For patients in urologic care
When sex has become something to worry about
Erections, ejaculation, and desire involve your body, your mind, and your relationships all at once. Sex therapy can work alongside your urologic care.
This is the printed handout, word for word. Print or download it at the end of the page.
Does any of this sound familiar?
- “I get so anxious about my erection that I can’t enjoy anything.”
- “The pills help, but sex still doesn’t feel like it used to.”
- “I finish faster than I want to, and I dread it.”
- “I’ve started avoiding sex, and sometimes even affection.”
- “Since treatment, I’m not sure what sex looks like for me now.”
- “I feel embarrassed, like something is wrong with me.”
- “It’s hard to talk about this with my partner.”
- “Hormones or surgery changed my body. I want to find what feels good now.”
Worry and sex can feed each other
When sex hasn’t gone the way you hoped, it’s natural to worry about next time. Worry pulls attention away from pleasure, which can make things harder. The cycle is common, and it can be interrupted.
How sex therapy can help, alongside your urologic care
Pressure
Take the pressure off
Work with performance worry and unhelpful beliefs about sex, and practice noticing pleasure instead of monitoring yourself.
Closeness
Come back to touch
Rebuild affection and touch step by step, at a pace that feels okay. Structured touch exercises, done at home, can be part of this if they fit you.
Pleasure
Widen what counts
Good sex doesn’t have to depend on a perfect erection or on penetration. Explore what feels good, including after treatment.
Connection
Talk it through
Find words for needs, worries, and preferences. A partner can join some sessions if you’d like, or you can do this work on your own.
What sex therapy is
Sex therapy is talk therapy about sexuality, intimacy, and relationships. There is no touch, no exam, and nothing physical happens in sessions.
Your urologic care still matters
Sex therapy doesn’t replace medical care. With your permission, I coordinate with your urologist. Medication and therapy can work well together. If you think a medication may be affecting your sex life, talk with your prescriber before making changes.
Getting started
Request a free 15-minute consult at JosephMaronLPC.com or call 215-804-9315.
Telehealth for adults in Pennsylvania. Private pay; superbills provided for out-of-network reimbursement.
I’m Joseph Maron, MS, LPC, a sex therapist. I work with adults on sexuality, relationships, identity, and ADHD.
Joe Maron Therapy · PA License PC017785 · Doctoral student in human sexuality, Widener University · Certificate in Affirmative Therapy for Transgender Communities · ADHD-CCSP · LGBTQ+ affirming care
Print this handout
For your clinician: the matching provider sheet.