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.

