Sexual Disorders Treatment Cape Town

Tel: +27 21 551 0450


Sex and human sexuality are a core part of being human, so it's natural to wonder about sex in all of its different forms. A sexual disorder doesn't mean something is "wrong" with you. It only means that you're experiencing the kind of issue that can suddenly affect anyone, at any time in their lives, for any reason or no reason whatsoever. While many sexual issues can be traced back to a physical problem or a sudden change in one's life circumstances, many sexual disorders' causes are not well-known or understood.

The good news is that nowadays, having a sexual concern such as erectile dysfunction (ED) or problems with getting aroused is no big deal. There are a wide variety of treatments - from medications to a specific form of psychotherapy - that can help virtually everyone with a sexual disorder, no matter what the concern.

Keep in mind as you read through this section that sexuality exists on a continuum. A concern only rises to the level of a "sexual disorder" if it is causing the person a great deal of distress in their life, and they would like to rectify the behavior or problem. Some of the disorders listed below are otherwise considered healthy parts of normal human sexuality. For instance, if a person has a fetish and he or she is fine with it (and it's not causing other trouble in the person's life), then it's not considered a disorder.

Symptoms of Sexual Disorders

  • Dyspareunia Recurrent or persistent genital pain associated with sexual intercourse in either a male or a female.
  • Erectile Disorder (ED) Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate erection.
  • Exhibitionistic Disorder Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the exposure of one’s genitals to an unsuspecting stranger.
  • Female and Male Orgasmic Disorders Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase.
  • Female Sexual Arousal Disorder Persistent or recurrent inability to attain, or to maintain until completion of the sexual activity, an adequate lubrication-swelling response of sexual excitement.
  • Fetishistic Disorder The paraphiliac focus in Fetishistic Disorder (formerly known as Fetishism) involves the eroticization of nonliving objects and/or body parts for sexual gratification.
  • Frotteuristic Disorder Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving touching and rubbing against a nonconsenting person.
  • Hypoactive Sexual Desire Disorder This disorder describes an abnormally low level of desire for sexual activities in a man. For women, this disorder has been renamed Female Sexual Interest/Arousal Disorder.
  • Premature (Early) Ejaculation Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it.
  • Sex Addiction Recurrent failure to control the behavior and continuation of the behavior despite increasingly harmful consequences
  • Sexual Masochism and Sadism Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act of being humiliated, beaten, bound, or otherwise made to suffer.
  • Vaginismus Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.
  • Voyeuristic Disorder This disorder refers to (for over a period of at least 6 months) having recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity.

One of the most common sexual dysfunctions, erectile dysfunction, is readily treated with medications. There are three drugs approved to treat erectile dysfunction: Cialis, Levitra, and Viagra. All three of these medications are available only by prescription and work by increasing the blood flow to the penis. This allows for an easier erection in the man when he is sexually stimulated.

For other sexual disorders and concerns, psychotherapy is usually the best option. Dr. Koller is well-experienced in sex therapy, a specific type of psychotherapy that is focused on helping a person or couple with their sexual issues.

Psychotherapy is nonjudgmental. A professional therapist is there to help you address the sexual concern is a safe and supportive environment.