Your provider may review heart health, metabolism, nerves, mental health, pelvic concerns, and medicines.
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 can have several causes. 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
Your provider chooses tests based on your history and symptoms. 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
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.
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.
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.
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.
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
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
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. The FDA does not review their safety, effectiveness, or quality before marketing. 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.
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.
