Sexual medicine is the discipline of diagnosing and managing sexual dysfunction or challenges as they relate to the individual and/ or couple. These difficulties may be physical, emotional or relational. Sexuality encompasses use of all our senses for sensuality or intimacy, connection to a romantic partner or self. Our sexuality should be celebrated and embraced safely and consensually.
Causes of sexual dysfunction are multifactorial and may include underlying medical illness, infection, medication, trauma or psychological. As sexuality is influenced by culture, religion and social constructs- care takes the biology, psychology and social essence of each patient into account when formatting a treatment plan.
Sexual Health Screening Consultations
General Wellness and Check-ups
Routine sexual health check-ups
Contraception and family planning
Counselling for pre-marital couples and relationships
Hormone and Life Stage Health
Menstrual cycle concerns (painful, heavy, irregular)
Polycystic Ovarian Syndrome and hormonal conditions
Peri-menopause and menopause support
Hormone testing and balancing
Sexual function and Intimacy
Low desire or libido
Arousal difficulties
Orgasm difficulties
Pain during sex, penetrative pain, deep pain, pain after (vulvodynia, vaginismus, dyspareunia). Pain is NEVER normal.
Pregnancy and post-natal sexual concerns
Vulvo-Vaginal Health
Vaginal infections and inflammation (candida, bacterial vaginosis, other)
Vaginal atrophy and dryness with menopause or after treatment for some cancers
Pelvic Health
Pelvic floor dysfunction, too tight or loose
Chronic Pelvic pain or with sex
Bladder problems, irritability,
Emotional Wellbeing
Body image, genital image and self-confidence
Stress, anxiety or low mood affecting intimacy
Trauma support (after sexual trauma or domestic violence)
Education and communication skills for individuals or couples
Prevention and Screening
Pap smears and cervical care to pick up early cell changes
Human Papilloma Virus (HPV) screening and vaccination
Breast health and screening referrals
Holistic view to long-term wellness
Regenerative Procedures
Platelet Rich Plasma (PRP) for vaginal dryness/ atrophy
PRP for Lichen Sclerosis
Sexual Health Screening Consultations
General Sexual Wellness
Routine sexual health check-ups
Sexual health and co-morbid medical illnesses/ treatment
Contraception and family planning
Relationship and pre-marital counselling
Sexual health care pre and post surgeries or cancer treatments for prostate or other cancers/ illnesses
Erectile Difficulties and Performance concerns
Erectile difficulties/dysfunction-may be an indicator of heart disease
Premature or delayed ejaculation
Performance anxiety
Hormone health and the Andropause
Hormone testing and balancing
Low testosterone
Andropause support, energy, mood and vitality challenges that come with aging
Genital Health and Pain
Testicular health and checks
Penis curvature (Peyronie’s disease), which may prevent ability to have penetrative sex
Prostate screening
Pelvic floor dysfunction and pelvic pain,
Pain during or after ejaculation
Sexual Function and Desire
Loss of desire, low libido
Orgasm difficulties
Support pre and post treatments or surgeries for illness
Changes in sexual satisfaction
Emotional Wellbeing and Relationships
Depression, anxiety or stress affecting intimacy
Self-confidence and performance concerns, genital image
Intimacy struggles post trauma
Education and communication skills around intimacy
Screening and Prevention
Cancer screening for prostate and testicular cancer
Lifestyle factors impacting sexual function – nutrition, sleep, exercise
Cardiovascular health and sexual health changes
Regenerative Options
Platelet Rich Plasma for erectile dysfunction, low intensity shockwave therapy for ED and pain, and botulinum toxin injections for pelvic pain
STI screening and management
HIV care
Comprehensive, confidential care, from testing, diagnosis, medical management
Monitoring of immune health and viral load
Long-term support of sexual health
Pre Exposure Prophylaxis and Post Exposure Prophylaxis, counselling, consultations, prescriptions and followup monitoring
Gender Affirming Therapy and support
Hormones and monitoring, support
Supportive documents for home affairs
Sexual health post surgeries or cancer treatments
Sexual health and disability, how to navigate for satisfying sexual encounters, education, assistive devices/ rails/ pulleys/ cushions
Sherwood Clinic, Claremont
Monday - Friday 10-5
connect@drheatherblaylock.co.za 064 553 5425