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Men and women

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.

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.

Medically reviewed by Dr D. Moodley [DOCTOR_NAME_PLACEHOLDER], HPCSA [HPCSA_NUMBER_PLACEHOLDER]. Last reviewed 1 July 2026.

Book 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.