This includes both men and women (exam done by Gynecologist) who have issues with consummation of marriage (erectile dysfunction/reduced libido/vaginismus/painful sex etc.). These issues are delicate and should be dealt delicately with utmost care. The sooner these are fixed, better are the results says Dr.Karthik Gunasekaran. Psycologists have a great role to play in this along with Sex therapy. Preliminary investigations are done to rule out organic problems. These issues are treated over a period of time. Though there is always a temptation to fast track these, for lasting results more sessions are required. Multidisciplinary approach involving the Sexologist, Psychologist, Gynecologist may be needed.