FAQs
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Frequent Questions
About Men Health Clinic
Two things. First, our exclusive specialisation in men's sexual health means every consultation, every protocol, and every clinical decision is informed by deep domain expertise, not generalist medicine applied to a specialist problem. Second, our commitment to non-surgical and natural treatment approaches means we exhaust every non-invasive option before considering surgical referral. Most GPs do not have the time, tools, or training to do either.
No. Our clinical scope is non-surgical and natural treatments. For men whose cases require surgical intervention, significant anatomical enlargement goals, and advanced vascular ED unresponsive to non-surgical treatment, we refer to our clinical partner, Sandton Men's Clinic, a specialist surgical practice in Johannesburg.
Men Health Conditions
For most men with mild to moderate ED, which represents the majority of men presenting with the condition, non-surgical treatment delivers clinically meaningful improvement. The key is accurate diagnosis. ED caused by venous leakage, moderate arterial insufficiency, psychological factors, hormone deficiency, or lifestyle-driven vascular decline all respond to non-surgical intervention to varying degrees. Severe vasculogenic ED with significant arterial occlusion may ultimately require surgical intervention, and we will tell you if that is your situation.
Psychological ED still benefits from clinical treatment. In fact, "psychological" ED is often partly physiological; performance anxiety produces a real, measurable suppression of the neurological signals that initiate erection. Left untreated, the failure cycle reinforces itself. Psychosexual therapy, combined where appropriate with short-term pharmacological support to break the anxiety cycle, is far more effective than willpower alone. We treat psychological ED with the same clinical rigour as physical ED.
Yes, several. For lifelong PE, serotonin-targeting pharmacological approaches have the strongest evidence base and can extend ejaculatory latency significantly. For acquired PE with a prominent anxiety component, psychosexual therapy and behavioural protocols are highly effective. A combination approach addressing both the neurobiological threshold and the psychological reinforcement consistently outperforms single-modality treatment. Most men with PE achieve significant improvement within four to eight weeks of structured care.
Yes, particularly in the active (inflammatory) phase of Peyronie's disease, non-surgical approaches, including PRP therapy and penile traction therapy, have been published with evidence for reducing plaque size and curvature. Results vary depending on plaque severity and duration of the condition. Consultation is essential to determine whether a non-surgical approach is appropriate for your specific case.
Non-Surgical Treatments
This depends on the treatment modality and the condition. PRP therapy for ED typically involves a series of two to three sessions spaced several weeks apart. Hormonal optimisation protocols are ongoing, with regular monitoring. Psychosexual therapy is structured over multiple sessions depending on the presenting issue. Your full treatment timeline will be outlined at your initial consultation.
Platelet-Rich Plasma (PRP) therapy involves drawing a small amount of the patient's blood, processing it in a centrifuge to concentrate the growth factors naturally present in platelets, and injecting this concentrated plasma into targeted penile tissue. The growth factors stimulate new blood vessel formation, tissue regeneration, and improved vascular response, thereby addressing the underlying vascular mechanisms of erectile dysfunction and weak erections. The procedure uses your own biology, carries minimal risk of rejection or adverse reaction, and requires no surgical incision.
PRP therapy for erectile dysfunction has a growing body of published evidence. Multiple controlled studies demonstrate improvements in erectile function scores (measured using validated tools such as the IIEF) following PRP treatment. The evidence is strongest for mild to moderate vasculogenic ED. We are transparent about the state of the evidence, including where it is robust and where it is still developing, during consultation.
Penile traction therapy involves the application of gentle, consistent mechanical force to penile tissue using a specifically designed medical device. It is one of the few non-surgical methods with documented evidence for both modest length gains and curvature correction (in cases of Peyronie's disease). Unlike many claimed enlargement methods, traction therapy's mechanism, mechanotransduction, the process by which cells respond to mechanical stimulation by proliferating, is well understood physiologically. Results require consistent application over several months.
Hormone optimisation begins with comprehensive blood testing, including total testosterone, free testosterone, SHBG, LH, FSH, prolactin, thyroid hormones, and cortisol, among others. Based on the panel, we design a personalised protocol that may include evidence-based nutraceutical support (supplements with published efficacy data), lifestyle medicine (sleep, exercise, stress management), dietary optimization, and, where clinically appropriate, bioidentical hormone support. The goal is to restore your hormonal profile to an optimal functional range through the most natural means appropriate for your case.
Most men with mild to moderate presentations of the conditions we treat are excellent candidates for non-surgical approaches. The assessment process determines suitability. Some cases — severe vasculogenic ED unresponsive to PRP and lifestyle intervention, for example — may ultimately require surgical referral. We will always tell you honestly whether your case falls within our treatment scope.
This depends on the treatment. PRP-based outcomes are not permanent in the way that surgery might be — the improvements in tissue health and vascular function can be maintained and extended with follow-up sessions. Hormonal optimisation requires ongoing management as hormonal dynamics continue to change. Behavioural and psychosexual outcomes are typically more durable. We are honest about this during consultation; no treatment eliminates the need for ongoing health management.
Privacy & Practicalities
No referral is required. You can book a consultation directly.
Yes, completely. From your first point of contact through to treatment and follow-up, your privacy is protected at every level. We comply fully with POPIA, use discreet billing descriptions, and share nothing without your written consent.