Sex Counselling Services

Getting help after delivery

Getting Help for Sexual Issues

*This website is not a substitute for professional sexual instruction or therapy

For individuals and couples experiencing sexual dissatisfaction or difficulties, please note that this website is not a substitute for therapy.

Each device offered is meant be used as an aid towards increasing levels of sexual vitality and enjoyment.

These are the same devices that professionally trained sex therapists will recommend for use in order to increase and or enhance sexual skills and to overcome sex related challenges.

Please seek advise from a health professional for a device that would suit you the most.  Your doctor, urologists , gynaecologists , sex therapists , counsellors , case managers NDIS – Icare – SCIA can assist you with your individual requirements.

The following are some of the health professionals that work with individuals and the above devices.

Sydney Based

Dr Michael Lowy – Double Bay Sydney

Dr Margaret Redelman – Bondi Junction


Helpful Organisations

  • Continence Foundation of Australia  –
  • Prostate Cancer –
  • Cancer Council –
  • PCFA – Prostate Cancer Foundation of Australia  –
  • SCIA –

Sex Therapy and Relationship Counselling

Sex is complex at the best of times.

Sexual recovery and adjustment following serious illness, trauma and/or relationship breakdown can be a huge challenge for thousands of men and women still in their sexual prime.

Think about how many physical, emotional, psychological and environmental factors need to be ‘in sync’ in order for sex to take place. When too many of these factors are out of whack, pleasurable satisfying sex becomes harder to achieve. Having to adjust sexually and psychologically after prostate cancer treatment makes achieving a loving and satisfying sex life between partners a whole lot more complicated.

Whilst many couples will find navigating their ways though such troubled waters to be extremely difficult, the good news is that much can be done to help you to both discover new ways of giving and receiving sexual pleasure as well as new ways of enhancing levels of loving intimacy.

Please reach out to your doctor, sex therapist and other allied health professionals that can assist you.

Factors that can affect how well you and your partner will adjust sexually after illness (such as cancer), physical injury, depression, stress or trauma, or even through normal ageing include:

Sexual intimacy has no age limit!

In the case of Men :

  • Whether or not treatments for erection problems are working.
  • How easy you find it to commit towards on-going penile rehabilitation programs.
  • How involved a partner may be in the selection of treatments for erectile dysfunction.
  • Whether in the past you have experienced some type type of sexual trauma

Whilst talking about sex and addressing sexual problems is rarely easy, not talking about sex can lead to depression, anxiety and relationship breakdown.

Please seek medical assistance from a GP , Urologist or your relevant medical team to assist you with your personal health plan.


Please seek medical advise as to how to work on rehabilitation post surgery.

Prostate surgery – Pre/post surgery ( e.g radical prostatectomy or TURP) and Radiation Therapy can contribute to the development of Urinary incontinence.
This potentially debilitating side effect can occur immediately after a radical prostatectomy ( after urinary catheter is removed) or quite a delayed consequence of
radiation therapy.

Prostate Cancer Treatments

  • Pelvic floor muscle training
  • Prescription of penile clamps ( for short term use only)
  • Bladder training
  • General graded exercise programme
  • Weight reduction programme

Following prostate cancer surgery the majority of men may lose some or all control over the passing of urine. This is not permanent. This reduction in control is called Incontinence.

What is incontinence?

Incontinence is the accidental leakage of urine and can occur following prostate cancer
surgery. Activities that may contribute to leakage include: coughing, sneezing, laughing,
passing wind, lifting, walking or bending, moving from lying to sitting or sitting to standing
positions. Leakage can also occur during every day activities that include; gardening,
washing the car, mowing the lawn or playing golf or bowls.

All these activities that can contribute to incontinence increase the pressure inside the
abdomen and push down on the bladder. Incontinence may result if the pelvic floor muscles
and external sphincter are not working well enough to support these increases in downward

How long will it last?

  • 85-90% of men are continent ( not wearing pads) within 12 months
  • The severity of incontinence can vary from only very mild 1 pad per day ( < 100mls of urine in 24 hours) to more severe >8 pads per day ( >300mls of urine in 24 hours)
  • Mild incontinence can take up to several weeks to improve where as the more severe cases which are far less common can take up to 6 months with ongoing improvements expected up to 18 months or longer.

What can I do about it?

Exercising the muscles of the pelvic floor has helped most men with their bladder training
program before after prostate cancer surgery.

What are the pelvic floor muscles?

The floor of the pelvis is made up of layers of muscle and other tissues.  These layers stretch like a hammock from the tailbone at the back, to the pubic bone in front. A man’s pelvic floor muscles support his bladder and bowel (colon).  The urine tube and the back passage pass through the pelvic floor muscles.  Your pelvic floor muscles help you to control your bladder and bowel.  They also help sexual function.  It is vital to keep your pelvic floor muscles strong.

Why should I do pelvic floor muscle training?

Men of all ages need to have strong pelvic floor muscles.

Pelvic floor muscles can be made weaker by:

  • Surgery for bladder or bowel problems
  • Constipation
  • Being overweight/obese
  • Heavy lifting
  • Coughing that goes on for a long time (such as smoker’s cough, bronchitis or asthma)
  • Not being fit
  • High impact exercise
  • Chronic low back pain


Physiotherapy can be used to successfully treat or manage many of these conditions. Techniques used may include manual therapy, pelvic floor or abdominal
muscle strengthening, individualised exercise prescription and postural advice or training.

Referral to a Sexual Health Therapist is also recommended.

Not all curved erections or penile bumps are caused by Peyronie’s disease. It is imperative that all men consult a health care provider to obtain an accurate diagnosis. Peyronie’s disease is a condition in which a males penis while erect can develop a curve which may or may not be painful. The curve is caused by a non-elastic plaque that develops in the penile tissues. A Peyronie’s plaque is non- cancerous and benign. However the diagnosis needs to be made by a health care professional usually via an ultrasound.

What causes Peyronie’s disease?

The cause is unclear. Some health care professionals believe that trauma to the penis during sexual activity resulting in abnormal scarring may contribute- however this is most definitely not always the case.

Impact of Peyronie’s disease

A diagnosis of Peyronie’s disease can impact men in many ways including; physically, sexually, psychologically, and socially

Peyronies disease

Please speak to your health doctor to seek further advise.

How do you treat Peyronies disease?

Please speak to your health doctor to seek further advise.

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Our sex and relationship counselling service can help both you and your partner with:

  • Opening up the channels of sexual communication. Communicating openly your fears and concerns, and in adapting towards what is inevitably will become a new sexual dynamic.
  • Knowing what your next steps should be when treatments for erection problems fail to work to plan.
  • Learning how to incorporate devices (and say treatments for erectile dysfunction) within a sexual environment.
  • Developing new techniques and strategies that take the focus off erections and will allow you both to find new ways of giving and receiving sexual and non-sexual pleasure and in enhancing levels of relationship intimacy.
  • Finding specialist treatment providers that focus primarily on helping people resolve sexual challenges.

To make an appointment with a health professional to discuss sexual health after serious or chronic illness (including cancer), treatments for erectile problems or any other sexual or relationship matter, please refer to your specialist in this area.

Some of the specialists that cover the above are:

Sydney Based

Dr Michael Lowy – Double Bay Sydney

Dr Margaret Redelman – Bondi Junction