Her approach recognises that sexual wellbeing is influenced by both physical and psychological factors. She ensures that presenting sexual difficulties are carefully assessed for possible medical or treatment-related causes while also addressing emotional, relational, and cultural influences.

Born and raised in Wales with a Sri Lankan background, Dr Rajeswaran brings culturally informed, inclusive care to people from all backgrounds and relationship structures.

Sh graduated from the University of East Anglia and completed GP training within the Bristol Deanery. She later completed her specialist psychosexual therapy diploma with the Contemporary Institute of Clinical Sexology. Her clinical work has included roles with The Therapy Yard and Sex Therapy Herts.

Alongside clinical practice, she teaches and presents to university students at diploma and doctorate level, healthcare professionals, and public platforms on psychosexual health — particularly where sexual concerns are affected by medical conditions, treatments, surgery, relationship dynamics, and cultural taboos.

She is also involved in ongoing PROM research with St Mark’s Hospital developing assessment tools for sexual function in patients with inflammatory bowel disease following surgery.

Dr Rajeswaran sees adults aged 18+ and works with individuals, couples, and those in non-traditional relationship dynamics.

Clinical Approach

Dr Rajeswaran uses a holistic, integrated model of care that considers:

• Medical and hormonal factors
• Medication and treatment effects
• Psychological wellbeing
• Relationship dynamics
• Cultural and social influences
• Lifestyle and stress factors

Where a possible organic medical cause is identified, patients are advised to consult their GP or appropriate specialist. Clear referral guidance and letters can be provided. Collaborative medical and psychological care can be coordinated where indicated.

Key Areas of Expertise

Sexual Dysfunction (DSM-based conditions)

• Erectile disorder
• Premature ejaculation
• Delayed ejaculation
• Male hypoactive sexual desire disorder
• Female sexual interest/arousal disorder
• Female orgasmic disorder
• Genito-pelvic pain / penetration disorder
• Sexual pain disorders
• Arousal and orgasm difficulties
• Performance anxiety

Compulsive Sexual Behaviour

• Problematic pornography use (often referred to as “porn addiction”)
• Sexual behaviour affecting relationships or wellbeing
• Shame and secrecy cycles linked to sexual behaviour

Medical & Treatment-Related Sexual Difficulties

• Sexual dysfunction following surgery or medical treatment
• Cancer treatment–related sexual difficulties
• Post-surgical sexual adjustment or trauma
• Chronic illness and sexual wellbeing
• Epilepsy and sexual health concerns
• Medication-related sexual side effects
• Hormonal contributors to sexual symptoms
• Testosterone deficiency in men — assessment and management discussion
• Genitourinary Syndrome of Menopause (GSM) discussion and support

Psychological & Relationship Factors

• Body image and intimacy concerns
• Cultural or religious barriers around sex
• Anxiety linked to intimacy
• Trauma-related sexual difficulties
• Relationship conflict affecting sexual connection
• Desire differences between partners
• Communication difficulties

Couples & Relationship Therapy

• Intimacy and communication work
• Desire discrepancy
• Affair recovery and trust rebuilding
• Non-traditional and consensual relationship structures
• Sexual compatibility concerns

Understanding Psychosexual Therapy

Psychosexual therapy is a specialist form of talking therapy that helps people with sexual, intimacy, and relationship concerns. It looks at how physical health, emotions, thoughts, past experiences, relationships, and cultural factors can all influence sexual wellbeing.

Sessions involve structured, guided conversations — not physical examinations — and take place in a safe, confidential, and non-judgmental space. You will be able to talk openly about your concerns and goals at a pace that feels comfortable.

Therapy may include education, practical strategies, communication work for couples, and tailored exercises to try between sessions. These are always discussed and agreed with you first.

As a qualified GP as well as a psychosexual therapist, Dr Rajeswaran is able to recognise when symptoms may have a medical or hormonal cause. Where appropriate, she can advise what medical assessment or treatment may be helpful and will write to your GP — or recommend a private GP review — so further investigations or management can be arranged. This allows medical and psychological care to work together.

Psychosexual therapy is collaborative and goal-focused, designed to help you build understanding, confidence, and healthier patterns in your sexual and relationship life.

Common Patient Questions

Will there be a physical examination?

No. Psychosexual therapy consultations do not include physical examination. If medical assessment is indicated, you will be advised to see your GP or a specialist, and a letter can be provided outlining suggested tests.

Could my medical condition or medication be affecting my sex life?

Yes. Many medical conditions and treatments can affect sexual function and desire. These factors are carefully reviewed as part of your assessment.

Do you only see couples?

No. I see individual adults as well as couples. I also work with people in non-traditional and consensual non-monogamous relationship structures, including polyamorous relationships. All clients are welcomed in a respectful, supportive, and non-judgmental space.

How many sessions will I need?

This varies depending on your goals and concerns. A plan is agreed collaboratively.

What to Expect at Your Consultation

Consultations are relaxed, confidential, and supportive. You will be offered a safe space to speak openly.

Pricing:

Individual psychosexual therapy

• 50-minute appointment – £100 per session

Couples therapy
• 60-minute appointment – £120 per session

Polyamorous relationships (up to 3 individuals)
• 60-minute appointment – £150 per session
• An additional £60 per session for each extra individual beyond three

During your consultation, Dr Rajeswaran will:

Discuss your concerns and goals

Take a detailed psychosexual and relationship history

Explore medical, psychological, and relational factors

Identify whether medical input may be helpful

Agree a collaborative therapy plan

If medical causes are suspected, referral pathways within the wider specialist team can be recommended so psychological and medical care can work together.

Ready for the Support You Need and Deserve?

Appointments are available via:

• GP referral
• Direct booking into Dr Rajeswaran’s clinic

Consultations can be: Online or Face-to-face appointments

Care is collaborative, respectful, and focused on achieving the best possible outcome for you.

MRCGP

BMA

COSRT

BSSM