Sexuality is an important part of your life, and when desire, erection or pleasure fails, it can affect your confidence and quality of life. I know how frustrating it feels and how difficult it can be to broach the subject. In this article, you’ll get an overview of the most common challenges, causes and solutions – from physical mechanisms to psychological factors. You’ll learn how I work holistically with shockwave, EMTT and sexological counseling to help you regain peace of mind and strengthen your sexuality. Read on for concrete answers, hope and a realistic plan to regain control of your sex life.
Sexuality is about desire, arousal, pleasure and security – and can be strengthened with the right individual treatment and understanding of both body and mind.
International speaker & expert in shockwave and EMTT treatment for erectile dysfunction, peyronies & CPPPS.
Most men expect sexuality and erection to just work. When erection fails, when there’s pelvic pain, or when desire disappears, it can feel like your identity is faltering. I meet many men of all ages who have gone too long alone with it – out of shame, doubt or because they don’t know where to start. At MS Insight, I work purposefully, professionally and respectfully with men’s sexuality, so you get clarity about the causes and a plan that works in your reality. You’ll be met without prejudice, with a focus on peace of mind and concrete steps you can take from the very first visit.
Healthy sexuality is not just about getting and maintaining an erection. It’s also about desire (libido), connection to the body, absence of pain, enjoying sex – alone or with a partner – and feeling safe and comfortable in your body. When any of these are challenged, it often affects self-esteem, relationships and happiness. My approach is holistic: I examine both the physical mechanisms (blood vessels, nerves, tissues, pelvic floor) and the psychosexual factors (stress, performance pressure, habits, expectations). I help you distinguish between desire, arousal and erection – three different processes that influence each other but are not the same thing – to give you a realistic and hopeful picture of what can be improved.
Often it’s a combination of several factors. It’s my job to find out what’s driving your symptoms – and in what order I best address them. I work from a bio-psycho-social understanding: the body, nervous system and everyday life affect each other. When I map out patterns in your symptoms, I can target the areas that will have the fastest effect and most lasting improvement.
Erection is heavily dependent on well-functioning blood vessels and heart function. Reduced blood flow in the penis, micro-damage to the tissue or low elasticity can cause erectile dysfunction. Smoking, high blood pressure, cholesterol and diabetes often play a role. Peyronies are caused by scar tissue formation in the tunica (penile sheath), which can bend and hurt. I assess both vessel function and tissue quality and explain to you what the findings mean for your training, possible treatments and expected course.
Overactive pelvic floor, tension and irritation of the pudendal nerve can cause pain, sensory disturbances and erectile dysfunction. With CPPS, muscles and nerves often go into ‘alarm’ and the body maintains circles of pain that are amplified by stress and worry. I teach you how to regulate tension levels and rebuild normal patterns in the nervous system to gradually release pain and discomfort.
Low testosterone, under-treated metabolism, sleep apnea or chronic stress can affect desire, erection and recovery. It’s important to uncover whether hormonal or medical factors are at play. I focus on your sleep quality, daytime energy and recovery because this is often where the first improvements are seen when the body gets better conditions.
Certain medications (e.g. some antidepressants and beta blockers) can affect erection and desire. Alcohol, many late nights, inactivity and nicotine don’t help. Overuse of porn and increased stimuli can also change expectations and reaction patterns. I help you make small, realistic adjustments that don’t feel like deprivation, but strengthen your sexuality and well-being.
Pressure to perform, conflicts, shame and negative experiences can take hold in the body. When fear of failure takes over, the body tenses up – making erection and pleasure more difficult. This is normal. I work respectfully and concretely to loosen that grip. Together, we translate “head noise” into simple actions so you can reconnect with your body and be present in the moment again.
I always start with a thorough conversation and targeted examination. The goal is to understand your symptoms and prioritize the most effective course of action. You’ll get clear explanations so you know why I’m recommending those particular tests and interventions and what they mean for your sex life and function.
If there is a suspicion of hormonal or metabolic effects, I advise you to talk to your GP about relevant blood tests (e.g. testosterone, fasting glucose/HbA1c, lipid profile, metabolism) and any cardiovascular risk assessment. This provides a solid basis for decision-making. Ultrasound is done from the outside of the skin and is gentle; I explain what I’m seeing so you can follow along and ask questions.
I tailor programs that can consist of one or more of the interventions below. The goal is to address both biology and behavior – that’s where the results last best. I create a clear sequencing and homework plan so you know what to do and what to expect week by week.
Focused sound waves are a proven method to stimulate tissue healing, increase microcirculation and promote the formation of new blood vessels. For erectile dysfunction, research shows improvement in many, especially for mild to moderate erectile dysfunction and vascular causes. For Peyronie’s, treatment can reduce pain and in some cases reduce plaque-related discomfort. The treatment is done on the skin, takes a few minutes per area and requires no anesthesia. I typically plan a short, intensive course and combine it with exercises to anchor the effect in everyday life. Not everyone responds in the same way – that’s why I continuously measure your response and adjust the strategy.
EMT uses rapid pulses of electromagnetic fields to affect cell repair processes and nerve signaling. I use EMT for chronic pelvic pain and muscular tension in the pelvic floor, often in combination with other interventions. Many experience pain relief and better tissue responses to exercise. The sensation is typically a rhythmic, deep stimulation without the need for needles or gel, and the treatment is short and gentle.
Neuromodulation is targeted, low-intensity stimulation that helps to “turn down” the alarm state of the nervous system. It is relevant for pudendal pain, overactive pelvic floor and chronic pain that has become habitual in the nervous system. The technique is gentle and can be combined with breathing and relaxation. I teach you simple home exercises so you can maintain the effect between sessions.
A strong pelvic floor is good – but a stiff and overactive pelvic floor can cause pain and worsen erectile dysfunction. I instruct you on finding the right balance between strength, coordination and relaxation. You’ll be given specific exercises to suit your findings and your goals. I use biofeedback and simple body scans so you can feel the difference between tension, release and support – and avoid “overtraining” muscles that are already too active.
I work directly and respectfully with performance pressure, expectations, communication and pleasure. You get simple tools to slow down, regulate nerves, use breathing and body cues, and – if applicable – structures to change porn and masturbation habits. Partner can be involved if desired. I teach you to shift the focus from “performing” to “feeling and enjoying” so that intimacy and pleasure are more likely.
Small, realistic changes in sleep, alcohol, nicotine, weight and physical activity can make a big difference to sexuality. I help you choose what works best for you – without morals and quick fixes. I often start with sleep hygiene, regular movement and more daylight, because it boosts energy, mood and hormone balance – the foundation for a more stable sex life.
You get a manageable home program that fits into your everyday life. Follow-up ensures that I adjust the course in line with your progress. I use simple measurement tools (e.g. erection quality, pain and desire charts) so you can clearly see what’s working and where we need to focus next time.
I never promise miracles. I promise professionalism, honesty and a dedicated effort to move what can be moved. You get clear benchmarks for how we measure progress and when to change course if the body calls for a different approach.
Shame and silence keep problems alive. I meet you without taboos and we talk about what’s bothering you – directly, but with respect. When you understand what’s happening in your body, your shoulders drop and it becomes easier to act. In my experience, this combination – knowledge, physical treatment and concrete strategies – produces useful results. You don’t need to “pull yourself together”; you need the right help at the right pace.
The earlier you take action, the easier it usually is to move forward. A brief clarification can often save you months of worry and half-measures.
Yes, you can. Desire is affected by sleep, stress, relationships, health and hormones. If fluctuations turn into a prolonged absence of desire, it makes sense to investigate the causes and work on them. I help you separate biology from habits and expectations so you can rediscover a desire that feels natural.
They can. The blood vessels in the penis are small, so problems can show up here before anywhere else. For new, persistent erectile dysfunction, I advise you to have a preventive talk with your doctor about relevant check-ups. It’s not to make you feel uncomfortable – it’s common sense and good self-care.
Many people experience slight discomfort or tingling, but not actual pain. The treatment is short and without downtime; you can go to work or exercise afterwards. I customize the intensity to keep you comfortable throughout the process.
Side effects are typically mild and transient, such as a feeling of tired muscle or slight irritation in the area. I always assess contraindications and adjust intensity. If you notice unexpected reactions, I adjust immediately.
Yes, without a doubt – and rebuilding comfort and enjoyment is often part of the plan. For Peyronie’s or acute pain, I adjust the activity level to rest the tissue when needed. You get concrete guidelines on what is wise and when.
If your expectations and stimulation patterns have been “screwed up”, a period of resetting and more body-centered stimulation can help. I’ll give you a concrete plan that is realistic for you. The goal is not prohibition, but to restore sensitivity and presence.
Yes, several drug groups can affect erection and desire. I will go through your medication list and guide you on what to talk to your doctor about if you suspect side effects. You never change medication without consulting your doctor – I’ll help you have an informed discussion.
It helps when trained correctly. An overactive pelvic floor often needs to learn to let go first. I test and instruct so that your efforts hit the mark. When the muscles can relax, it creates better conditions for erection, pleasure and pain relief.
It depends on the problem and goal. Many programs are around 6-12 sessions with clear homework assignments. I evaluate continuously so you don’t get too little or too much treatment.
Yes, you can. You’ll be treated with respect and discretion. You set the pace and I talk to you about what you’re ready for. Records and data are handled securely and professionally.
You book an appointment and I’ll send you a short questionnaire so we can use our time efficiently. When you arrive at the clinic in Copenhagen, we’ll review your history, examine relevant areas and make a plan. You’ll leave with concrete knowledge about causes, suggestions for a course of treatment and first steps you can take right away. If relevant, you will also receive guidance on which blood tests or health checks you may want to discuss with your GP. My goal is for you to leave feeling calmer – and with a direction that makes sense to you.
If your sexuality is lagging, it’s not a sign of weakness – it’s a signal that your body or nervous system needs help. I’m ready to listen, investigate and help you move forward safely. Book an appointment or contact me for a non-binding clarification. The most important thing is that you take action – I’ll figure out the rest together with you.
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 what’s behind your symptoms or whether a specialized course of treatment makes sense? Then you can start with a short, confidential assessment. Here we will assess whether your symptoms match what I work with at MS Insight and what the next relevant 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.
Types of treatment
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