About Margo

I (she/her) am a middle-aged, bisexual, disabled, quirky, queer, kinky, cisgender woman living and creating on Choctaw and Chitimacha land, aka New Orleans, LA, with the spouse of my dreams and our many beloved pets.

I am an AASECT-Certified Sexuality Educator, an AASECT Individual CE Provider, an ISEE-Certified Holistic Sexuality Educator, and a sex/ relationship coach. My work is rooted in evidence-based research and enriched by the wisdom of personal narratives. For over 20 years, I have navigated the complexities of chronic pain, illness, disability, and Post-SSRI Sexual Dysfunction (PSSD). I know firsthand how these conditions can reshape intimacy, sexuality, and desire, and how difficult it can be to keep sexuality alive while living with chronic illness. For over 15 years, I have been in a relationship with my spouse and have learned how to navigate the complexities of dating and eventually marrying one’s lover/caregiver.

This lived experience inspired me to become a certified sexuality educator and sex/relationship coach. I combine professional education with the wisdom I’ve gained from living with these conditions, offering practical tools, trusted resources, and empathetic guidance that are often missing from conversations about sexuality and chronic illness. I specialize in supporting individuals affected by chronic pain and PSSD, as well as their partners, caregivers, and lovers.

Through my teaching and coaching, I aim to challenge assumptions about what sexuality “should” look like for those living with chronic illness, pain, disability, or sexual dysfunction. I provide comprehensive, holistic sexuality education for both patients and their lovers/caregivers—offering personalized guidance, practical strategies, and support that honor the complexity of each person’s experience.

My goal is to listen and help you, given your current circumstances. I cannot magically remove your pain or provide you with a different life, but I can help you find and develop tools to reduce suffering or work on your sexuality. While I may draw from psychological or therapeutic frameworks when helpful, our work focuses on education and developing practical, personalized tools.

published

Anya Perepelkina

 

by Margo M. Maes

Illustration by Anya Perepelkina

Unicorn (magazine) Issue 010

I moderate this subreddit and it is a place to share, vent, or ask for advice on having a fulfilling sex life while being in pain that is either chronic or a temporary setback.  

The members are not doctors or therapists, but average people looking to help one another by sharing what has worked for us and what has not.  This discussion is open for vanilla sexual activities and kink or BDSM sexual activities; all consensual sex acts 18+.