Your wellbeing & care · Understand your options

Sexual health & mental wellbeing

Your comfort, choices and wellbeing matter. If you have a question about sexual health, you can start with what you want understood—without needing a label, a relationship or a particular level of desire.

Support can begin with your question, your comfort and your own goals.
01 / Get a clearer picture

Your wellbeing includes more than sexual function.

Sexual health includes physical, emotional, mental and social wellbeing. Respect, consent and freedom from coercion are part of that picture.

You can want help with a change, a difficult experience or simply a question. The aim of care should reflect your priorities, rather than pressure to meet someone else's expectations.

Based on World Health Organization

Support can begin with your question, your comfort and your own goals.
A visual explanation

Your comfort belongs in the conversation.

  • Your question

    The concern you want understood

  • Your comfort

    Physical health and consent

  • Your context

    Wellbeing, relationships and medicines

  • Your choices

    Care that follows your goals

Different parts of wellbeing, not a performance standard or diagnostic score. Source: World Health Organization
A closer look

Your wellbeing matters more than a performance standard.

Sexual health includes physical, emotional and relational context, respect and consent. Different preferences and levels of interest do not automatically mean illness. You can ask for help with a concern without sharing intimate details here.

  • Your concern

    What feels uncomfortable, distressing or different for you?

  • Health context

    Pain, health conditions or medicines may need medical consideration.

  • Your preferences

    Ask for communication and care that respect consent and privacy.

Topics for support, not a score or required sequence.

Based on WHO

Find a useful starting point

Choose the topic that matters to you.

These sections help you find information. Choosing one does not suggest a diagnosis.

A closer look

When desire or sexual function feels difficult.

Sexual difficulties is a broad description, not one diagnosis. A change in desire may be connected with health, medicines, hormonal changes, stress or relationship circumstances. What matters in seeking help is your concern and its context; a different level of interest from someone else does not settle a diagnosis.

A medical or sexual-health conversation can help clarify what is happening and which support fits. You can ask about physical causes and medicine effects as well as emotional wellbeing. Do not change prescribed medicines on the basis of this page; bring the question to your prescriber. You can describe your goals without being required to want more sex.

A change in desire is one kind of concern, not an explanation of all sexual-function difficulties. Ask how physical health, medicines and circumstances will be considered. Your preferred outcome matters; there is no required frequency or relationship goal.

Based on World Health Organization · NHS

A closer look

Pain deserves a physical-health conversation.

Pain during sexual activity is a reason to seek an appropriate medical assessment. Pelvic pain has many possible causes, and a psychological explanation should not be assumed. You do not need to push through an activity that hurts.

Some difficulties with vaginal penetration involve interacting physical and psychological factors, but this is not an explanation for every kind of pain. Ask what an assessment would involve and how your comfort and consent will be supported. Seek urgent medical advice for pelvic pain with possible pregnancy or fever. Severe or worsening pelvic pain, fainting, breathing difficulty or heavy bleeding needs emergency help. Use your local emergency service rather than waiting to gather notes.

Pain needs appropriate physical-health assessment and should not be dismissed as anxiety. You can ask what an examination is intended to clarify, what alternatives are available and how consent will be maintained. Sudden severe or worsening pelvic pain can require urgent medical help, as described above.

Based on NHS · Sex Therapy London, NHS

02 / Make sense of what has changed

Choose the concern you want to explore.

These are possible starting points for a conversation, not signs that everyone needs treatment.

Comfort

A change in desire that is troubling you.

Changes

Discomfort or pain you want medically assessed.

Context

Stress, mood or relationship circumstances that matter to you.

Your choices

Questions about boundaries, consent or feeling comfortable.

Based on World Health Organization · NHS · NHS

03 / Put your experience into context

Ask for a conversation you can understand.

A clinician can consider your physical health, medicines and wider circumstances where relevant. A sexual-health concern should not automatically be attributed to anxiety.

You can ask why a question or examination is suggested, what it involves and whether there are alternatives. Tell the professional what would help you feel comfortable; ask how privacy and confidentiality work in that service.

Based on NHS · NHS · Sex Therapy London, NHS

Your experience, in three prompts
  1. 1
    Your question

    What would you like the professional to understand?

  2. 2
    Your comfort

    Ask about privacy, consent and the format of the appointment.

  3. 3
    Your options

    Ask which possibilities are relevant to your own goals.

Make a few notes
04 / Explore your support options

Care should fit the concern and your goals.

Explore the options and ask what fits your circumstances and needs.

Based on World Health Organization · NHS · Sex Therapy London, NHS

Your physical health & comfort

The options depend on what is causing difficulty. Physical-health assessment and psychological or relationship support may address different parts of your experience.

Your wellbeing & choices

You can ask what an option aims to change, what choices you have and when it will be reviewed. There is no general score that chooses the right treatment for every sexual-health concern.

Make room for what helps

A professional can help separate possible explanations.

Physical health, medicines, stress and relationships may contribute in different ways. An assessment should not assume a psychological cause or require a particular relationship status.

Ask what an appointment or examination would involve and explain what would help you feel comfortable. Do not change medicines or continue painful activity to meet someone else’s expectations.

Based on WHO · NHS · NHS

05 / Choose your next step

Find support. Prepare your next step.

Find care or prepare a conversation. You can ask for help before you have a diagnosis.

Choose information, an assessment conversation or practical support. You can start with what matters to you, at your own pace.

Your assessment questions

Understand what an appropriate assessment considers and how your own needs will be included.

How assessment works

Support for your own goals

Explore the options for your day. You can ask what is available, how it fits your circumstances and what happens next.

Explore your support
You can start right here

Your first sentence does not need to be perfect.

Use the topic cards for difficulties or pain. For a care appointment, one plain-language question is enough to begin; you do not have to rehearse an intimate history here.

Based on World Health Organization · NHS

“I have a question about my sexual health and wellbeing. I would like a respectful conversation about possible causes and my options.”
Make it sound like you
Things you may be wondering

Your questions, with room for nuance.

You can read just the answer you need.

Is there one normal amount of sexual interest?

Preferences and circumstances vary. A concern can be discussed in terms of your experience and distress rather than a universal target.

Based on WHO

Where this information comes from.

Use this hub to learn and prepare questions. It does not diagnose you or recommend a personal treatment plan. By Selfmora editorial; sources checked . Updated .

Additional explanations and examples: sources consulted . Examples illustrate ideas; they do not assess your personal health. Your questions

Our editorial approach