I can't
Whatever the end of that sentence is, you can say it here, to a therapist who treats it as common, understandable and entirely workable. Warm, evidence-based sex therapy, one to one and online across Australia, directed by Sexologist Laura Miano.
Send an enquiry. We'll take it from there.
A line about what's going on is plenty, or just your name and email. Your enquiry goes straight to the clinical team and is treated as confidential.
- No referral needed
- Online, Australia-wide
- After-hours appointments
You can name it in plain words.
Some of the most common reasons people come to see us on their own. Read them at your own pace. If yours is not here, it is still worth a conversation.
Every one of these is common, well understood, and responds to the right support.
Most people wait years before they say it to anyone. You don't have to.
Sexual concerns are some of the most common, and least talked about, health issues there are. There is nothing you could bring to a session that our therapists have not heard before, taken seriously, and helped someone work through with care.
Imagine sex feeling like yours again.
Most people arrive carrying something heavy, and often a little embarrassed. They leave with language for it, a way forward, and the relief of having finally said it to someone who understands. Here is what that usually looks like.
We make sense of what is going on together, gently and without blame, so it stops feeling like a mystery or a fault.
You find your way back to your body, your confidence, and the people you are close to, at a pace that feels safe.
Sex becomes something you can look forward to again, on your own terms and in your own way.
Three steps, at your pace.
Enquire
Send a short, confidential enquiry. There is no referral needed, and no need to explain everything. A sentence is enough to start.
First consultation
Meet your therapist online, from wherever you feel comfortable. After-hours appointments are available, so it fits around work and life.
A plan made for you
Together you will set goals and follow an evidence-based approach shaped around your concern, your history, and the sex life you actually want.
Specialists in this, and only this.
Our approach is evidence-based, but it never feels clinical. You are a person here, not a problem to be diagnosed.
- Evidence-based, never coldGrounded in real clinical research on sex, intimacy and relationships, and delivered with warmth rather than a checklist.
- Qualified sexologistsThis is our whole focus, not a sideline to general counselling, so you are in genuinely experienced hands.
- A space without judgementWarm, calm and shame-free. You set the pace, and the words you are comfortable using.
- Built around your lifeOnline appointments Australia-wide, with after-hours sessions so support fits around you.
"Each person is entitled to a fulfilling and pleasurable sex life. One that contains shame-free curiosity, mutual respect, playfulness, and confidence."
Your concern is real, common, and workable.
Miano Clinical Sexology is directed by Sexologist Laura Miano and brings together qualified sex therapists who specialise in male and female sexual concerns. The practice was built on a simple belief: everyone is entitled to a satisfying sex life, and getting there should not take shame, embarrassment, or years of silence.
In-person appointments return to Prahran, Melbourne from October 2026. Until then, every session runs online, which most people find easier for exactly this kind of conversation.
The things people want to know first.
Yes. Your sessions, your enquiry, and everything you share are confidential, in line with our privacy policy and professional standards. Appointments are online, so there is no waiting room and no chance of running into anyone.
No. You can book directly with us. No referral, no paperwork, and no explaining yourself twice.
Sex therapy is talk-based therapy. There is no physical examination and nothing physical happens in sessions. For concerns with a possible medical component, such as erectile dysfunction or sexual pain, your therapist works alongside any care you are receiving from your doctor and can help you make sense of both.
Your therapist will get to know you, your history, and what you would like to change, at whatever level of detail you are comfortable with. You do not need to prepare anything, and you will not be pushed to share more than you want to. By the end, you will have a sense of your therapist's approach and what working together would look like.
Absolutely. Individual therapy is exactly that: for you, on your own. Many clients come to work on concerns like sexual anxiety, dating anxiety, difficulties with arousal or orgasm, or things they have never felt able to discuss with a partner.
It depends on your concern and your goals. Some people come for a handful of focused sessions, others prefer longer-term work. Your therapist will give you an honest sense of this early on, and you are never locked in.
We are a Melbourne practice, with online appointments available Australia-wide. In-person sessions in Prahran return from October 2026. After-hours appointments are available for both.
Finish the sentence with someone who gets it.
Send a confidential enquiry. A line about what is going on is plenty, or just your name and email.