Sexual Function
The sexual function service at PVT assesses and treats problems such as erectile dysfunction, premature ejaculation, low desire, arousal or orgasm difficulty and painful sex, in men and women.
Sexual difficulties are among the most common reasons adults see a doctor, and among the least talked about. Almost all of them have identifiable causes, and most of those causes can be treated.
From R650
Overview
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 Lancet, including hormone levels.
Treatment is then matched to the cause. Options range from proven medication and hormone optimisation to shockwave therapy and 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.
Frequently asked
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.
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.
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.
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.
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.
Medically reviewed by Dr D. Moodley [DOCTOR_NAME_PLACEHOLDER], HPCSA [HPCSA_NUMBER_PLACEHOLDER]. Last reviewed 1 July 2026.
Conditions this service covers
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.
Learn morePremature 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.
Learn moreLow 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.
Learn moreLow Testosterone
Low testosterone is a hormone deficiency in men causing fatigue, low libido and reduced drive, confirmed with morning blood tests and treatable with monitored testosterone therapy.
Learn moreMenopause & 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.
Learn moreBook a private consult
Most patients are seen within the week at Milnerton or Table View. You can book by WhatsApp without saying why you are coming in.
R650 private doctor consult, paid upfront by cash or card. It covers the assessment, test selection, explanation of your first results, and a script where clinically appropriate. Lab tests are billed separately by the blood lab (Lancet). Medical aid is optional: you claim back yourself if you have it.