For many women, sexual and gynecological difficulties are not just physical discomfort — they are deeply emotional and intimate issues that affect quality of life, self-esteem, and partner relationships. That is why, in our reality, there is an increasing demand for a specialist who can address these matters comprehensively and in an environment comfortable for the woman.

Today, Eka Daraselia is the only female gynecologist-sexologist in Tbilisi who integrates medical, psychological, and sexological approaches within a single clinical space.

Why do women prefer a female specialist?

Statistics and practice show that a large number of women find visiting a male sexologist intimidating. This choice is completely natural and is often driven by several factors:

• Emotional barrier: Sharing intimate details with a man is often associated with feelings of shame, tension, and anxiety.

• Expectation of understanding: Patients want the doctor to understand the specifics of the female body not just through textbooks, but also through personal, feminine experience.

• Traumatic experience: In cases of sexual pain, vaginismus, or past trauma, visiting a female doctor enhances the sense of safety.

In the office of a female gynecologist-sexologist, the main message is: "Here you are heard, not judged, and not rushed."

What does modern sexological treatment involve?

Sexological therapy is not just a "magic pill" or a single piece of short advice. It is a gradual, individually tailored process. Eka Daraselia's approach is based on four main directions:

1. Gynecological diagnostics: Assessment of physical health and hormonal profile.

2. Psychosexual anamnesis: Study of the origins and development of the problem.

3. Nervous system analysis: Observation of the body's reactions.

4. Cognitive-Behavioral Therapy (CBT): Working on fears, automatic thoughts, and physical blocks.

Eka Daraselia

"Sexological treatment is not limited to a dry medical diagnosis. It is a multidisciplinary approach that encompasses several important directions:

1. Synthesis of Medicine and Psychology (Integrated Approach) – As a gynecologist-sexologist, I view the problem from three perspectives simultaneously: the physical body, hormonal profile, and psychological state. We do not just treat the symptom (for example, pain); we search for its true origin — whether it is a hormonal imbalance, an inflammatory process, or a psychological block. This approach allows us to achieve stable and long-term results.

2. Cognitive-Behavioral Sex Therapy (CBT) – This method is particularly effective for vaginismus, sexual anxiety, and low libido. Work is carried out on the "automatic thoughts" and negative beliefs that prevent a woman from experiencing pleasure. We replace fear-based behavior with confident and conscious behavior.

3. Body-Oriented Techniques – A large part of sexual problems is "imprinted" in the body in the form of muscular tension. During the therapy process, we use special breathing exercises and relaxation methods. This helps the patient regain a sense of ownership and safety over their own body, which is an essential prerequisite for sexual satisfaction.

4. Psychosexual Education (Sex Ed) – Often, the cause of a problem is not a disease, but rather a lack of information or false myths. An integral part of treatment is educating the patient about their own anatomy, physiology, and the sexual response cycle. When a woman knows exactly how her body works, anxiety decreases significantly.

5. Gradual and Non-Violent Process – The fundamental principle of my work is respecting the patient's individual rhythm. Any form of coercion or "must" is excluded from the treatment process. Each step is taken only when the patient feels emotionally and physically ready. This is a safe space where feelings of shame are replaced by trust and self-awareness.

And now, the main question: When should you consult a gynecologist-sexologist?

Consultation is necessary if you are experiencing:

• Vaginismus and pain during intercourse;

• Decreased libido (desire);

• Anorgasmia (difficulty experiencing orgasm);

• Sexual anxiety or a crisis with a partner;

• Postpartum sexual dysfunction.

In case of any such problem, you can consult Eka Daraselia.
Remember, your body deserves care based on professionalism and empathy.