The following case report highlights an act of Genital Self Mutilation. This case had multiple interacting risk factors which were- being a single unemployed male suffering from schizophrenia with religious delusions. After a review of the clinical information available the case best fits the description for Klingsor Syndrome (German J Psychiatry 2007;10: 25-28).

Health care industry is going through a renaissance with the advances in mobile Internet technology. Health care seeking has become easier for people and there are multiple providers offering online consultations and counselling. Sexual medicine is still an unrecognized specialty in India. People suffering from sexual health problems and dysfunctions have a lot of stigma approaching health care professionals. With the coming in of Internet-based services, people are finding it easier to seek help online anonymously. As an industry this is likely to continue to grow and offer opportunities to people in distress to seek help.

Sexual problems are common and patients seek treatment from various clinicians. Specialist psychosexual clinics within the NHS in the UK are one of the key providers of sexual medicine services. This retrospective service evaluation covers a population of 846 patients referred over a three-year period to the Leeds Psychosexual Medicine Service. Of patients referred, 65% were males and the majority of patients were in the age range of 18–40 years. Of referrals, 70% were from primary care physicians, with complaints of a broad range of sexual problems. Around half of the referred patients failed to attend either their first or subsequent appointments. A third of the total referrals completed all planned sessions of their treatment. Of these, 70% showed major improvement and only a small proportion (6.5%) either showed no change or worsening of their problems. Our data suggests that brief therapy lasting four to eight sessions is beneficial in most patients. This evaluation is timely as there are financial constraints on the NHS currently and with improved service delivery models, which aim to minimise patient non-attendance, brief interventions can be effective.