Updated 2024-11-10
Intimacy & Confidence Playbook
Blend behavioural micro-habits with medical support for erections, arousal, and connection.
We see couples weekly who feel disconnected because of ED, low desire, or pelvic floor changes. This guide shows how to audit relationship dynamics, create low-pressure rituals, and understand when to add clinical treatments like P-Shot®, shockwave therapy, or hormonal optimisation.
Rewire intimacy with micro rituals
Schedule three ten-minute rituals weekly: phone-free walks, shared gratitude audio notes, or breathwork. These lower cortisol and make nervous system responses more predictable during intimacy.
Conversation framework
Ask each other:
- What felt connecting this week?
- What do you need more of?
- How can I help today?
Consistency matters more than eloquence—stay curious, not critical.
Support circulation & hormones
Track sleep, alcohol, and training in a shared note. Aim for 7.5 hours of sleep, <7 units of alcohol, and resistance training twice weekly. Add pelvic floor physiotherapy or EMSella if you notice leaks or poor arousal.
Medical pathways
Once foundations settle, stack regenerative options:
1. P-Shot® for penile tissue quality (men) or O-Shot® for feminine arousal.
2. Shockwave therapy to rebuild vascular networks without pills.
3. Hormonal & peptide support (testosterone optimization, BHRT, kisspeptin, PT-141) coordinated with labs.
Document every session in a shared tracker so behavioural and medical wins stay visible.
INSIGHT
Rebuild intimacy outside the bedroom
Pressure-free contact resets your nervous system before any medical therapy.
Micro-connection habits
Schedule 10-minute phone-free walks, gratitude swaps, or shared breathing before bed. These rituals stimulate oxytocin and reduce the performance loop.
Communication scripts
Use the 'What I feel / What I need / How you can help' format to discuss desire or anxiety. It keeps feedback specific without blame.
Nervous system priming
Slow exhales (4-7-8 breathing) or guided pelvic floor relaxation lowers sympathetic tone, making arousal signals easier to reach.
INSIGHT
Lifestyle factors that sabotage intimacy
Most ED cases have a metabolic or pelvic component we can optimise.
Sleep + alcohol
Aim for 7–8 hours of sleep and limit alcohol to <7 units weekly. REM sleep drives testosterone and dopamine pathways that fuel desire.
Pelvic floor and circulation
Alternate strength training with LISS cardio, plus pelvic floor physiotherapy if you notice urinary leaks or difficulty maintaining erections.
Medication review
SSRIs, beta-blockers, and 5-alpha inhibitors can blunt arousal. Bring your prescription list so we can coordinate with your GP.
INSIGHT
Medical options that restore confidence
When lifestyle work still leaves gaps, regenerative therapies deliver measurable improvements.
P-Shot®
Concentrated platelet-rich plasma thickens the corpus cavernosum, improves sensitivity, and can add 10–20% girth. Results develop over 6–12 weeks.
Shockwave Therapy
Six sessions of focused acoustic waves rebuild micro-vascular networks and boost natural erections without pills.
Hormonal + peptide support
For low testosterone or post-menopausal changes we coordinate with endocrinology partners, often layering BHRT, kisspeptin, or PT-141 with counselling.
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Frequently Asked Questions
Answers straight from our clinical consults