Why, even in 2026, is sexual wellbeing still so often absent from conversations around healthcare, treatment, and recovery?

In this episode, I share my perspective as a psychosexual nurse specialist, reflecting on how sexual health extends far beyond physical symptoms. Throughout my career, I’ve seen time and again that sexual difficulties are never purely about the body. These sexual difficulties are deeply connected to a person’s relationships, identity, emotional world, and sense of self.

My work has evolved from a traditional medical model into something much more holistic, grounded in the lived experiences of the people I support. Whether I’m supporting someone experiencing sexual difficulties—whether that’s navigating erectile dysfunction, adjusting after cancer treatment, or coping with body image and intimacy concerns—I’m not simply treating a symptom.

I’m listening to their story, understanding their context, and helping them make sense of what these changes mean in their lives—including the impact of sexual difficulties.

Looking back, my journey in this field has been shaped by a wide range of experiences—from assisting in early clinical trials for treatments like Viagra in the 1990s, to my work in prostate cancer care. These experiences have reinforced my belief that effective care must go beyond prescribing medication. It requires curiosity, compassion, and a willingness to explore the broader picture of a person’s wellbeing.

I also discuss the current medical treatments available for erectile dysfunction and other sexual challenges. But just as importantly, I talk about how I work collaboratively with patients to explore different options, encouraging them to reconnect with their bodies, question assumptions, and redefine what sex and intimacy mean for them personally.

There are still significant gaps in support for people experiencing sexual difficulties, particularly within medical settings. Too much remains unspoken. I believe it’s essential that we continue to challenge this silence and bring sexual wellbeing into the heart of healthcare conversations, where it has always belonged.

Listen to the podcast here.