Using sexual and reproductive health services can be awkward. This feeling of discomfort can discourage people from asking their doctor about contraceptive options or to check out infections. For people with physical disabilities there are additional challenges such as healthcare workers’ prejudice with regards to their right to have sex and children. South Africa’s Constitution grants people with disabilities the same access to healthcare as the rest of the population. But as the results of a South African study show, the reality is quite different.