Common concerns

Sexual health encompasses a broad range of physical and emotional factors. Some of the most common concerns patients bring to their clinicians include:

• Changes in sexual desire or drive — Fluctuations in libido are common and can be influenced by stress, hormonal changes, relationship factors, medications, and underlying health conditions.
• Pain during sex — Dyspareunia (painful intercourse) in people of any gender can have multiple causes including skin conditions, hormonal changes, pelvic floor dysfunction, or infection. A clinician evaluation is needed to identify the cause.
• Concerns about STI risk or screening — Regular STI testing is a normal part of sexual health care. Our clinicians can order testing and discuss results.
• Vaginal dryness or atrophy — Common during and after menopause, these symptoms are often treatable with localized therapies. A clinician can review options appropriate to your health history.
• Ejaculation concerns — Premature or delayed ejaculation are common and generally treatable. Causes vary; clinical evaluation is the appropriate starting point.

This list is not exhaustive. If you have a concern about your sexual health that isn't listed here, a clinician visit is the right starting point — there's no reason to avoid seeking care because a topic feels uncomfortable.

What we offer

Our clinicians provide evaluation and evidence-based guidance for sexual health concerns. What a visit looks like:

• A thorough clinical history and review of symptoms
• Discussion of relevant medical and medication history that may be contributing
• Where appropriate, laboratory evaluation (hormone levels, infection screening, etc.)
• Evidence-based treatment options with a clear discussion of benefits and limitations
• Referral to specialists when the concern is outside the scope of telehealth care

What we do not do: we do not market unproven hormone-optimization protocols or make performance guarantees. Sexual health treatment decisions depend entirely on a patient's individual clinical picture — there is no one-size-fits-all solution, and any clinician or service that claims otherwise is not serving you well.

When to seek care

Consider scheduling a visit if you have a new or changed symptom that has lasted more than a few weeks, if you have concerns about STI exposure, if medications or a recent health change may be affecting your sexual health, or simply if you have questions you haven't had a good opportunity to discuss with a clinician. Sexual health care is a routine part of comprehensive medical care.

If you are experiencing symptoms that may indicate an acute infection, significant pain, or a change that needs urgent evaluation, do not wait — contact a clinician promptly or seek care at an urgent care or emergency facility if needed.