Introduction

Many people experience some difficulty in their sexual lives at different stages across their lifespan. Some of these may resolve themselves whilst others may need additional help. We are here to help individuals and couples address problems with sexual functioning and relationship issues as well as concerns regarding gender, sexuality, sexual orientation and lifestyle.

Sometimes sexual difficulties have affected someone throughout their life, or the problem may be a more recent development. Problems encountered maybe related to:

• Physical or medical conditions.

• Social issues or emotional and relationship circumstances.

Often there are a combination of factors contributing to the difficulty experienced.

SHARE - Sexual Help and Relationship Enhancement is a specialist service that helps individuals and couples address sexual issues, problems and relationship difficulties.

All our team have completed specialist courses that are recognised by The College of Sexual and Relationship Therapists (COSRT). We therefore abide by the COSRT code of ethics.

Psychosexual therapy is a process of using several different psychological and or physical approaches to help clients with sexual and relationship problems. Problems we commonly help with:

• Erection difficulties.

• Ejaculation problems.

• Fear of penetration or tension of the muscles surrounding the vagina which makes penetration difficult or impossible.

• Loss of desire (libido).

• Problems with orgasm.

• Pain during intercourse.

• Sexuality.

• Sexual orientation.

• A history of sexual abuse which is impacting on sexual function and/or sexual relationships.

• In addition we work with clients to explore issues around their gender identity.

Appointments

The service operates an appointment only system and does not accept self-referrals. We can offer up to 8 appointments in your episode of care. Appointments will last for approximately 50 minutes however the initial appointment may last longer.

To enable the best use of this time and to prevent wasted appointments, it is essential to contact the service as soon as possible if you are unable to attend any appointment. Failure to attend without contacting the service may result in your discharge.

You will be introduced to a member of the team who will become your therapist. Your therapist understands how difficult it can be to discuss a sexual problem and will help and encourage you to feel comfortable to talk about your problems and express your feelings.

You will work with your therapist to identify the problem(s) and develop a treatment plan that is specific to your needs. The sexual problem may have a physical or psychological cause, or a combination of both.

It would be helpful if you could bring with you a list of any medications that you are taking. Confidentiality is assured and is explained in your client contract and introductory video on the service website: www.lancashiresexualhealth.nhs.uk

If appropriate, and only with your permission, your therapist may consult with other appropriate professionals to help resolve your difficulties.

Sessions are held at a variety of sites to enable more convenient access to the service. We also offer video appointments which are suitable for some clients. Please note that not all venues are fully accessible and/or have facilities for anyone with a disability or impairment.

If you have any special requirements e.g. wheelchair access, mobility, hearing, sight or to discuss any potential difficulties in absolute confidence, please contact the service directly. We are very sensitive to our clients’ anxieties and worries and our aim is that you feel comfortable, supported and safe at all times whilst you are in our care.

You do not have to be in a relationship to receive help from this service Some people prefer to deal with their sexual problems with no help from their partner; some even seek medical advice and treatment without their partner’s knowledge. Research has shown that the best results from sex therapy are often when couples work together to address their sexual problem.

A changed ability to function sexually can have a profound effect on both men and women. Many people suffer emotionally, often with out communicating to their partner how they feel. This emotional pain commonly leads people to make excuses or avoid sexual situations. Whether intentional or unintentional, these actions can have negative effects on the partner and the relationship.

If you feel uncertain about inviting your partner to attend the service or if your partner has refused to attend with you, talk to your therapist about the situation.