Autism and sexuality is about how your brain and body react differently in intimate situations – and why this can cause challenges with desire, erection, ejaculation or pain. I know how frustrating it can feel when your senses take over and the pressure to perform gets in the way of pleasure. In this article, you’ll get concrete explanations of the mechanisms that affect your sex life and learn how targeted treatment and small adjustments can give you more peace, control and pleasure. Read on if you want to understand your own patterns better – and learn how I can help you achieve more stable desire and a stronger sense of masculinity.
Autism and sexuality means that you may experience particular sensory and social challenges in sex, but with the right approach, enjoyment and function are possible.
International speaker & expert in shockwave and EMTT treatment for erectile dysfunction, peyronies & CPPPS.
When I talk about “Autism and sexuality”, it’s about how the brain, senses and body interact in intimate situations. Autistic men can have a different sensory and social starting point – and this often affects desire, erection, ejaculation, pelvic pain and overall sexual well-being. It’s not a fault in you. It’s differences in the nervous system that require a targeted, respectful and concrete approach.
I also see strengths that are often underestimated: honesty, focus, depth of interest and attention to detail. I can help you translate these qualities into confidence, clear communication and more stable enjoyment – without you having to change yourself.
These are patterns, not character flaws. When I help you create predictability and control of sensations, the nervous system often calms down. From there, we can adjust specific factors such as touch, pace, positions and pauses – so your body reacts more steadily and you can be present in the pleasure again.
An erection requires a calm nervous system, well-functioning blood vessels, elastic tissue and an interplay between hormones, brain and pelvic floor. In autism, I often see a combination of:
It’s the sum of small loads that tip the balance. I explain the mechanisms in language that makes sense and I test what can be tested – so we know what we are aiming for. All this can be investigated and addressed systematically, calmly and without shame.
A tight or overactive pelvic floor can cause:
The pudendal nerve, which supplies the genital area, can be irritable or hypersensitive. It can feel like pins and needles, pressure or burning pain, and it creates insecurity in the body. When I help you manage patterns of tension and calm nerve irritation, I free up energy for pleasure and a more stable erection. I use gentle techniques, gradual exposure to touch and precise guidance to help you regain control in a safe way.
Porn and regular masturbation patterns can provide strong, predictable stimuli that the brain gets used to. This can make partnered sex more “unstable” and less predictable, increasing performance pressure. I don’t judge – I help you adjust habits, pace, stimuli and expectations so your body can respond naturally with a partner again.
I often start with small changes: varying grip, rhythm and positions, lowering intensity slightly, switching to lower stimulus content, or introducing ‘pause markers’ where you consciously shift focus to breath and body. The goal is not abstinence, but to train the brain to tolerate more varied input – so that enjoyment follows, even when the setting is new.
Many autistic men thrive when the frame is clear:
It’s not “unsexy” – it’s smart. Predictability creates safety, and safety is the foundation for enjoyment and performance. Consent is an ongoing dialog, not a one-time approval. When you dare to be clear about pace and desires, many people find that enjoyment actually increases – because their minds calm down.
I start with a conversation at a calm pace where your goals are at the center. You get clear expectations for the course and I summarize in writing so you have an overview at home. You set the boundaries and pace – also for surveys. I use specific questions and possibly short questionnaires to map symptoms, sensory patterns and habits. You can always ask for breaks and you get clear ‘next steps’ so you know what you can do already after the first visit.
What I offer:
When the causes are clear, I can summarize a simple, actionable course of action. If something points to medical conditions that you should have assessed by your GP, you’ll get a precise formulation that you can use in the dialog.
I tailor a program that can include:
If you are taking medication that may affect your sexuality, I will guide you on how to talk to your doctor about possible adjustments or relevant blood tests (e.g. testosterone, metabolism, vitamin status, prolactin) that I do not perform in the clinic. I continuously evaluate the effect and adjust the program so that you only do what helps.
I translate knowledge about autism into concrete steps in your sex life:
I work in a solution-oriented and concrete way. You’ll be given small tasks between sessions so that progress can be felt in everyday life.
Many notice progress in 4-6 weeks when I combine physical treatments with specific habits you practice at home. For vascular erectile dysfunction or Peyronie’s disease, I often schedule 6-12 sessions with focused sound waves and complementary interventions. For chronic pelvic pain, I typically work with you in phases: pain reduction, relaxation, building and maintenance. I don’t promise miracles – I promise a professional, systematic approach and a respectful, safe process. Some people move quickly, others need a slower pace; both are perfectly fine.
Small changes make a big difference when working with autism and sexuality. Try one adjustment at a time so you can feel what works.
The aim is not to “perform” exercises, but to calm the nervous system and increase blood flow. A few minutes can be enough.
I’ll help you find the right level and the right tools so you feel in control, not pressure.
I can guide you on how to start the dialog – calmly and concretely.
Yes, you can. Overstimulation and high levels of arousal in the nervous system can “roll over” sexual desire. When I work with sensory management, routines and sleep, desire often returns – more stable. You’re not doing anything wrong; you just need a framework where your body can keep up.
No – but they may require adaptation. Many people benefit from small, planned rituals before/after sex and clear signals along the way. When the brain gets structure, the body gets peace for pleasure. I help you integrate your needs so they become a resource instead of a barrier.
Focused sound waves do not treat autism. However, they can help with erectile dysfunction (stimulating blood vessels) and Peyronie’s disease (affecting scar tissue and pain). For sensory challenges or performance pressures, I work with other tools: sensory control, relaxation, neuromodulation, habits and communication. I always choose the method that suits your body and your goals.
The pain may be due to overactive pelvic floor, pudendal irritation, skin/mucosal sensitivity or Peyronie’s disease. The solution is gradual relief, relaxation, targeted tissue stimulation and adjustment of stimuli. I investigate the cause and create a plan that suits your body – at a pace you can follow.
Yes, you can. Many people start alone to get peace, clarification and tools. If you later want to involve a partner, I will customize it together with you.
That’s perfectly fine. I work in a structured way and without unnecessary social demands. You can always get breaks, clear step-by-step explanations and written summaries. You decide the level of eye contact and conversation – and I respect that.
Yes, I assess pelvic floor function and provide guidance on relaxation, coordination and practical habits to reduce leakage and after-drip. If needed, I combine with neuromodulation or EMTT. The goal is more control, less worry and more pleasure.
Autism and sexuality require professionalism and an understanding of how your brain and body work together. With me, you get a respectful, evidence-based approach that combines advanced diagnostics with effective, gentle treatments – and concrete advice you can use right away.
I have clients from all over Denmark, especially Copenhagen and Zealand. If you recognize yourself in what I describe – erectile dysfunction, pelvic pain, uncertain desire or performance pressure – reach out. I take you seriously, meet you without taboo and help you safely move forward with a plan that fits your everyday life and your sensory reality.
Book an appointment or write for a non-binding clarification. You don’t need all the answers – that’s what I’m here for.
If you are interested in hearing more about how I can help you, you are always welcome to contact me by phone 41 40 08 58 or email michael@msinsight.dk. I’ll get back to you quickly with a customized proposal so we can find the best way forward together.
I will get back to you within 12-24 hours.
Are you unsure about what’s causing your symptoms, or whether a specialized treatment program at our clinic in Copenhagen would be right for you? If so, you can start with a brief, confidential consultation. During this consultation, we’ll assess whether your symptoms align with the areas I specialize in at MS Insight and determine what the next appropriate step might be.
The clarifying conversation is not a full consultation, diagnosis or treatment plan. It’s for those who want a serious assessment of whether it makes sense to proceed with a more thorough examination, ultrasound scan and individual plan.
The clinic is a private clinic offering an alternative treatment setup to the public system with shockwave, EMTT and NESA X for sexual dysfunctions and especially erectile dysfunction, peyronies and pelvic pain.
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