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Mansa Clinic's sexual health clinic in Aundh, Pune provides confidential psychiatric and psychosexual assessment for men and women. Dr. Ninad Baste, with a listed specialist interest in sexual medicine, leads a team that combines medical evaluation with evidence-based behavioural therapy for sexual dysfunction, intimacy difficulties, and psychosexual concerns.
Sexual dysfunction affects an estimated 43% of women and 31% of men globally (WHO). In India, the prevalence is likely higher - and the rate of people seeking help is lower. Most people who experience sexual difficulties see a urologist or gynaecologist first. Both have important roles - but neither is trained to identify and address the psychological drivers of sexual dysfunction, which research consistently shows account for the majority of cases in people under 50.
A psychiatric sexual health assessment examines the full picture: hormonal and medical factors, yes - but also relationship dynamics, anxiety, depression, past trauma, medication side effects, and the specific thought patterns and behavioural responses that maintain the problem. Dr. Ninad Baste's training in both psychiatry and sexual medicine means he can hold all of these dimensions simultaneously in a single assessment.
Erectile dysfunction, premature ejaculation, delayed ejaculation, and low desire in men are among the most common sexual health presentations at Mansa Clinic. Performance anxiety - the fear of failure that itself causes failure - is frequently at the core of these conditions. Our approach identifies the maintaining cycle and breaks it through a combination of psychoeducation, cognitive restructuring, and behavioural exercises.
Female sexual dysfunction is significantly underdiagnosed and underserved in India. Conditions including hypoactive sexual desire disorder, female sexual arousal disorder, orgasmic disorder, and vaginismus have effective psychiatric and psychological treatments. Our team provides a space in which women can discuss these concerns without embarrassment, and receive evidence-based care without dismissal.
Many psychiatric medications - antidepressants, antipsychotics, mood stabilisers - have significant sexual side effects that are rarely discussed at the time of prescribing. Dr. Baste reviews the interaction between psychiatric treatment and sexual function as a standard part of every ongoing psychiatric review, and adjusts medication plans to minimise sexual side effects where possible.
For couples where sexual difficulties are contributing to broader relationship distress, psychosexual therapy sessions bring both partners into the treatment process. These sessions are structured, evidence-based, and conducted with complete sensitivity to the couple's cultural, religious, and personal values.
Your first appointment at Mansa Clinic's sexual health clinic is a medical consultation, not a performance or a disclosure that will be judged. Dr. Baste will ask about your concern, your history, your relationship context (where relevant), your general health, and your current medications. The assessment typically takes 45–60 minutes.
No physical examination is conducted at this clinic - Mansa Clinic's sexual health service is purely psychiatric and psychosexual. If physical investigation is indicated, you will be referred to an appropriate specialist with a clear clinical rationale.
At the end of the first appointment, you will have a preliminary understanding of what is likely contributing to your concern and a proposed treatment plan. You will also have the option to continue with a psychological therapist in our team if psychotherapy is part of the plan.
Sexual medicine is one of Dr. Baste's four listed specialist interests, alongside neurocognitive medicine, marital counselling, and personal counselling. He has managed sexual health concerns in the context of psychiatric outpatient practice for over a decade, developing a clinical approach that integrates psychiatric assessment, psychotherapy principles, and medication management in a coherent, patient-centred plan.
