Cardiovascular, metabolic, neurologic, mental-health, pelvic, and medication factors may be relevant.
Confidential sexual-wellness care
Understand What Is Affecting Your Sexual Health
A private, clinician-guided evaluation for concerns involving desire, arousal, erections, ejaculation, orgasm, discomfort, and hormonal health.
- Individual evaluation
- Options for women and men
- Ongoing clinical support
Whole-person evaluation
Sexual Function Has More Than One Influence
Sexual concerns may involve physical health, medications, hormones, mood, relationships, sleep, stress, pelvic factors, or several contributors at once.
Our providers begin with your symptoms, priorities, medical history, current medications, and relevant testing. Treatment is selected only after identifying likely contributors—not from a one-size-fits-all menu.
DesireLow interest, distressing changes in libido, or HSDD concerns.
Arousal & erectionsDifficulty becoming aroused or obtaining and maintaining an erection.
Orgasm & ejaculationDelayed or absent orgasm, premature ejaculation, or other changes.
ComfortDryness, pain, medication effects, or menopause-related symptoms.
Your starting point
A Thoughtful Clinical Assessment
Laboratory testing is selected from your history and symptoms; hormones are not assumed to be the cause.
Benefits, limitations, risks, cost, preferences, and follow-up are reviewed before treatment.
Potential treatment pathways
Options Matched to the Concern
The appropriate approach depends on diagnosis, health history, contraindications, and personal goals.
Erectile function
PDE-5 Inhibitors
Prescription medicines such as sildenafil or tadalafil may be considered for erectile dysfunction after contraindications and medication interactions are reviewed.
These medicines require sexual stimulation and must not be combined with nitrates.
Hormonal health
Hormone Therapy When Indicated
Testosterone or menopausal hormone therapy may be discussed when symptoms, examination, laboratory findings, and established prescribing criteria support treatment.
Hormone therapy is not a universal treatment for erectile dysfunction or low desire.
Ejaculation and well-being
Behavioral and Medication Options
Premature ejaculation may be addressed with behavioral strategies, topical therapies, counseling, or selected medications. Some SSRIs can delay ejaculation but can also reduce desire or impair orgasm.
The balance of possible benefit and sexual side effects should be reviewed individually.
Comfort and connection
Menopause, Pelvic and Psychosocial Care
Lubricants, moisturizers, prescription vaginal therapy, pelvic-floor care, counseling, or referral may be appropriate depending on symptoms and diagnosis.
Sexual pain, bleeding, or sudden changes should receive appropriate medical evaluation.
Specialty options
Additional Treatments Require Careful Selection
Bremelanotide
The FDA-approved injectable form may be considered for certain premenopausal women with acquired, generalized HSDD. It is not approved as a general treatment for erectile dysfunction or for men.
Urethral or topical preparations
Specialty preparations may be discussed in limited circumstances after standard options, risks, administration requirements, and alternatives are reviewed.
Oxytocin and combination products
Evidence for sexual-wellness use is limited. Compounded oxytocin, “Scream Cream,” Tri-Mix gel, and multi-ingredient dissolvable products are not FDA-approved for these marketed combinations.
Compounded drugs are not FDA-approved or reviewed by the FDA for safety, effectiveness, or quality before marketing. They should be considered only for an identified patient whose clinical needs cannot be met by an available FDA-approved product and when permitted by law.
What to expect
Private Care, Step by Step
01Share your concerns
Discuss concerns, timing, medications, health history, and goals confidentially.
02Evaluate causes
Complete appropriate examination, testing, or referrals based on your presentation.
03Compare options
Review evidence, risks, limitations, cost, and alternatives together.
04Monitor response
Reassess effectiveness, tolerability, safety, and changing needs.
Confidential consultation
Start With a Conversation
Meet with an Alpha Hormones® medical provider to discuss your concerns and determine which evaluation and treatment options may be appropriate.
