Our staff are psychiatrists, sexual medicine physicians and specialized nurses. The physicians at the Centre for Sexual Medicine are also members of the Sexual Medicine Program in the UBC Department of Psychiatry.
Our services include assessment and treatment of individuals and couples of all ages with concerns in the following areas:
Difficulties with sexual interest, arousal (penile erection, vaginal lubrication), orgasm/ejaculation.
The experience of pain associated with sexual activity.
Problems in completing chosen sexual acts, such as intercourse.
Sexual or reproductive difficulties associated with psychiatric or medical illness, surgery or injury.
This clinic accepts primarily male patients with infertility resulting from ejaculatory disorders (including those consequent to psychogenic, congenital, post-surgical, post-traumatic, or illness-related conditions).
Paraphilias (unusual or abnormal sexual interests or behaviours).
Sexuality concerns related to Intersex Disorders (biological disorders of genital anatomy present from birth).
For most people, some form of sexual expression is basic to a fulfilling and healthy life. Therefore, sexual concerns or problems can be extremely stressful to a person's quality of life.
The mandate of the clinic is to provide tertiary (i.e., subspecialty) assessment and care for couples or individuals with a Sexual Dysfunction. However, because such problems are very common and there is an overwhelming need for service in this area of health, the staff at the Centre regrettably cannot see all the patients referred.
Priority is currently given to those who have pain or other sex-functioning problems with intercourse; to other difficulties around fertility (such as vaginismus, dyspareunia or ejaculatory disorders); and to problems related to medical or psychiatric illness or trauma, to post-surgical conditions, or to physical injuries.
Only referrals by physicians can be considered. Physicians may ask for a referral form to be mailed, faxed from the clinic or downloaded from the link above. It is always helpful to have a detailed referral letter along with copies of other relevant consultations, investigations, etc. We confirm acceptance of a referral by sending a letter to the physician within 2-3 weeks.
Special consideration is given to requests for "consultation only" (as opposed to ongoing care) of any sexual concern. That is, 1-3 assessment visits, following which the patient returns to the care of the referring physician with recommendations for management.
With respect to the wait list, individual clinicians accept referrals based on the Centre's overall policies, on teaching and research duties, and on respective clinical areas of expertise. Accordingly, each clinician will have a distinctive practice profile and waiting period for new appointments. For the Sexual Medicine program, in general, the wait will be 3-6 months, but may be longer. For the Reproductive Health Service, patients are usually seen within 1-2 months.
When the clinic cannot accept a patient, a letter is sent to the referring physician suggesting other routes. These may include:
Recommending specific patient reading material.
Notifying the physician of upcoming CME workshops at which he/she can learn assessment and treatment techniques appropriate to general practice.
Providing other resources or therapists in the community who can give appropriate service.
We are unable to accept referrals of patients with:
Untreated medical conditions, including drug or alcohol dependency.
Sexual dysfunctions primarily due to relationship turmoil in which counseling for the latter would be expected to resolve the sexual concerns.
Sexual dysfunctions due to psychiatric or personality disorders in which treatment of the primary condition would be expected to resolve the sexual concerns.
Sexual problems that have been addressed by other professionals but the patient has been noncompliant with treatment (i.e., low motivation).
Concerns centered on "sexual orientation" or "coming out".
Initial or primary therapy for sexual victimization/abuse.
Paraphilias in which criminal charges have been laid or are pending.