Sex therapy
Sex therapy in Marbella, one-to-one sessions with Isabel.
Professional support around sexuality, with no judgment and no taboos. One-hour individual sessions with Isabel Agüera, registered psychologist and sex therapist, to address difficulties with desire, pain, identity, body image or life transitions (motherhood, menopause, hormonal changes). For more complex processes or couple work, we also offer a co-therapy option with two specialists.
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Isabel Agüera San Martín, Sex therapist / Psychologist · Reg. AO11678
Who is this for?
For adults who want a professional space to look at their sexuality: because something is no longer working, because there are questions, because they are going through a life change, or simply because they want to understand themselves better.
People on their own
If you have questions about your desire, your identity or your orientation, if you experience pain or difficulties with sexual response, if you are going through a life change (motherhood, menopause, grief, transition), or you want to explore your sexuality more freely, this is your space.
People in a relationship, coming alone
Even if the situation affects your relationship, you can start on your own. We work on you (body, emotion, communication). If at some point it makes sense for your partner to join, or to move to a wider co-therapy format, we discuss it together.
Common reasons for consultation
Desire and libido
Lower desire, lost spark, differences with your partner. We explore what is underneath (stress, hormones, the bond, personal history) and how to recover interest.
Pain or discomfort
Pain during penetration or other forms of intimate contact. Often it has a solution and is more related to tension, fear or lack of information than to physical damage.
Arousal and orgasm
You struggle to get aroused, to reach orgasm, or feel your body doesn't respond the way it used to. There are specific strategies that work very well.
Identity and orientation
Doubts about your orientation or identity, personal exploration at different life stages. A space without obligatory labels and without judgment.
Life and hormonal changes
Motherhood, postpartum, menopause, perimenopause, endocrine changes, medical treatments. Events that change the body and sexuality and deserve their own space.
Body image and sexual self-esteem
Insecurities about your body that affect your enjoyment. We work on recovering confidence from a kinder relationship with yourself.
Sex education and questions
Clear information about your body, your sexual response, practices and prevention. A place to ask what you don't dare ask elsewhere.
Shame, guilt or taboo
When what you learned (in the family, in religion, in culture) leaves a weight that affects what is intimate. It can be looked at and let go.
How we work
We combine clinical sexology, psychotherapy and a systemic perspective (how context and your partner affect your sexuality). The space is non-judgmental: a consulting room where you can talk, ask questions and explore without shame, with concrete tools to recover wellbeing.
First session: confidential assessment
We talk about what brings you here, when it started, how it affects you. No rush, no pressure. Everything is confidential. At the end you have a clear picture of what we can work on together.
Exploration and psychoeducation
We understand together what is happening: sometimes it is just lack of information, sometimes there are emotions, experiences or patterns that maintain it. I explain clearly what is common and what options are available.
Strategies and exercises at your pace
I suggest concrete practices you do at home, at your own pace, without pressure. These might be breathing techniques, different ways of relating to your body, or agreed conversations with your partner.
Follow-up and adjustment
We see how things are going, adjust what does not work, celebrate progress. If at any point the case calls for more depth or couple work, we discuss the move to co-therapy with two specialists.
Your sex therapist
Isabel Agüera San Martín
Sex therapist · Psychologist · Reg. AO11678 · Degree in Psychology (Licenciatura), Universidad de Málaga · Master’s in Sexuality and Couples Therapy
Isabel is a registered psychologist and sex therapist. She combines her training in psychology with a Master’s in Sexuality and Couples Therapy, which allows her to address sexual difficulties from an integral perspective: what you feel, what you think, how you relate to your body and, where relevant, what couple dynamics are at play.
Her approach is completely non-judgmental. Sexuality is a natural and fundamental aspect of life, and changes, doubts and difficulties are part of the human experience. The consulting room is a safe space where you can talk, ask questions and explore without shame.
Fee
One-to-one sex therapy session
€60 / 1h
The first session has the same price and does not commit you to continue. It is an assessment where we explore what brings you in and plan the path forward together.
Sex therapy FAQ
- How is this different from the co-therapy sessions with two specialists?
- One-to-one sex therapy is delivered by Isabel alone, in one-hour sessions. It is the right format for most reasons people come to us: desire, pain, doubts about identity or orientation, sex education, life transitions or body image. Co-therapy (Isabel and Pepa together, 1h 30min) is designed for more complex processes or couple work around sexuality, where two trained perspectives in every session add useful containment.
- Is it confidential?
- Completely. Everything you share is protected by professional confidentiality. What happens in the session stays there. This is a space where you can talk about your sexuality without judgment.
- How do I know if what I'm going through is "serious enough" to come?
- If you are asking yourself that question, it is already a good time. Many people spend years with sexual difficulties thinking they are "trivial" or "will pass". They almost never pass on their own, and they are almost always lived with shame or in silence. You don't have to justify your discomfort or wait until it severely affects your life or relationship. Coming earlier makes the process shorter and gentler.
- How many sessions will I need?
- It depends on what you bring. Some difficulties resolve in a few sessions of psychoeducation and concrete exercises. Others need longer work, especially if there is chronic pain, difficult past experiences or a relevant couple component. In the first session we give you a realistic estimate, with no promises.
- What happens in the first session?
- We listen. There is no questionnaire, nothing you have to "know how to explain". You share what feels comfortable and we go at your pace. We ask questions to understand what is happening, since when, and how it affects you. At the end we explain what we can work on together and how. There is no obligation to continue.
- Can I come if I'm not in a relationship?
- Yes, of course. One-to-one sex therapy is designed to work on you: your body, your desire, your story, your questions. You don't need to be in a relationship to start. If at some point you want to involve a partner, or move to a co-therapy format, we can discuss it then.
- In sex therapy, do we just talk or is there more?
- In sex therapy we talk. There is never any physical contact during sessions. What we do is explore what you feel, what thoughts or emotions come up, and work with concrete strategies (often called "homework" or "assigned exercises") that you practise at home, at your own pace, whenever you choose.
- And if I need deeper work, or couple work?
- If in the first session we see that the case calls for co-therapy (two specialists in every session, 1h 30min), we will say so openly. Co-therapy, also led by Isabel, is delivered together with Pepa, sex therapist, and adds a useful second perspective in longer or couple-focused processes. Full details on the integral sex therapy (co-therapy) page.
- Do I have a "problem" if I have sexual difficulties?
- It's not a problem, it's much more common than you think. Many people experience difficulties with desire, pain or changes in sexual response at some point in their lives. These are often connected to stress, hormonal changes, relationship dynamics or a lack of information. Nothing is "broken" about you. Sex therapy helps you understand what is happening and recover a satisfying relationship with your own body.
- How much does a one-to-one session cost?
- A one-to-one sex therapy session costs €60 and lasts one hour. The first session has the same price: we use it to assess what brings you in and plan the way forward together. No obligation to continue.
- Can it be done online?
- Yes. Sex therapy works very well online. If you prefer not to come in person or you live outside Marbella, we can work via video call. The space is just as confidential and safe.