Sex Therapy in South Africa

Sex is a fundamental part of human experience — and when something is not working in that space, it affects everything. Confidence, relationships, identity, mental health. The ripple effects are wide and real.

Yet most people wait years before seeking help. Not because they do not want to feel better, but because the conversation feels too difficult to start, too embarrassing to have, or too private to trust to a stranger.

Leanne Steyn is a registered sexologist and counsellor with formal training in sexology and holistic wellness. She offers sex therapy online across South Africa — a safe, science-based, non-judgmental space to begin addressing what you have been carrying quietly.

What Is Sex Therapy?

Sex therapy is a specialised form of counselling that addresses psychological, relational, and behavioural factors affecting sexual wellbeing. It is not a physical examination. Sessions are talk-based (or online video-based), conducted with the same professional standards and confidentiality as any form of counselling.

What Sex Therapy Can Help With

Sexual Difficulties

  • Low libido or mismatched desire between partners
  • Difficulty with arousal or orgasm
  • Erectile difficulties (physical causes ruled out by a GP)
  • Premature or delayed ejaculation
  • Pain during sex (dyspareunia)
  • Vaginismus (involuntary muscle tightening making penetration painful or impossible)

Intimacy and Relationship Issues

  • Intimacy disconnection in couples (see also couples counselling in Rustenburg)
  • Sexual communication difficulties
  • Discrepant sexual interests or needs between partners
  • Rebuilding intimacy after infidelity or betrayal

Sexual Trauma and Shame

  • Recovery from sexual trauma or assault
  • Religious or cultural shame around sexuality
  • Negative body image affecting sexual confidence
  • Compulsive sexual behaviour

Identity and Exploration

  • Sexual identity questions
  • Gender identity exploration
  • Support for LGBTQ+ individuals and couples

Why Online Sex Therapy Works

Sex therapy is ideally suited to online delivery. Many clients actually find it easier to discuss sensitive topics from the privacy and comfort of their own home. Leanne offers online sex therapy via secure video call to clients across South Africa — including Johannesburg, Cape Town, Pretoria, Durban, and beyond. If you are in Rustenburg, in-person sessions are also available.

Leanne’s Credentials

Leanne Steyn holds formal training in Sexology and Holistic Wellness and is a registered member of the Council for Sexual Health Professionals (CSHP) — Practice number: 15001, the Association for Supportive Counsellors and Holistic Practitioners (ASCHP) — Practice number: SWC24/12041, and the European Federation of Sexology (EFS).

Frequently Asked Questions

Is sex therapy confidential?

Yes, completely. Leanne is bound by professional ethics codes across her memberships. Nothing discussed in sessions is shared with anyone — including a partner, if you are attending individually.

Do I have to undress or be physically examined?

No. Sex therapy is entirely talk-based. There is no physical component. Sessions take place fully clothed, whether in-person or online.

Can I do sex therapy without my partner?

Yes. Individual sex therapy is just as valid and effective as couples sex therapy. Many clients come alone to work through personal concerns before — or instead of — involving a partner.

Begin Your Journey

Sex therapy sessions in South Africa with Leanne Steyn are discreet, professional, and genuinely helpful. Online sessions mean geography is not a barrier.

Book a session or read more about Leanne’s sexology practice.