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Dr. Carli Blau
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Dr. Carli Blau
Home
About
About Dr. Carli Blau
Dr. Blau In The Media
Fees & FAQ
Therapy
Services
Sex Therapy
Couples Therapy
Executives & Medical Professionals
Painful Sex Support
Women's Hormone Health Coaching
My Team
Testimonials
Dr. Blau's Blog
Contact
Book Appointment
Home
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About Dr. Carli Blau
Dr. Blau In The Media
Fees & FAQ
Folder: Therapy
Back
Services
Sex Therapy
Couples Therapy
Executives & Medical Professionals
Painful Sex Support
Women's Hormone Health Coaching
My Team
Testimonials
Dr. Blau's Blog
Contact
Book Appointment
Sex Doc explained: Why Sex Sometimes Burns When a Man Ejaculates Inside the Vagina
Carli Blau 10/6/25 Carli Blau 10/6/25

Sex Doc explained: Why Sex Sometimes Burns When a Man Ejaculates Inside the Vagina

Burning after sex when a man ejaculates inside the vagina is more common than you think. Learn the causes, treatments, and how sex therapy can help.

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Understanding Vaginal Pain: Why My Approach to Sex Therapy Works When Others Don’t
Carli Blau 9/22/25 Carli Blau 9/22/25

Understanding Vaginal Pain: Why My Approach to Sex Therapy Works When Others Don’t

Vaginal pain is complicated and often misunderstood by many including doctors and patients who see them for help. In my office, I help women understand the root cause of their pain, and emotionally support them into creating the sex lives they want.

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Our Process & Fees

At my practice, therapy isn’t meant to last forever—I believe that when it’s done correctly, it creates meaningful change that empowers you to move forward with confidence. From day one, we set clear goals together and work intentionally so you can graduate from therapy when you’ve achieved them.

On average, most clients see results within 21–27 sessions over the course of a year. This focused, goal-driven approach often saves you both time and money compared to traditional weekly therapy, where progress may be slower and long-term dependence is common. With us, your success means you won’t need us forever—because you’ll have the tools to thrive on your own.

Insurance
Therapy is an investment in your health and relationships.

My practice is private-pay, which means my team and I do not work directly with insurance. Many clients do receive partial reimbursement through out-of-network benefits, and we’re happy to provide a statement (known as a “superbill”) to help with that process.

Fees vary by clinician and service, and we’ll review everything with you before your first session so you feel clear and supported.

Text Us Today To Schedule a Free 15-Minute Consultation

Individual Therapy with Dr. Carli Blau

$350 per 50 minute session

Couples Therapy with Dr. Carli Blau

$450 per 60 minute session

Senior Clinicians

$300 per 50-minute individual session

$375 per 60-minute couples session

Associate Clinicians

$225 per 50-minute individual session

$275 per 60-minute couples session

Frequently Asked Questions

  • Sex therapy is a specialized type of talk therapy that helps individuals and couples address challenges with intimacy, sexual desire, arousal, performance, and overall sexual health. Unlike regular therapy, which may focus on general mental health or life stressors, a sex therapist has advanced training in sexual functioning and relationships. Sessions are always talk-based—there is no physical contact—and provide a safe, confidential space to discuss sensitive concerns without judgment.

    Many people search for “sex therapy near me” when struggling with issues like low libido, painful sex, mismatched desire, or performance anxiety. In sex therapy, you’ll gain practical tools, communication skills, and guided exercises to use outside of session so you can see real progress. The goal isn’t just to talk about your challenges—it’s to help you build confidence, deepen intimacy, and create a healthier, more satisfying sex life.

  • Our world typically suggests that people see a medical doctor first. As a Sex Doctor who specializes in working with women experiencing vaginal pain disorders, I find that most women come to me as a last ditch effort after trying multiple different medical interventions without relief.

    When I am able to work with a woman while she’s also receiving medical care, it allows for well-rounded support instead of leaning on me as a last ditch effort.

    Pain and sexual dysfunction can be caused by medical issues, but doctors are NOT trained or educated in sexual functioning, sexual desire or sexual arousal in a way that may be needed to understand how to properly address their client’s needs.

  • I will begin by going over confidentiality, privacy, and how sexual content is handled often come up. We will also go over the expectations for our work together.

    After this, I will go over some basic questions about you, your upbringing, sexual history, relationship dynamics, medical history and goals for therapy.

    There are occasionally give you exercises or “homework” if it will help you and your processesing.

  • Sex therapy is highly effective. Research shows that sex therapy helps individuals and couples resolve concerns like low desire, arousal or erection difficulties, painful sex, vaginal pain disorders, performance anxiety, mismatched libido, and challenges with intimacy and communication.

    Unlike medical treatments that focus only on symptoms, sex therapy addresses both the physical and emotional factors that impact your sexual wellbeing.

    Because sessions are tailored to your unique goals, most clients begin noticing improvements in confidence, connection, and satisfaction within a few months. Our goal is not just to reduce symptoms, but to give you the tools and strategies you need to experience long-term change—even after therapy ends.

    They also ask whether medical/physical issues might be more relevant than psychological ones, and if therapy or medication is preferable.

  • Some wonder whether sex therapy is only for couples — it’s not.

    Many people come to therapy on their own to work through concerns like low desire, anxiety about sex, or painful intimacy. Others attend with their partner to address mismatched libidos, communication challenges, or to rebuild connection and trust. A sex therapist helps you explore your unique situation—whether alone or together—and provides tools, strategies, and education that fit your goals.

    Whether you’re seeking to better understand yourself or strengthen your relationship, sex therapy can support you in creating a more confident, satisfying, and fulfilling sex life.

    • Low desire / mismatched libido between partners

    • Vaginal pain disorders including vaginisimus, vulvodynia, dyspareunia, vestibulodynia.

    • Problems with arousal, erection, or lubrication

    • Orgasm difficulties (unable or delayed)

    • Pain during sex, penetration issues (e.g. vaginismus, dyspareunia)

    • Questions about sexual identity, fantasies, fetishes, shame, and “normalcy” in sexual behavior

  • The length of sex therapy depends on your unique goals, but our practice follows a focused, goal-oriented model designed to create lasting change without keeping you in therapy forever. On average, most clients achieve the goals we set at intake within 21–27 sessions over the course of a year. This structured approach allows us to work intentionally—giving you the tools, strategies, and confidence to move forward on your own.

    Unlike open-ended therapy models, our process is designed to help you see progress in a clear, time-framed way so that therapy feels like an investment with real results.

  • It’s common for one partner to feel hesitant about starting sex therapy. If your partner isn’t ready, you can still begin on your own. Individual sessions allow you to explore your concerns, learn new strategies, and build confidence—often creating positive changes that naturally shift the dynamic in your relationship.

    Individual sessions also allow for you to understand the issue from your own perspective and your role in the issues of your partnership. I always tell people to worry about keeping your side of the street clean before worrying about someone else.

    Many times, once one partner begins therapy and starts to experience growth, the other becomes more open to joining. Whether you come alone or as a couple, sex therapy can help you move toward greater intimacy, communication, and satisfaction.

Sex Therapy | Empowerment | Women’s Health | Career Struggles | Couples Therapy | Painful Sex

Ph.D. Clinical Sex Therapy | Research in Sexual Esteem and Infertility

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drblau@carliblau.com
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