Visual Universitätsmedizin Mainz

Outpatient Clinic for Sexual Health

Heads

Dr. med. Dr. rer. biol. hum. Daniel Turner

Prof. Dr. med. Wolfgang Retz

Contact

 Daniel.turner@unimedizin-mainz.de

Office hours

By arrangement

Background, responsibilities, and aims

An individual’s sexual health is of fundamental importance for one’s overall well-being. Thereby, sexual health is related to an individual’s personal beliefs and attitudes and is closely connected to the individual’s cultural and social background, underscoring the complexities of a satisfying sexuality. International, representative studies have found that about 40 to 45% of all adults suffer at least once during their lifetime from sexual problems. However, not all affected persons are in need of therapeutic interventions. Even in case therapy is needed, therapeutic interventions are often initiated too late. On the patient’s side this is for example due to uncertainties concerning the question who can help me with sexual problems but it can also be due to uncertainties on the side of treatment providers, because sexuality related topics are often a tabooed topic during consultations of medical or psychotherapeutic health care providers. Our outpatient clinic for sexual health thus provides a first point of contact for all individuals who are suffering from sexual problems. Due to our professional competence in the field of sexual health and sexual disorders we can provide extensive diagnostics including subsequent advice about therapeutic possibilities.

Sexual problems that are treated in our outpatient clinic are the following:

1.)    Sexual dysfunctions

Sexual dysfunctions prevent the sexual activities and relationships desired by the affected person. This can lead to personal suffering or relationship conflicts. Concerning sexual dysfunctions one can distinguish disorders of sexual desire (e.g. decreased or increased sexual desire), disorder of sexual arousal (e.g., absence or significant reduction of sexual arousal), orgasm disorders (e.g., lack or absence of orgasm in women, premature or delayed ejaculation in men) and sexual pain disorders (e.g., pain during sexual intercourse, which significantly prevents or restricts sexual intercourse).

2.)    Unusual sexual preferences and desires

Human sexuality is subject to a wide range of sexual preferences, behaviors and fantasies, so that in general, sexual preferences that do not conform to the so-called “norm” should not be rated as disordered. However, if a person suffers from their unusual sexual preferences or the sexual preferences lead to relationship conflicts or in case individual sexual inclinations contribute to the person endangering themselves or others, the unusual sexual preference can reach disease value. This may be the case for example in connection with certain forms of fetishism or in the context of sadomasochistic sexual practices.

People with a sexual interest in children who have not yet committed a sexual offence are treated in the Outpatient Clinic "Don't offend". People who have already been convicted of a sexual offence are treated in our Forensic Psychiatric Outpatient Clinic.

3.)    Extensively increased sexual behavior (Hypersexuality)

In people who can hardly control their sexual behavior and who suffer from their sexual behavior or in case the increased sexual behavior leads to recurrent relationship conflicts, it is possible that treatment becomes necessary. The increased sexual behavior can manifest itself, for example, in frequent masturbation, frequent pornography consumption, or in increased sexual intercourse. Ultimately, however, the increased sexual behavior can be carried out in any behavior that leads to sexual arousal and is carried out with the aim of experiencing an orgasm.

4.)    Transsexualism, Transgender and Trans*

In people with transsexualism their gender does not match the physical sexual characteristics. However, the term transsexualism is outdated. If a person suffers from the lacking or impaired match between gender, identity and body, it can be spoken of gender dysphoria. In this context, we offer an initial consultation in order to perform diagnostics and psychoeducation on possible therapy options. If necessary an indication for hormonal and/or other gender-reassigning therapeutic measures can also be carried out.

However, please note that it is not yet possible to provide further psychotherapeutic interventions. As soon as further therapeutic options can be offered on our part, this will be published on the Website.