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Sexual Wellness

Sexual wellness is an important aspect of overall health and well-being. Sexual wellness encompasses physical, emotional, and mental aspects of sexuality, including sexual pleasure, intimacy, communication, reproductive health, and sexual health. Maintaining sexual wellness can contribute to a better quality of life, improved relationships, and other health problems. We can discuss medical options with you to improve sexual dysfunctions such as erectile dysfunction, low libido, and vaginal dryness.

For Men

Options for Men

Sexual wellness for men encompasses both a physical aspect and sexual desire. The physical aspect, Erectile dysfunction (ED) can have a significant impact on sexual wellness. ED refers to the inability to achieve or maintain an erection sufficient for sexual intercourse. It can lead to feelings of frustration, lowered self-esteem, and anxiety, affecting both the individual experiencing it and their partner. ED can strain relationships and intimacy, leading to decreased sexual satisfaction and overall quality of life. It may also cause psychological distress, such as depression or performance anxiety. Seeking appropriate treatment options can help address the underlying causes of ED and improve sexual wellness, enhancing both physical and emotional intimacy. Low libido or diminished sexual desire may cause feelings of frustration, decreased self-esteem, and even emotional distress. It is important to address the underlying causes of low libido. This can range from hormonal imbalances and medication side effects to stress and relationship issues. We have options for you!

Testosterone Replacement Therapy

Testosterone plays a crucial role in male sexual health and can have a positive impact on libido. Increased levels of testosterone in the body can enhance sexual desire and improve overall sexual function. Testosterone helps stimulate the production of nitric oxide, which promotes blood flow to the genital area, leading to stronger and more sustained erections. It also influences brain chemistry, enhancing mood and reducing feelings of fatigue or depression that may hinder sexual desire. Additionally, testosterone can contribute to increased energy levels and overall vitality, which can further enhance sexual performance and satisfaction.

Phosphodiesterase type 5 Inhibitors

Sildenafil: Commonly known by its brand name Viagra, is a medication primarily used to treat erectile dysfunction (ED) in men. It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors, which work by increasing blood flow to the penis during sexual stimulation. This improved blood circulation helps men achieve and maintain an erection. Sildenafil is usually taken about an hour before sex. It does not need to be taken daily, only as needed.

Tadalafil: Commonly known by its brand name Cialis, is also a PDE5 inhibitor and is used to treat erectile dysfunction. Like sildenafil, tadalafil works by increasing blood flow to the penis during sexual stimulation, helping men achieve and maintain an erection. Tadalafil has a faster onset of action, approximately 30-60 minutes and a longer duration of action, which can last up to 36 hours. Tadalafil can be taken daily or as needed.

Apomorphine: This is a medication that has been used for various medical purposes, including the treatment of erectile dysfunction and Parkinson’s disease. It acts as a dopamine agonist, meaning it stimulates certain dopamine receptors in the brain. In the context of erectile dysfunction, apomorphine can help improve sexual function by increasing blood flow to the penis and enhancing sexual arousal. It is typically administered as a sublingual tablet or as an injection.

Penile Injection Therapy

Penile injections, also known as intracavernosal injections, are a treatment option for erectile dysfunction (ED) when oral medications or other therapies have not been successful. This method involves injecting medication directly into the base or side of the penis using a fine needle. These injections can produce an erection within minutes and are typically effective for up to an hour. While penile injections can be an effective solution for some men, they do require proper training and guidance to ensure correct administration and minimize potential complications or side effects.

3 Different Types:

  1. Bimix Penile Injection: Bimix is composed of two components, Papaverine and Phentolamine Mesylate. Men who are candidates for Bimix injection, compared to Trimix, are those men who are very sensitive to low doses of Trimix.
  2. Trimix Penile Injection: Trimix is a combination of three drugs: alprostadil, papaverine, and phentolamine. Alprostadil is a vasodilator that helps relax and expand blood vessels, papaverine is a smooth muscle relaxant, and phentolamine is an alpha-blocker that helps improve blood flow to the penis. When these drugs are combined, they work synergistically to increase blood flow and promote the ability to achieve and maintain an erection.
  3. Quadmix Penile Injection: Quad Mix has the same components as Trimix with the addition of atropine sulfate. Atropine sulfate provides further smooth muscle relaxation in combination with the other three components of trimix. Quad Mix is a great option for men who fail Trimix and have achieved the maximum dosage. 
Oxytocin

Oxytocin, often referred to as the “love hormone,” is a naturally occurring hormone in the body that plays a role in social bonding, trust, and intimacy. While oxytocin is primarily associated with childbirth and breastfeeding, there is some research suggesting its potential influence on sexual desire and libido. Oxytocin has been found to enhance feelings of intimacy, emotional connection, and overall sexual satisfaction. It may also help reduce anxiety and stress, which can positively impact sexual function. However, it’s important to note that the use of oxytocin specifically for boosting libido is still an area of ongoing research, and its effectiveness may vary between individuals. Oxytocin is typically administered as a nasal spray or injection.

PT-141

Also known as Bremelanotide, is a synthetic peptide that has garnered attention for its potential benefits in improving sexual function and treating sexual disorders. It works by activating melanocortin receptors in the brain, stimulating the release of neurotransmitters involved in sexual arousal and desire. PT-141 has shown promise in clinical trials for both men and women with various forms of sexual dysfunction, including erectile dysfunction and hypoactive sexual desire disorder. It has been reported to enhance sexual desire, increase genital arousal, and improve overall sexual satisfaction. Unlike traditional medications for sexual dysfunction, PT-141 does not rely on hormonal pathways and can be effective even when other treatments have failed.

For Women

Options For Women

Sexual dysfunction in women refers to persistent difficulties or challenges in experiencing sexual desire, arousal, orgasm, or satisfaction. It can have various causes, including physical, hormonal, psychological, or relational factors. Common types of sexual dysfunction in women include female sexual interest/arousal disorder, female orgasmic disorder, and genito-pelvic pain/penetration disorder. Sexual dysfunction can significantly impact a woman’s sexual wellness, leading to feelings of frustration, decreased self-esteem, and strained relationships. It may also result in emotional distress, anxiety, or depression. At Total Health by MD, we can provide guidance and support in managing and addressing the underlying causes of sexual dysfunction in women, leading to improved sexual well-being and overall quality of life.

Bioidentical Hormone Replacement Therapy

Can help improve sexual dysfunction by addressing hormonal imbalances that may contribute to decreased sexual desire, vaginal dryness, and discomfort during intercourse. Estrogen, progesterone, and testosterone are commonly used in BHRT for women. Estrogen helps restore vaginal tissue health, improving lubrication and reducing vaginal dryness. Progesterone can help balance estrogen levels and regulate menstrual cycles, which can indirectly enhance sexual function. Testosterone, although typically present in lower levels in women, also plays a role in sexual desire and arousal. Supplementing with bioidentical testosterone may improve libido and sexual satisfaction. BHRT is individualized based on each woman’s needs and may involve creams, gels, patches, or pellets. Let’s get your hormones tested today!

Feminine Arousal Cream

Also known as “scream cream,” is a topical product designed to enhance sexual arousal and pleasure in women. It typically contains a combination of ingredients such as vasodilators, local anesthetics, and natural botanical extracts. When applied to the genital area, scream cream may increase blood flow to the region, leading to heightened sensitivity and improved sexual response. Some formulations may also provide a warming or tingling sensation to enhance sensation. Scream cream is intended to be used before sexual activity and may help address issues like decreased libido, difficulty achieving orgasm, or general sexual dissatisfaction.

Oxytocin

Often referred to as the “love hormone,” is a naturally occurring hormone in the body that plays a role in social bonding, trust, and intimacy. While oxytocin is primarily associated with childbirth and breastfeeding, there is some research suggesting its potential influence on sexual desire and libido. Oxytocin has been found to enhance feelings of intimacy, emotional connection, and overall sexual satisfaction. It may also help reduce anxiety and stress, which can positively impact sexual function. However, it’s important to note that the use of oxytocin specifically for boosting libido is still an area of ongoing research, and its effectiveness may vary between individuals. Oxytocin is typically administered as a nasal spray or injection.

PT-141

Also known as Bremelanotide, is a synthetic peptide that has garnered attention for its potential benefits in improving sexual function and treating sexual disorders. It works by activating melanocortin receptors in the brain, stimulating the release of neurotransmitters involved in sexual arousal and desire. PT-141 has shown promise in clinical trials for both men and women with various forms of sexual dysfunction, including erectile dysfunction and hypoactive sexual desire disorder. It has been reported to enhance sexual desire, increase genital arousal, and improve overall sexual satisfaction. Unlike traditional medications for sexual dysfunction, PT-141 does not rely on hormonal pathways and can be effective even when other treatments have failed.