About Sexual Health

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.

Female:XX

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

Men:XY

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

 

General:

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

Contact Details

Perfect Health, Hermanus

Sherwood Clinic, Claremont

Monday - Friday 10-5

connect@drheatherblaylock.co.za 064 553 5425