Your provider may review heart health, metabolism, nerves, mental health, pelvic concerns, and medicines.
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 can have several causes. For example, physical health, medicines, hormones, mood, relationships, sleep, stress, and pelvic health may all play a role.
First, our providers review your symptoms, priorities, health history, current medicines, and relevant tests. We then identify likely causes before choosing a treatment.
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
Your Sexual Wellness Assessment
Then, your provider chooses tests based on your history and symptoms. However, hormones are not always the cause.
Before treatment, review benefits, limits, risks, cost, preferences, and follow-up with your provider.
Potential treatment pathways
Sexual Health Treatment Options
Above all, your diagnosis, health history, safety risks, and goals guide the plan.
Erectile function
PDE-5 Inhibitors
Your clinician may consider sildenafil or tadalafil for erectile dysfunction. First, they review safety risks and interactions with your medicines.
In addition, these medicines require sexual stimulation and must not be combined with nitrates.
Hormonal health
Hormone Therapy When Indicated
Your provider may discuss testosterone therapy or menopausal hormone care when treatment is appropriate. This requires a review of symptoms, an examination, lab results, and established prescribing criteria.
However, hormone therapy is not a universal treatment for erectile dysfunction or low desire.
Ejaculation and well-being
Behavioral and Medication Options
For premature ejaculation, options may include behavioral strategies, topical treatments, counseling, or selected medicines. Some SSRIs can delay ejaculation but can also reduce desire or impair orgasm.
Therefore, review the possible benefits and sexual side effects with your provider.
Comfort and connection
Menopause, Pelvic and Psychosocial Care
Depending on symptoms and diagnosis, options may include lubricants, moisturizers, or prescription vaginal therapy. Pelvic-floor care, counseling, or a referral may also help.
In particular, sexual pain, bleeding, or sudden changes should receive appropriate medical evaluation.
Specialty options
Additional Treatments Require Careful Selection
Bremelanotide
Your provider may consider the FDA-approved injectable form 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
In limited cases, your provider may discuss specialty preparations. First, review standard options, risks, how to use the product, and other approaches.
Oxytocin and combination products
However, evidence for sexual-wellness use remains 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. In other words, the FDA does not review their safety, effectiveness, or quality before marketing. As a result, clinicians should consider them only when an available FDA-approved product cannot meet a specific patient’s clinical needs. The law must also permit their use.
What to expect
Private Care, Step by Step
01Share your concerns
First, discuss your concerns, timing, medicines, health history, and goals in private.
02Evaluate causes
Next, complete an examination, tests, or referrals based on your symptoms and history.
03Compare options
Then review evidence, risks, limits, cost, and other options together.
04Monitor response
At follow-up, review results, side effects, safety, and changing needs.
Common Questions
Sexual Wellness FAQs
Is my sexual-wellness visit confidential?
Yes. Your consultation is private, and we protect your information like all of your medical records. Share only what you are comfortable sharing.
Is low testosterone the cause of erectile dysfunction?
Not usually on its own. Erectile dysfunction can be linked to blood-vessel health, diabetes, nerves, medications, mood and relationships. Your provider considers testosterone therapy only when symptoms, examination and lab results meet established criteria.
Can women be evaluated for low desire or discomfort?
Yes. We evaluate concerns such as low libido, arousal changes, dryness and pain, including menopause-related symptoms, and discuss options that fit your health history.
Who should not take sildenafil or tadalafil?
These medicines must not be combined with nitrates and may not be appropriate with certain heart conditions or medications. Your provider reviews safety and drug interactions before prescribing.
Are PRP treatments for sexual function proven?
No. PRP procedures marketed for sexual function remain investigational, and benefits are uncertain. They should not delay an evaluation of possible medical causes.
Can sexual-wellness care be done by telehealth?
Many consultations and follow-ups are available by telehealth for patients located in California, Florida or Texas. Some concerns require an in-person examination at our Pasadena office.
What should I bring to my consultation?
Bring a list of your medicines and supplements, note when your concerns began, and write down your questions or goals. Questions? Call or text (213) 334-4111.
Still have questions? Call or text (213) 334-4111 or email support@alphahormones.com.
Confidential consultation
Discuss Your Sexual Wellness
Meet with an Alpha Hormones® medical provider to discuss your concerns. Together, review which tests and care options may fit your needs.