Changes in desire, comfort, and intimacy aren't inevitable — they're often hormonal. After Menopause, Low Libido Affects up to 1 in 2 Women. Xena Health addresses sexual wellness as a core part of whole-woman health, not an afterthought. We'll talk about what's actually going on, and we'll have real solutions.
Everything discussed in your appointment is completely confidential. There is nothing to be embarrassed about — we hear these concerns every day and we treat them directly.
Sexual health challenges in midlife are difficult to deal with. The range of emotions often lead to a conclusion that something is wrong with your relationship. They could all be hormonal. Declining estrogen, progesterone, and testosterone directly impact every aspect of sexual experience — desire, arousal, sensation, lubrication, and comfort.
Learn How HRT Addresses These Root CausesNone of these are rare. None of them are untreatable. And none of them require you to just live with it.
The most common sexual complaint in menopausal women — and the most directly linked to testosterone deficiency. Low-dose testosterone therapy is highly effective.
Genitourinary Syndrome of Menopause (GSM) affects more than half of menopausal women and is almost never discussed. Localized estrogen and EmFemme treatments address tissue health directly and effectively.
Orgasmic changes during menopause are driven by reduced blood flow, tissue changes, and hormonal shifts — all addressable. This is more common than most women realize and rarely discussed openly with providers.
We don't tell patients to use more lubricant and work on communication. We find the hormonal root cause and address it directly.
The most evidence-supported treatment for low libido in women. Low-dose testosterone — typically via cream or gel — addresses the hormonal root cause of lost desire, energy, and sexual motivation.
Most effective for low libidoVaginal estrogen — cream, ring, or suppository — directly restores the tissue health that declines with estrogen loss. Dramatically reduces dryness, painful intercourse, and urinary symptoms. Very low systemic absorption; safe for most women, including many with breast cancer history.
GSM · Dryness · Pain with intercourseA non-invasive in-office treatment using radiofrequency energy to restore vaginal tissue health, improve lubrication, and enhance sensation. Performed in 30 minutes, no downtime, no discomfort. Excellent complement to hormonal therapy for women dealing with tissue-related changes.
Non-invasive · In-office · 30 minIn many cases, addressing overall hormonal balance — estrogen, progesterone, and testosterone together — resolves sexual health concerns as part of a broader improvement in how a woman feels day to day. Sexual wellness isn't siloed from the rest of menopause care at Xena Health.
Comprehensive hormonal approach