Sexual Health

Your sexuality is at the core of who you are.
We offer a wide range of services to help you with your sexual health problems.
Our sexuality lies at the core of what makes us human, contributing significantly to our sense of overall wellbeing. Good Sexual Health is an important goal for all people across the life-span and encompasses the qualities of good physical health, mental flourishing, the right to individual self-expression and a respect for diversity across sex and gender. In our practice we aim to support you, and address problems you may be encountering in your sexuality.

Dr Anthony Smith

has been a practicing Family Physician for over 20 years. He believes strongly in a humanist approach to medicine that encompasses a broad range of influences on Wellness, Health and Disease. He holds Masters degrees in both Family medicine (MFamMed) and in Medical Anthropology (Msc.MedAnthro), two disciplines that when integrated put the human back into medicine. Nowhere is this more relevant than in the field of human sexuality and sexual medicine. Dr Smith has specialised in human sexuality, becoming one of the few Fellows of the European Committee of Sexual Medicine (FECSM) in South Africa, and is currently proud to serve as the President of the Southern African Sexual Health Association. (SASHA) He has lectured widely, to lay and professional audiences, and is involved with teaching the subject of human sexuality, both at an undergraduate and post-graduate level. He has co-ordinated the yearly Western-Cape Masterclass for the last 4 years, and is committed to education in Sexual Health among fellow clinicians. Above all he is dedicated to his clinical work, and the provision of high quality, evidence based compassionate care.

What Is Sexual Medicine?

Sexual Medicine is that branch of medicine that deals primarily with sexual health, considering the wide range of social, physical and psychological factors that can impair sexual functioning and lead to an individual or couple’s distress.

Do I Have A Sexual Problem?

Everybody has times when they feel that some aspect of their sexuality is not fulfilling expectations or is causing them unhappiness. This could be a failure to perform or to not satisfy their partner, or some general feeling of dissatisfaction. In most people these are transitory problems that are overcome and disappear with time. In some however, the problem endures, not only eroding that person’s self-esteem and mental health, but also significantly affecting their relationships. It’s at this point that there is a sexual problem that may benefit from speaking to a professional.

What Can Be Done For Me?

Sometimes all that is needed is to speak through a problem in a non-judgemental setting, get perspective and be reassured that what one’s experience is normal and manageable. Or it may be that there are more complex problems that need to be explored and advised on in a more directed way.
There are times when an assessment of an underlying physical problem is necessary, including medical investigations appropriate to the problem. A thorough assessment allows the formulation of a clear management plan, which may include the input from professionals within a multi-disciplinary team (Urologist, Gynaecologist, Psychologist, Cognitive Behavioural therapist or Physiotherapist.)

Routine Men’s Health Check ups

  • Low Testosterone & other Hormonal problems.
  • Prostate and Testicular examinations

  • Well Men Check, including cardiovascular/cancer assessments.

Sexually Transmitted Disease

  • Testing and Treatment
  • Counselling
  • Education and Risk Management
  • Vaccination of certain STI’s

Transgender & Diverse Sexualities

  • Hormonal treatment supervision
  • Management of problems as they relate to diverse and alternative sexualities, including BDSM, Kink, Asexuality.

Mental Health And Sexuality

  • Hypersexuality/Sex Addiction
  • Depression/Anxiety and Sexuality
  • Interaction with Medications and Sexuality

Sexual Dysfunction

  • Low libido/Sex Drive
  • Erectile Dysfunction
  • Premature/delayed Ejaculation
  • Difficulty in Reaching Orgasm
  • Post-Prostatectomy with sexual dysfunction
  • Discomfort or difficulty in allowing penetration

MSM (Men who have sex with Men)

  • Post-exposure Prophylaxis (PEP)
  • Pre-exposure Prophylaxis (PREP)
Deep Trauma or Relationship difficulties can lie at the root of many sexual problems.
Dr. Smith will be able to discuss how these problems can impact on your sexuality, but would need to refer you to a psychotherapist for comprehensive psychological treatment.

How To Make An Appointment

Please call reception on 0214347755, or alternatively email Dr. Smith on sexualhealth@dranthonysmith.co.za. We will get back to you to arrange an appropriate time. Sexual Health Assessments are longer than routine appointments and will be approximately 50 minutes in length.. We appreciate that the subject matter is sensitive and assure you absolute discretion and confidentiality.

Disclaimer

Dr Anthony Smith is registered with the HPCSA as a general practitioner, and is not a urologist, physician, endocrinologist or gynaecologist. His Sexual Health Specialisation is an international qualification. There is currently no recognised South African Sexology/Sexual Health qualification available.

Institutions