Sexual Health can easily be misinterpreted as something ‘dirty’ and something ‘no one talks about’ and that is the biggest issue. People have no where to go with their most intimate problems – problems that you cannot talk to just anyone about.
Sexual health is also so much more than it seems. We treat a vast array of problems including STD’s, HIV, Contraception and insertion of Mirena’s, Pap smears, Painful intercourse, Low libido, Menopause, Low Testosterone levels, Erectile dysfunction, Premature ejaculation and much more.
Read a bit more about each of these topics and the services that Well Family Practice offers and do not hesitate to contact the practice to make an appointment. We treat your most intimate problem with the utmost confidentiality and care.
We offer screening and treatment for all STDs.
A few Facts on STDs
- You can have an STD without having any symptoms
- If you have had unprotected intercourse once, you can have anything from HIV, to syphilis, gonorrhoea, chlamydia, herpes, HPV or any other STD under the sun!
- Having an STD increases your chances of contracting HIV
- STDs are the most common cause of infertility in women
We insert the Mirena at affordable rates.
The Mirena is a form of contraception. It is a device that is inserted into your uterus to prevent pregnancy. It contains a hormone called levonorgestrel than is released into the womb on a daily basis for up to five years. It prevents pregnancy by thickening the cervical mucous to make it impossible for sperm to enter the womb. The Mirena can be inserted at any age, as long as you have had three menstrual cycles. It can be done even if you have not had children yet and directly after the birth of your baby, since it does not interfere with breastfeeding. The Mirena is also not affected by the use of antibiotics or any other medication and can be used in most chronic diseases.
Although it lasts for five years, you can remove it at any point – it is very easy to remove. Most ladies will bleed much less when they are using the Mirena, due to the effect on the lining of the womb. Some even stop bleeding completely and this is absolutely normal and not dangerous.
We think the Mirena is the contraceptive that is the least likely to interfere with your sex life, but each person is different and we will have a thorough discussion about the pro’s and con’s in your specific situation. See www.Mirena.com for more info.
The Mirena must be inserted while you are menstruating. If you are certain when your period is going to start, please make the appointment for day two of your menstruation. If you are not sure, please phone us on the first day of your cycle and we will see where we can make a plan for you. Conscious sedation is offered during the procedure. A Dormicum injection will help you to relax, but still be awake. You will have no recollection of the procedure, which makes it much less traumatic. You will be asked to insert a Voltaren (or equivalent) anal suppository an hour before the procedure for pain relief.
You are welcome to have your partner or any other person present with you in the rooms. If all of these measures are taken, it is usually not a traumatic experience at all. You are not allowed to eat for 6 hours prior to the procedure and will not be allowed to drive up to 8 hours after the procedure . You can drink clear fluids up to 2 hours before the procedure. Please arrange for somebody to take you home.
The Mirena can be inserted without conscious sedation, especially if you have already had children. It can also be done as soon as 6 weeks after the delivery of your baby.
To remove the Mirena or any other IUD: This procedure can be done during a normal consultation, and is not painful at all under normal circumstances. You can phone our rooms to make a standard appointment if you want to have the Mirena removed. Please note: If you want to fall pregnant, arrange a consultation to make sure you have all the necessary immunisations and blood tests done before you remove your Mirena.
We offer pap smears at very affordable rates.
The Papanicolaou test (also called Pap smear) is a screening test used to detect potentially pre-cancerous and cancerous cells in the cervix (lower portion of the uterus). All sexually active females need to do regular Pap smears and if you are not sexually active by the age of 25, you should start anyway. We see many women who are terrified of pap smears and who are still virgins. We know exactly how to deal with such patients and will try our best to make it a positive experience for you, rather than a traumatic one.
What to expect:
During the consultation with the doctor, all concerns will be discussed. You will then be able to undress in privacy and put on an examination gown. The physical examination will include a breast examination, general examination and finally a genital and internal examination. This will take only about ten minutes. When a Pap smear is taken, a speculum is used to open the vaginal canal and to allow the collection of cells from the outer opening of the cervix with a small brush. This is not painful if your muscles are relaxed. The cells are sent to the laboratory to be examined under a microscope. The test aims to detect potentially pre-cancerous changes which are usually caused by sexually transmitted human papilloma virus (HPV). The test may also detect infections and other abnormalities in the cervix, but is not a screening test for sexually transmitted infections.
After the examination you will discuss the findings and management plan with the doctor. During this consultation you can discuss contraceptive issues as well as concerns regarding sexually transmitted infections and immunisations against cancer and sexually transmitted infections. You will be asked to complete a separate form for the laboratory and hand in your pap smear at Lancet laboratory which is on the way out of our building.
We specialise in the treatment of patients with painful intercourse and chronic pelvic pain. We have treated many patients who have never been able to have sex due to the severity of the pain as well as patients whose lives are affected by pelvic or perineal pain on a daily basis. You should not have to just “live with it”. Painful intercourse has an effect on you and can put a strain on a relationship. If you are not able to use a tampon or find it extremely painful, we can also help you. Painful intercourse (dyspareunia) can occur for a variety of reasons and the most important thing we want you to know is that we believe you that it hurts – it is not in your head!
As many as one in five women has pain during intercourse. If you are one of them, we would like to help you. We are aware that talking about sex and the examination might be terrifying. Please remember that we see patients with this condition on a daily basis and are therefore very understanding. Depending on the diagnosis, referral to a physiotherapists, sexologist and/or psychologist might be necessary and follow-ups will be done until you have pain-free intercourse.