This is one of the most common things patients want to talk about and one of the last things they bring up. Usually it comes at the end of a visit, as an afterthought. It should not be.
Changes in desire, arousal, or performance are medical information. They often point at something treatable — hormones, blood flow, sleep, stress, a medication side effect, or a condition nobody has looked for yet.
What patients come in for
- Low sex drive in women or men
- Erectile difficulty or changes in performance
- Vaginal dryness or discomfort
- Difficulty with arousal or orgasm
- Changes that started with menopause, andropause, or a new medication
How the visit works
It is a normal medical visit, held privately. Your provider asks what changed and when, reviews your medications and health history, and orders lab work if it will help explain the picture. Hormone levels, thyroid function, blood sugar, and cardiovascular health all matter here.
Sometimes the answer is a hormone issue. Sometimes it is a medication you are already taking. Sometimes it is sleep or stress. You get a straight answer either way, and a referral if what you need is outside our scope.
Your privacy
What you discuss here is protected health information and is handled under our HIPAA Notice of Privacy Practices, the same as any other part of your medical record.
All prescription therapies require a medical evaluation. A licensed provider decides whether a treatment is appropriate for you. Not everyone is a candidate.
Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness, or quality.
Individual results will vary. This is not a guarantee of outcome.
Continue online
Choose an available office reservation for a sexual wellness visit. If you have a question first, use the live chat bubble on this page. Do not use the weight-loss prescreen for this service.