Sexual Disfunctions​

It's time to break the taboo.

We believe that women's right to sexual health goes far beyond curing illness ... A sexual health system is rightfully ours that implies physical, emotional, mental well-being & spiritual woman.

Anyone, at any point in their life, may experience a dysfunction or a problem in their sexuality, preventing them from living a satisfying and fulfilling sex life.
These problems can generate pain, discomfort and dissatisfaction. They can be caused by psychological, neurological, physical or medication issues. It is important to understand what dysfunction is and when to seek help.

Sexual dysfunction is the inability that prevents a person from fully enjoying a sexual relationship. They are problems that affect men and women of any age, however in different ways. The most common cause that affects sexual life is stress, but other causes such as diabetes, sexual trauma, use of drugs or some medications can interfere with healthy sexual activity.

Female orgasm disorder / anorgasmy

Studies conducted in Portugal show that 47% of women between 18 and 59 years old have sexual complaints. And, among these complaints, 32% describe anorgasmia.

Anorgasmia or Female Orgasm Disorder can be defined as a recurrent or persistent inhibition of orgasm, that is, absence or delay of orgasm even when there is adequate stimulation during sexual intercourse or during intimate touch practices.

Some women tend to deny the importance of orgasm to adapt to dysfunction. Frustrated, they become uninterested in sex.


  • Primary anorgasmia: the patient has never experienced orgasm;
  • Secondary Anorgasmia: the patient used to experience orgasms, but no longer;
  • Situational: orgasm is not only obtained in some situations, such as during vaginal sex or with a certain partner, but pleasure usually occurs during masturbation or oral sex, for example;
  • Generalized: inability to experience orgasm in any situation.

The difficulty of reaching orgasm is still very little diagnosed and consequently treated …


Orgasm is one of the phases of the human sexual response, which happens after the phase of adequate sexual arousal in terms of intensity and duration.

It is a sensation of intense physical pleasure mediated by the autonomic nervous system. It usually results from the stimulation of nerve endings in the clitoris.
This in turn perceives the stimulation, sends the information to the brain that responds with a discharge of neurotransmitters, an electrical discharge, often associated with other involuntary actions, such as muscle spasms in other parts of the body and a general feeling of euphoria.


– Difficulty in reaching orgasm, marked infrequency or absence of orgasm.

– Very low intensity of orgasmic sensations.

– For at least 6 months, the woman has suffered and is not caused by another psychological factor. It may have been acquired or appeared early in sexual life. It can also be generalized or situational, mild, moderate or severe.
When there is no associated organic cause, the disorder is related to the woman’s psychosocial and / / psycho-emotional problems.

The help of a psychologist or sex therapist is sufficient to help the situation.


This disorder originates from possible traumatic experiences in the woman’s sexual history. Childhood problems or facts in life that affect the perception of pleasure in sex, such as parental repression, religious beliefs or traumas caused by sexual abuse, for example.

Medical conditions and medication also greatly influence the experience of orgasm.

But above all, low erotic self-knowledge, problems related to sexual interest / arousal, problems with marital relationships and other emotional difficulties.


Having sex therapy helps to identify what causes the blockage at the time of intimate contact and to find solutions to overcome this problem.

In addition, psychotherapy also helps to assess childhood problems or facts in life that affect the perception of pleasure in sex, such as parental repression, religious beliefs or trauma. Therapy can also help treat current problems that may be causing stress and anxiety, factors that will be reflected in intimate contact.

Vaginismus is an involuntary action / contraction of the vaginal musculature, which hinders penetration and causes pain during sexual intercourse.

Depending on woman to woman, this vaginal spasm may be milder, inducing only some tension or discomfort during intercourse, or it may be more severe, completely preventing penetration, whether through the penis, fingers, a tampon or even a gynecological speculum.

Usually, at the base of vaginismus there is a combination of physical and psychological / emotional stimuli, which lead women to anticipate pain during sexual intercourse.

We are, therefore, facing a dysfunction influenced by anticipatory anxiety. Reacting to the anticipation of pain, the body automatically contracts, tightening the vaginal muscles – as if trying to “protect itself”. In this way, the attempt to penetrate becomes impossible or very painful. With successive attempts at penetration, the pain or discomfort felt, reinforces the reflex response of muscle contraction, that is, it intensifies the problem.

The woman feels more and more pain and anticipates more and more that it can occur during penetration, maintaining a negative cycle of anxiety – the so-called “pain cycle”.


– Having had a very painful first sexual intercourse.

– Constant painful intercourse in the past.


– Thinking that the vagina is too small for the partner’s penis.

– Sexual abuse or testimony of sexual abuse.

– Negative thoughts about sex.

-Fear of becoming pregnant, fear of becoming a mother.

– Trauma related to childbirth.

– Diseases such as urinary tract infection, endometriosis, pelvic tumors.

– It may be closely related to other forms of dyspareunia, and may even be a consequence of this.

Women who have dyspareunia can trigger episodes of vaginismus due to the fear of facing pain during sexual intercourse. In these cases, vaginismus becomes more of a cause of pain than the original cause.


Difficulty or even the impossibility of penetration is the main symptom.

In addition, pain during intimate contact, burning or contraction of the vagina and discomfort during gynecological exams or insertion of tampons, are symptoms that can be observed in women with vaginismus.


Treatment is carried out through sexual therapy accompanied, almost always necessary, by physical therapy


The pain that occurs during sexual intercourse can occur at any age, can appear at the beginning of sexual intercourse, in the middle, during penetration or outside it, at the moment of orgasm or even after intercourse is over.

The pain can be burning, acute, burning or spasmodic; it may be external, in the vagina, or within the pelvic region or abdomen. Dyspaurenia takes away a person’s sexual pleasure and can interfere with sexual arousal and orgasm. Fear of pain can produce anxiety, tension and affect the reflexes that produce arousal. In many cases, the person ends up avoiding the sexual act or abstaining from all forms of sexual contact, with implications even in the withdrawal of relationships.

Depending on the severity and intensity of the problem, the “trauma”, filed by the neuromuscular reflex in the person’s body, opens up and overlaps the traumatic experience with new information related to pleasure and orgasm.


The most typical symptom of dyspareunia is a sharp pain or burning sensation that appears right at the beginning of penetration.

– Difficulty in vaginal penetration during sexual intercourse.

– Intense vulvovaginal or pelvic pain during vaginal intercourse or attempts to penetrate.

– Fear or intense anxiety of feeling vulvovaginal or pelvic pain before intercourse.

– Marked muscle tension or contraction in the pelvic floor muscles during attempts at vaginal penetration.

– for at least 6 months with the woman’s suffering and that is not caused by another psychological factor. It may have been acquired or appeared early in sexual life. It can also be generalized or situational, mild, moderate or severe.


Dyspareunia can originate from psychological factors such as depression, anxiety, stress, contact with early sexuality, history of sexual abuse, repressive education, very rigid religious beliefs, low esteem, feeling guilty about sexuality, generalized low sexual libido , lack of sexual desire for the partner …

Dyspareunia can also have physical causes, such as gynecological inflammation, urinary tract infection, skin lesions around the vulva, uterine fibroids, etc.

Sometimes, one of these disorders (such as fibroids) causes the uterus to become stuck in a tilted backward direction (called retroversion), resulting in deep pain. Strong unwanted (involuntary) contraction of the pelvis muscles (called pelvic muscle hypertonia) can cause or result in deep pain.


Treatment is carried out through sexual therapy accompanied, if necessary, by pelvic physiotherapy.

DYSPAREUNI (Pain During Sex)​



The minimum recommended are 3 sessions.

Prices are different whether online or in person in my office, whether buying the package ou isolated:

Full package online – 50€ each session 

One session online – 55€

Full package  in person  – 75€ 

One session in person: 

1º session- 90€

Next sessions – 75€

*If therapy was started online but the work needs to be continued in the office for somatic and sexual therapy in presence, the price of the sessions will always be 75€. The 90€ is not included.

Please, send an email to[at] with your information and motivation to do a SEXUAL THERAPY SESSION.