Sexual concerns are common among women as hormone levels naturally decline with age, particularly during perimenopause and menopause. These issues can significantly impact intimacy, relationships, and overall well-being, but effective, personalized treatments are available to restore confidence and vitality.
At MD Total Wellness in Brea, CA, we offer personalized bioidentical hormone therapy (BHR) along with advanced sexual wellness options like pelvic floor strengthening, vaginal rejuvenation, and peptide therapy. Led by Allison Mollet, PA-C, a certified menopause provider, our team is dedicated to helping you reclaim a fulfilling sex life. Schedule a free consultation today to discuss your concerns and explore solutions.
Sexual concerns are highly prevalent, especially among women experiencing hormonal shifts. Studies indicate that up to 40-55% of menopausal women report low sexual desire, with many also facing issues like poor lubrication and reduced satisfaction (Scavello et al., 2019). At MD Total Wellness, nearly all women presenting with perimenopause or menopause symptoms also describe accompanying sexual complaints, highlighting how intertwined these changes can be (Thornton et al., 2015). Addressing these early can improve quality of life and prevent further distress.
Women may experience a variety of symptoms that affect sexual health:
These symptoms often align with specific diagnoses:
Trouble reaching orgasm, leading to frustration.
(Heidari et al., 2019; Faubion et al., 2015).
These concerns frequently arise from hormonal imbalances. Declining estrogen, progesterone, and testosterone during perimenopause and menopause reduce vaginal lubrication, thin tissues, weaken pelvic muscles, and diminish desire and arousal (Wasnik et al., 2023; Anastasiadis et al., 2002). For instance, low estrogen contributes to GSM, causing pain and dryness, while testosterone deficiency often underlies HSDD and reduced libido (Pachano Pesantez & Clayton, 2021).
Trauma from childbirth, such as episiotomies, tears, or prolonged labor, can weaken pelvic floor muscles, leading to incontinence, pain, and orgasm difficulties (Rupp et al., 2013). Psychological factors like stress or relationship issues may exacerbate symptoms, but physical changes are primary drivers (Preda, 2023). Early recognition of these links allows for targeted interventions.
At MD Total Wellness, we emphasize evidence-based treatments to address root causes and restore function. Options include:
BHR uses hormones identical to those produced by the body to replenish estrogen, progesterone, and testosterone. It effectively alleviates GSM symptoms, boosts libido, improves arousal, and enhances orgasm by restoring tissue health and hormonal balance (Liu et al., 2022; Meziou et al., 2023). Studies show significant improvements in sexual function when initiated timely, with a favorable safety profile (Files et al., 2011). BHR is ideal for women with hormone-related symptoms and can be customized via creams, pellets, injections or patches.
Emsella is a non-invasive chair-based treatment using high-intensity focused electromagnetic (HIFEM) technology to stimulate thousands of pelvic floor contractions per session. It strengthens muscles weakened by childbirth or aging, reducing pain, improving orgasm intensity, and enhancing overall sexual satisfaction (Silantyeva et al., 2021; Elgayar, 2024). Clinical data indicate up to 86% improvement in urinary issues and sexual function, making it suitable for postpartum recovery or menopausal changes.
Emfemme 360 employs 360° radiofrequency energy to heat vaginal tissues, promoting collagen production and improving elasticity, tone, tightness, lubrication, and sensation. It effectively treats dyspareunia and GSM, with studies showing reduced pain and enhanced sexual function lasting up to 12 months (Aznar & Molina, 2022; Wattanakrai et al., 2022). This quick, painless procedure is recommended for women experiencing dryness or laxity.
PT-141 is a melanocortin agonist administered via injection to stimulate brain pathways for desire and arousal, bypassing hormonal systems. It’s FDA-approved for HSDD in premenopausal women, with trials demonstrating increased satisfying sexual events and reduced distress (Edinoff et al., 2022; Simon et al., 2019). Ideal for those with low desire unresponsive to hormones, it’s used as-needed for natural enhancement.
Beyond these, options like sex therapy, mindfulness-based interventions, or lubricants can complement treatments, addressing psychological aspects or providing immediate relief (Shifren et al., 2008; Mayo Clinic, 2024).
Emsella® offers a proactive, non-invasive way to prepare for prostate surgery, minimizing incontinence and sexual side effects through pre-op strengthening, and treating complications post-op for faster, fuller recovery. By addressing muscle weakness directly, it enhances continence, erectile function, and quality of life—benefits supported by pelvic floor research.16 Early intervention is key; don’t let side effects linger.
Contact us at (714) 671-2005 or submit a contact form to schedule a consult..
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