Sexual Health Counseling


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VI is now offering sexual health services with Miranda Zuhlke, PA-C. This includes but is not limited to: Hormonal changes and their effects in all people, reigniting a sexual relationship after separation or divorce, non-monogamous relationships, managing and/or improving low or absent sexual desire, difficulty having orgasms, post medical or surgical problems affecting sexual activity, desire discrepancies between partners, effects of negative self-image on sexual activity, life-style choices and their impact on sex, pain, and post childbirth experiences and their relationship to sexual function.

What is Sexual Health?

As defined by the World Health Organization: Sexual health is a state of physical, emotional, mental, and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction, or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination, and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected, and fulfilled.


Sexual Health Counseling versus Sex Therapy

Sexual health counselors are solution focused practitioners that act in an advisory role to help you achieve a more satisfying sexual life. Additionally, as a medical provider they have the skills to diagnose and treat many health issues that impact sexual activity.

Sex therapists neither diagnose nor treat medical problems but focus instead on behavioral and mental health issues.

Miranda Zuhlke offers sexual counseling services focused on helping you clarify your goals and develop a realistic plan for achieving them. If your needs fall outside of the scope of sexual counseling, resources are available for referral to sex therapy colleagues or other appropriate practitioners.