Men: Sex and Sexuality

Talking about sex and sexuality can feel uncomfortable for many men. It’s often easier to make a joke or change the subject than to speak honestly about what’s really going on. Yet your sexual wellbeing is a vital part of overall mental and emotional health.

In my work as a counsellor for men, I often hear how silence around sex creates stress, anxiety, and shame. This blog looks at why men find it difficult to talk about sex, common challenges they face, and how counselling can help.

Cultural messages tell men they should:

  • Always want sex

  • Always perform well

  • Know exactly what to do in the bedroom

These pressures can make it hard to admit when things aren’t going smoothly. Instead of seeking support, many men hide their worries and hope they’ll go away. Unfortunately, this silence can make problems worse over time.

Every man’s experience is unique, but some of the most common issues I hear about in counselling include:

  • Performance anxiety and erectile difficulties

  • Low sex drive or loss of desire

  • Difficulty communicating with a partner about intimacy

  • Stress and mental health affecting sexual wellbeing

  • Questions about sexual orientation or identity

  • Impact of past experiences or trauma around sex

These challenges are more common than many realise. Struggling with sex or sexuality doesn’t mean you’re weak or “less of a man.” It means you’re human.

How Counselling Helps Men with Sexuality

Speaking to a counsellor gives you a confidential, non-judgemental space to explore your thoughts and feelings about sex. Counselling can help you:

  • Understand where your worries about sex come from

  • Work through the impact of stress, anxiety, or past experiences

  • Improve communication and intimacy with your partner

  • Build self-acceptance around your sexual identity

  • Develop confidence and reduce shame

Unlike “quick fixes” or performance tips, therapy focuses on the bigger picture: your wellbeing, relationships, and how you feel about yourself as a man.

Taking the First Step

If you’re struggling with sexual issues, you don’t have to go through it alone. Reaching out for support is an act of courage, not weakness. Talking about sex may feel daunting at first, but it often brings relief and clarity.

As a counsellor who works primarily with men of all ages, I provide a safe space to discuss these sensitive topics openly. Together, we can explore what’s holding you back and help you move toward a healthier, more confident relationship with yourself and others.

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