Sexology

Vaginism is an involuntary contraction of the pelvic floor muscles that makes penetration painful or impossible. It can be primary (never had penetration) or secondary (occurred after a period without difficulty). Treatment in sexology includes psychoeducation, working on beliefs and fears related to penetration, gradual exposure therapy, and muscle relaxation exercises. Collaboration with a doctor, gynecologist, or pelvic floor physiotherapist is often recommended for comprehensive management.

Yes. Erectile dysfunction often has a significant psychological component, even when a medical cause is present. Performance anxiety, stress, fear of failure, or beliefs related to masculinity can maintain or amplify the problem. The sexologist addresses these psychological factors, cognitive patterns, communication with the partner, and rebuilding confidence. Collaboration with a physician for medical evaluation (cardiovascular, hormonal) and pharmacological treatment (if indicated) is often complementary.

Couple's sexology aims to improve intimate and sexual communication, resolve conflicts related to differences in desire or practices, and rebuild a satisfying emotional and physical connection. It is particularly useful after a period of distance, infidelity, childbirth, illness, or simply a routine that has eroded intimacy. Both partners generally participate in sessions, but individual meetings may also be offered to deepen personal work. The approach is non-judgmental and respects each person's values.

Yes. Desire disorders (hypoactive sexual desire, loss of desire, discordant desire between partners) are among the most frequent reasons for consultation in sexology. They can be related to hormonal, psychological, relational, or contextual factors. The sexologist explores the contributing factors, works on representations and expectations, offers exercises for intimate reconnection, and adapts strategies to the reality of the couple or the individual. A medical evaluation (hormonal, thyroid, medication review) may be recommended in parallel.

The first meeting (60 to 75 minutes) is an assessment consultation. The sexologist invites the person (or couple) to describe their situation, concerns, and expectations. The interview is guided, supportive, and non-judgmental. The sexologist asks questions about sexual history, relationships, values, and factors influencing the current situation. At the end of the session, they propose an understanding of the situation and a therapeutic direction. It is never mandatory to disclose everything during the first meeting – the process evolves at your own pace.

Yes, absolutely. Sexology welcomes questions about gender identity, sexual orientation, attraction, paraphilias, or any other dimension of sexuality. The approach is affirmative, inclusive, and non-judgmental – the sexologist does not steer towards a particular identity but supports the individual in their process of exploration and understanding. LGBTQ+, non-binary, or questioning individuals are welcomed with respect and cultural sensitivity. Confidentiality is absolute.

Yes. A traumatic experience (sexual assault, abuse, painful experiences) can profoundly affect one's relationship with sexuality, their body, and intimacy. The sexologist intervenes to help the person rebuild a healthy and positive relationship with their sexuality, at their own pace and without pressure. This approach is complementary to psychotherapeutic work on trauma (EMDR, CBT) and can be done in coordination with a psychologist or doctor. Respecting the person's pace and comfort is always a priority.

The number of sessions varies depending on the nature of the request and the goals. Some people see significant changes in 5 to 8 sessions for a targeted issue. Others prefer longer-term support to explore their sexual or relational life in depth. For couples, support is generally 8 to 15 sessions, with the possibility of follow-up sessions depending on progress. There is no set duration – the process is adapted to your pace, your needs, and your progress. You always have control over the frequency and duration of the support.

Sexology services are not covered by the RAMQ. Some private group insurance plans reimburse consultations with a sexologist who is a member of the Ordre des sexologues du Québec (OSQ) under the category of mental health services or paramedical therapists. Coverage varies depending on your plan — check with your insurer to see if sexologists are included and what the reimbursement amount is. The Employee Assistance Program (EAP) may also cover some sessions. Consult our Pricing section for more information.

No. No medical referral is required to consult a sexologist at Clinique Omicron. You can make an appointment directly, on your own initiative, either in person at the clinic or via tele-sexology. Some insurers may require a doctor's prescription for reimbursement – check your coverage. If your doctor or specialist (gynecologist, urologist) has referred you to sexology, bring their note to facilitate interprofessional collaboration if you agree.

You can make an appointment through our online portal, by phone at 514 606-3350, or by email at info@cliniqueomicron.ca. No prior prescription or diagnosis is required. You don't need to explain everything when booking your appointment — a brief description of your situation is sufficient. Consultations are offered in-clinic and via telesexology (secure videoconference). Confidentiality is absolute, and no information will be shared without your explicit consent.