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Doctors for sexual health

Online consultations with doctors to assess sexual health concerns and related symptoms in a medical context.

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Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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Medical approach to sexual health

How doctors assess sexual health concerns, symptoms, and intimate wellbeing

What sexual health means in medical practice

What sexual health means in medical practice

Sexual health in a medical context refers to physical, hormonal, and functional aspects of intimate wellbeing. It includes how the body responds, functions, and feels, rather than advice about sexual activity or performance.

Sexual health concerns can affect people of all ages and may involve discomfort, pain, changes in desire, or functional difficulties. These issues are valid medical reasons to seek professional advice.

From a clinical perspective, sexual health is closely connected to overall health, including hormonal balance, reproductive health, and chronic conditions.

Medical assessment focuses on understanding symptoms over time and placing them within a broader health context.

Why sexual health concerns should be discussed with a doctor

Why sexual health concerns should be discussed with a doctor

Many sexual health symptoms are underreported due to discomfort or uncertainty about whether they are “normal”. As a result, people often delay medical consultation even when symptoms persist.

Sexual health concerns may be linked to urological, gynaecological, hormonal, or systemic factors. Without medical input, underlying causes may go unrecognised.

Doctors provide a clinical, confidential environment to discuss intimate symptoms without judgement. This helps ensure concerns are addressed appropriately and safely.

Early discussion supports clearer understanding and reduces reliance on assumptions or self-diagnosis.

How doctors assess sexual health concerns

How doctors assess sexual health concerns

Assessment begins with a detailed symptom history rather than isolated complaints. Doctors ask about when symptoms started, how they change over time, and how they affect daily life or wellbeing.

Contextual factors such as hormonal changes, menstrual cycle patterns, stress levels, pain, or recent health changes are considered as part of the evaluation.

For sexual health concerns, patterns and consistency of symptoms are often more informative than single episodes.

The aim is to build a clear clinical picture that guides further understanding, not to rush conclusions.

What is considered during a sexual health consultation

What is considered during a sexual health consultation

During a consultation, doctors review physical symptoms alongside reproductive and hormonal health factors. This may include menstrual history, urinary symptoms, discomfort during intimacy, or changes in sensation.

Mental and emotional wellbeing are also considered, as stress and psychological factors can influence sexual health.

Doctors take care to frame discussions clinically and respectfully, focusing on health rather than judgement or assumptions.

This comprehensive approach helps place sexual health concerns within the wider context of overall wellbeing.

Accuracy, sensitivity, and realistic expectations

Accuracy, sensitivity, and realistic expectations

Sexual health concerns are often complex and individual. Medical assessment focuses on understanding contributing factors rather than offering immediate solutions.

Outcomes and next steps vary depending on personal health history and symptoms. Not all concerns have a single or simple explanation.

Doctors explain their clinical assessment clearly and discuss appropriate options based on individual circumstances.

A sensitive, structured medical approach supports informed decisions and appropriate follow-up.

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Sexual health: common questions

Clear answers about sexual health concerns and medical consultations

What is considered a sexual health concern?
Sexual health concerns include physical discomfort, pain, functional changes, or symptoms affecting intimate wellbeing.

These concerns may involve urological, gynaecological, or hormonal factors and are not limited to any specific age group.

If symptoms persist or cause concern, medical discussion is appropriate.

Which doctor should I see for sexual health issues?
Sexual health concerns can be assessed by different doctors depending on the symptoms and clinical context.

Urologists and gynaecologists are often involved when symptoms relate to the reproductive or urinary systems. However, general practitioners and family medicine doctors also play an important role in the initial assessment of sexual health concerns.

In some cases, hormonal, metabolic, or systemic factors may be involved, requiring a broader medical approach. The doctor helps guide the evaluation and determine the most appropriate clinical direction.

Can sexual health concerns be discussed online with a doctor?
Yes. Sexual health concerns can be discussed during online consultations. Clinical discussion and symptom review form the basis of assessment.

Online consultations provide a private and accessible way to seek medical guidance.

Are sexual health problems always related to hormones or age?
Not necessarily. While hormonal changes and age can influence sexual health, symptoms may also be linked to stress, medical conditions, or other factors.

Medical assessment helps clarify possible contributing causes.

What happens after a sexual health consultation?
After the consultation, the doctor explains their clinical assessment and its implications.

Depending on the findings, possible next steps or further evaluation may be discussed.

The goal is to provide clarity and appropriate direction.

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