Sexual concerns and problems encompass a wide variety of issues and include both men and women, LGBTQ / gay and straight. Whether it be lessening of sexual desire for men or women, erectile dysfunction for men, or a medical, hormonal, or pharmaceutical problem for men or women, your concerns will be treated with respect and dignity. As with other problems, the first task is to determine whether the problem is relationship based, anxiety based, or a hormonal or medical problem. If hormonally or medically based, I would work closely with the appropriate medical specialist, i.e. gynecologist, urologist, endocrinologist, oncologist, etc. Your emotional comfort is of utmost importance, as is confidentiality and working together to find a solution to improve your sexual life.