About Us

In addition to genetic predisposition, learning processes from early childhood onwards shape who we are, how we structure our lives, and the patterns through which we experience health, relationships, and sexuality.

Neuroscientific findings show that the brain remains capable of learning and change throughout life. New neural connections can form not only in adulthood but also into old age. This makes it possible to expand sexual experience as well as to change body perception, postural patterns, muscular tension, and sensory disturbances.

In sex therapy based on the sexological approach Sexocorporel, as well as in psychological counselling, psychotherapy, and couples therapy, different learning processes are specifically encouraged. Learning is understood as a central pathway to health, well-being, and personal development, and is an essential part of the ZiSMed concept.

Conventional medicine is well-suited for treating many ailments. Therefore, at ZiSMed, we work according to the latest findings of scientific medicine. For certain, particularly complex or persistent illnesses, as well as in preventative care, we supplement this with selected complementary therapies.

These therapies consider the unity of body and mind and go beyond simply treating symptoms. In interdisciplinary case discussions, we work together to develop the best possible, individually tailored treatment plan for patients with complex medical conditions.

Function of the Pelvic Floor

The pelvic floor muscles perform essential supportive and stabilising functions in the body. They activate reflexively in various situations, such as coughing, laughing, physical exertion, sexual arousal, or emotional stress. As a result, they are largely governed by automatic patterns, which can, however, be influenced through learning processes. Accordingly, pelvic floor training is used in a targeted way, for example in cases of stress incontinence or postnatal recovery.

Chronic tension and possible effects

Less well known is that many people may develop persistent tension in the pelvic floor. This chronic tension can affect the function of adjacent organs as well as overall well-being. Possible associations have been described, including digestive issues, bladder dysfunction, and chronic pelvic pain.

Impact on sexual well-being

In women, this may also be associated with recurrent infections, sexual dysfunctions, or pain during intercourse. In men, symptoms may include discomfort in the genital area, erectile dysfunction, or premature ejaculation. Reduced blood flow in the pelvic region is also discussed as a possible contributing factor.

Interdisciplinary treatment at ZiSMed

Regulation of the pelvic floor muscles and training of body awareness play a central role. Treatment is provided in an interdisciplinary setting involving gynaecology, sexology, and psychotherapy, and is individually tailored to the patient’s needs.

Pelvic floor muscle tension PDF

Yes, ZiSMed is accepting new clients.

Appointments with gynecologists can be booked directly online.

Some professionals also offer online booking. Whether this option is available can be found on each professional’s profile page, where the booking method is indicated.

No, you can also book an appointment without a medical referral. For psychotherapy billed through basic health insurance, a medical referral is required.

Yes, some professionals offer online appointments. You can find details on each professional’s profile page.

Many people find it easier to discuss personal topics in a familiar environment. Online appointments also provide maximum flexibility, without travel or waiting times.

Gynecology at ZiSMed combines the health of the female reproductive organs with a holistic understanding of sexuality and wellbeing. In addition to contraception and cancer screening, prevention and treatment of sexual concerns are also part of our services.

Depending on the situation, your gynecologist may also address possible connections between physical symptoms and sexual wellbeing. Of course, you always decide which topics you would like to discuss.

Sexual counseling and sex therapy can be helpful for individuals and couples who experience questions, uncertainties, or challenges related to their sexuality. This may include difficulties with desire, arousal, or orgasm, pain during sex, differing sexual needs within a relationship, or questions about sexual identity and orientation.

Support can also be beneficial in cases of uncertainty, after distressing experiences, or to improve a couple’s sexual relationship.

Psychological counseling and psychotherapy can support people in stressful life situations, such as anxiety, depression, stress, relationship conflicts, trauma-related difficulties, or physical symptoms such as pain and sleep disorders.

We offer psychological counseling and psychotherapy for individuals and couples.

Manual therapy treats acute and chronic disorders of the musculoskeletal system, such as back pain, lower back pain, neck pain, as well as restricted joint mobility.

It also includes postural problems, muscular imbalances, rib dysfunctions, and back problems during pregnancy.

Sex Education & Counseling

• LILLI 
  Online counseling for young women and men on sexuality and sexual violence
• Lust und Frust
  Center for Sex Education, Zurich
• Projekt achtung liebe 
  Peer education by students for young people
• Sexuelle Gesundheit Schweiz
  Swiss Foundation for Sexual and Reproductive Health

Information and Counseling on Gynecology

• frauenarztbesuch.de
  Everything about visiting the gynecologist
• swissmom.ch
  Everything about pregnancy, childbirth, babies, and children
• Aidshilfe Schweiz
  Information about HIV and other sexually transmitted infections
• praenatal-diagnostik.ch
  Comprehensive counseling and critical information on prenatal diagnostics

Counseling for victims of violence

• AGAVA 
  Working Group Against the Exploitation of Dependent Relationships
• bif 
  Counseling and Information Center for Women – Against Violence in Marriage and Partnerships, Zurich
• Castagna 
  Counseling and Information Center for Women – Against Violence in Marriage and Partnerships, Zurich
• frauengegengewalt.ch
  Counseling centers and shelters for women and girls affected by violence
• LILLI 
  Online counseling for young women and men on sexuality and sexual violence
• mannebuero.ch
  Counseling for men against violence
• frauenberatung sexuelle gewalt
  Counseling for women who have experienced sexual violence