Our society puts a lot of emphasis on “manliness”- including the expectation that a strong erection should be available on demand, last as long as possible, and somehow define sexual performance.That is a lot of pressure.Erectile dysfunction is common, and its prevalence increases with age. Research varies depending on how ED is defined and measured, but it affects a substantial proportion of men, including men in their 20s, 30s, 40s and 50s.If you’re experiencing new or persistent erectile difficulties, it’s important to discuss them with your primary care provider because ED can sometimes be associated with cardiovascular and other health conditions.Once you've been medically evaluated, pelvic health physical therapy may be part of the picture. We’ll talk about your symptoms, your goals, and the factors that may be contributing. Depending on your needs, treatment may include behavioral strategies, physical exercises, pelvic floor rehabilitation, and individualized solo or partnered exercises.We can also talk about ejaculation that happens sooner than you'd like or feels outside your control. You are not broken, and you are definitely not alone.BOOK AN APPOINTMENT >

“I've never had an orgasm.”“I think I had one once?”“My partner wants sex way more than I do.”“I want to want sex more. What's wrong with me?”Let's talk about it.We'll start by learning what sexual desire and orgasm actually look like across different people. We'll talk about the difference between spontaneous desire and responsive desire, and why both are normal. We'll also explore how taking the pressure off orgasm can sometimes make it easier to experience pleasure and orgasm, when orgasm is something you want.And sometimes, you simply don't want an orgasm. That's okay, too.When appropriate, we can complete a pelvic assessment to determine whether physical factors may be contributing to difficulty with orgasm or changes in sexual function. From there, we'll develop strategies based on your goals—not what you think you're supposed to want.BOOK AN APPOINTMENT >

Are you struggling with intimacy with your partner or partners?Does one person want sex much more often than the other?Is one person kinky while the other prefers something more vanilla?Are you trying to navigate intimacy after having a baby, a major illness, surgery, or another major life change?Has your sexuality changed as you've gotten older?You don't have to figure it all out on your own.We'll create a space where you and your partner(s) can talk openly about sexuality without shame or judgment. We'll explore the patterns, expectations, communication, and behaviors that may be getting in the way of the kind of intimate relationship you want.The goal isn't to tell you what your relationship should look like. It's to help you understand what each person wants and needs, communicate more effectively, and find strategies that work for your relationship.BOOK AN APPOINTMENT >

“Porn addiction.”“Sex addiction.”“Why can't I stop doing this?”These are common ways people describe sexual behaviors that feel difficult to control. While “sex addiction” is not a DSM-5 diagnosis, out-of-control sexual behavior (OCSB) is a term used in contemporary sexuality counseling and education. AASECT educational materials also distinguish OCSB from simply having a high sex drive or engaging in consensual sexual behavior.OCSB involves recurrent sexual thoughts, urges, or behaviors that feel out of control and are causing meaningful distress or problems in areas such as relationships, work, or daily life.OCSB is not the same thing as having a high libido, having frequent sex, viewing pornography, being kinky, practicing consensual non-monogamy, or having a particular sexual identity. Consensual sexual interests and behaviors are not inherently problems.It is also not an excuse for violating another person's boundaries or engaging in non-consensual behavior.We’ll talk about the thoughts, urges, and behaviors you're struggling with and explore what purpose they may be serving in your life. Without shame or judgment, we’ll work toward understanding your patterns and developing strategies that help you move from autopilot to intention so that your behavior is more consistent with your values and goals.BOOK AN APPOINTMENT >