What to expect
For men, this service covers erectile dysfunction, premature ejaculation and low libido. For women, it covers low desire, difficulty with arousal or orgasm, painful sex, and the dryness and discomfort of genitourinary syndrome of menopause (GSM).
The assessment looks for treatable causes rather than reaching for a quick script. Erectile difficulty, for example, can be vascular, hormonal or psychological, and is sometimes an early signal of cardiovascular issues worth knowing about. Your consult includes a focused history, examination where appropriate, and relevant bloods through an accredited pathology laboratory, including hormone levels.
Treatment is then matched to the cause. Options range from proven medication and hormone optimisation to regenerative procedures at 15 on Orange, with referral to a psychosexual therapist where that is the most useful next step. Many people do best with a combination, and the plan is reviewed rather than left to run on repeat scripts.
What’s included
A private, unhurried consult with a doctor
Focused history and examination where appropriate
Relevant bloods via an accredited pathology laboratory, including hormone levels
Cardiovascular risk review where indicated
Treatment matched to cause: medication, hormones, devices or referral
Access to regenerative treatment options at 15 on Orange
Psychosexual referral where useful
Where and what it costs
milnerton | table-view
From
R700
R700 consult, paid upfront, claim back from your medical aid. Procedures at 15 on Orange are quoted at an eligibility consult.
Frequently asked
Is erectile dysfunction treatable?
In most cases, yes. Effective oral medication exists, and where the underlying cause is hormonal or vascular, treating that cause helps too. ED is also worth investigating in its own right, because it can be an early marker of cardiovascular disease. Assessment finds the cause; treatment follows from there.
Is it all in my head?
Usually not, and even when psychology plays a part, that does not make it less real or less treatable. The assessment checks the physical causes first: hormones, circulation, medication side effects and health conditions. Where anxiety or relationship strain contributes, a psychosexual referral is offered alongside, not instead of, medical care.
What can be done for low desire in women?
First, find the cause. Low desire in women can stem from hormonal shifts, medication such as some antidepressants and contraceptives, pain with sex, fatigue, mood, or relationship factors. Treatment is matched accordingly and may include hormonal treatment, a medication review, treating pain or dryness, and psychosexual support.
Is painful sex something a doctor can actually fix?
Often, yes. Common causes such as vaginal dryness, GSM after menopause, infections and pelvic floor tension all have specific treatments, from local oestrogen to pelvic physiotherapy referral. Painful sex is a medical symptom, not something to push through.
Will I automatically be offered an injection procedure?
No. Regenerative options are only raised where they are clinically reasonable for you, and always after an eligibility consult. Most sexual function problems are managed well with medication, hormone treatment and targeted referrals.
Conditions this service covers
Low Testosterone
Low testosterone is a hormone deficiency in men causing fatigue, low libido and reduced drive, confirmed with blood tests and treatable with monitored testosterone therapy.
Erectile Dysfunction
Erectile dysfunction is persistent difficulty getting or keeping an erection firm enough for sex, and in most men it has an identifiable, treatable cause.
Premature Ejaculation
Premature ejaculation is ejaculating sooner than you or your partner would like, usually within a minute or two of penetration, and it is common and treatable.
Menopause & Perimenopause
Menopause is the point when periods stop permanently, and perimenopause is the hormonal transition before it; symptoms of both are real and very treatable.
PCOS/PMOS
Polycystic ovary syndrome (PCOS/PMOS) is a common hormonal condition causing irregular periods, acne, excess hair and sometimes fertility difficulty, and it is very manageable with the right plan.
Low Libido / Low Desire
Low libido is a persistent drop in sexual desire, in men or women, with many possible causes ranging from hormones to medication to life circumstances, most of them addressable.