the door.
When is it worth seeing a sexologist?
None of these situations is too small or too embarrassing - difficulties are always worth talking about and finding solutions for.
Talk to a sexologist- Your body's responses do not match what you expect, and the tension around it keeps growing.
- You avoid closeness so as not to experience another failure.
- Intercourse involves pain or discomfort.
- You do not reach orgasm, or you have stopped reaching it in situations where it once came easily.
- Your desire for closeness has clearly diminished and you cannot point to a reason.
- Your needs in the relationship clearly diverge, and conversations about it end in tension.
- The intimate sphere has become a source of conflict or a subject you steer around.
- Shame makes it hard to talk about sex even with the person closest to you.
What do we work with?
Erectile difficulties
What it is
Erectile dysfunction means difficulty in achieving or maintaining an erection sufficient for satisfying intercourse. Isolated failures happen to everyone and are not a problem. We speak of a disorder when the difficulty persists.
How it may show up
The basis can be physical (cardiovascular disease, diabetes, hormonal changes, the effect of medication) or psychological (stress, fear of being judged, tension in the relationship, exhaustion). Very often both factors are present at once, and the mechanism of anticipatory anxiety deepens the difficulty regardless of its original source.
How therapy helps
With erectile difficulties it is always worth ruling out medical causes with a urologist or an andrologist. Psychological work addresses the other side of the problem: performance pressure, fear of failure, beliefs about masculinity and tension in the relationship. The two approaches complement each other well.
Premature ejaculation
What it is
Premature ejaculation means ejaculation occurring sooner than the couple would wish, repeatedly and with a sense of lacking control. It is one of the most common sexual difficulties in men.
How it may show up
Excessive tension and arousal, fear of being judged, a learned pattern of responding quickly and, less often, neurobiological factors. A common sustaining mechanism is the focus on control, which paradoxically increases tension.
How therapy helps
Treatment includes specific techniques for working with arousal and a change in how the situation itself is experienced: shifting attention from the outcome to the sensations. The work is often more effective when both partners take part, though that is not a requirement.
Painful intercourse in women
What it is
The most common are dyspareunia, meaning pain during intercourse, and vaginismus, an involuntary tightening of the muscles that makes penetration impossible or very difficult. That tightening occurs outside conscious control and is not a matter of choice.
How it may show up
Physical causes (endometriosis, infections, hormonal changes, the period after childbirth or surgery) and psychological ones (anxiety, earlier painful experiences, restrictive beliefs about sexuality, having had boundaries crossed). Pain triggers fear, fear increases tension, and tension intensifies the pain.
How therapy helps
The starting point is a gynaecological consultation to rule out causes that require medical treatment. In parallel we work on the fear and the tension, gradually restoring a sense of safety in your own body.
Difficulties with orgasm
What it is
These cover not only the complete absence of orgasm (anorgasmia) but also situations where it comes rarely, with a long delay, or has stopped occurring in circumstances where it was never a problem before. They affect women and men alike.
How it may show up
Insufficient stimulation or knowledge of your own preferences, tension and controlling how things unfold, focusing on a partner's expectations, the effect of certain medications (especially antidepressants), hormonal changes, and also shame and beliefs carried over from upbringing.
How therapy helps
We work on recognising your own needs and on reducing the pressure that most often blocks the response. Part of the work is often learning to talk with a partner about what helps pleasure and what gets in its way.
What does a sexology consultation look like?
The first visit may seem the hardest, but you will find it is a conversation like any other - matter-of-fact and without judgement. You decide what you want to talk about and how far you want to go.
- 1
We get to know the situation
We talk about what you are experiencing, since when and in what circumstances. The questions are specific, but nobody expects details you do not want to give.
- 2
We separate the causes
We establish what calls for a medical consultation and what belongs to psychological work. The two paths can run in parallel.
- 3
We introduce change
We work on fear, tension and the way you think about sex, as well as on specific techniques and the ability to talk honestly with a partner.
Here you can speak plainly
Many people put this conversation off for years and then wish they had started sooner. Book a consultation with a sexologist in person in Warsaw or online. You need neither a referral nor any preparation.
Pick a slot in our calendar here
The booking calendar is only available in Polish. Prefer to book in English? Call or write to us and we will arrange it.
The booking calendar is only available in Polish. Prefer to book in English? Call or write to us and we will arrange it.
Most frequent questions about sexual difficulties
What does a visit to a sexologist look like?
It is simply a conversation - with no physical examination and no undressing. The questions concern what you are experiencing, since when and in which situations, as well as your general health and the situation in your relationship. You say as much as you want, and you set the pace.
What is the difference between a psychologist sexologist and a medical sexologist?
A medical sexologist can order tests and provide pharmacological treatment. A psychologist sexologist deals with the psychological mechanisms of the difficulty: fear, tension, beliefs, communication in the relationship. In many cases the best results come from combining both forms of help.
Does an online sexology consultation make sense?
Yes. Because the work is based on conversation, an online sexologist is just as effective as a meeting at the practice. For many people the remote format is even easier, because it lowers the shame that accompanies a first visit.
Can sexual difficulties be cured?
Many of them can, especially when the basis of the problem is psychological. What matters most is breaking the mechanism of fear and avoidance that sustains the difficulty, often long after the original cause has gone.
Our sexual needs differ a great deal. Is that a problem?
Differences in levels of desire are normal and occur in most relationships. What becomes a problem is the way they are handled: pressure on one side, avoidance on the other and a growing sense of rejection. It is a frequent subject in consultations for couples where both people are healthy and yet the intimate sphere stops working well.
Where can I find a sexologist in Warsaw?
You are welcome at Unique in Ursynow and for online consultations. You do not need a referral, and the visit can also be held in English.