SEXUAL WELLNESS
Private care. Thoughtful evaluation. Individualized options.
Changes in desire, function, comfort, arousal, or sexual confidence can have many contributing factors and may be difficult to discuss.
VECTOR approaches sexual wellness for adult women and men with privacy, respect, and medical professionalism. We begin with what you are experiencing—not with an assumed treatment.
Sexual health is health
Changes in desire, comfort or function are worth talking about.
Changes may be common, but they do not have to be dismissed as simply aging. The goal is to identify relevant factors when possible and discuss options based on your health, priorities, and goals.
Concerns we can discuss
Start with what you're experiencing.
FOR WOMEN
FOR MEN
Changes in desire, arousal, sensation, vaginal comfort or dryness, pain with intimacy (dyspareunia), genitourinary syndrome of menopause, and concerns associated with perimenopause or menopause.
Erectile difficulties (ED), premature ejaculation, changes in desire, performance, function, or concerns involving testosterone and other health factors.
Looking beyond a single symptom
Sexual wellness can reflect the broader health picture.
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Hormonal health and life stage
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Cardiovascular and metabolic health
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Medications and medical conditions
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Sleep, activity, nutrition, tobacco, alcohol, and stress
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Emotional well-being and relationships
Because factors often overlap, recommendations begin with the broader picture rather than working backward from a procedure or prescription.
Individualized treatment options
There isn't one sexual wellness treatment.
Depending on the evaluation, options may include medical therapy, hormone management, platelet-based approaches, supportive care, lifestyle recommendations, or referral. Prescription treatment for erectile dysfunction may be considered after reviewing cardiovascular health, medications, prior treatment, and goals.
Platelet-based treatments may be considered for selected concerns, but evidence and expected benefits vary. They cannot guarantee changes in function, sensation, desire, performance, or intimacy.
When another specialist is appropriate
Referral is part of good care.
Some concerns may benefit from pelvic-floor physical therapy, gynecologic or urologic evaluation, mental-health or relationship support, or another clinician.
THE PROCESS
What to Expect
01
CONSULTATION
Discuss what changed, relevant history, medications, prior treatment, and goals.
02
EVALUATION
Consider contributing factors and determine whether examination or testing is appropriate.
03
OPTIONS
Review potential benefits, limitations, risks, alternatives, and evidence.
04
PLAN
Choose an individualized approach with follow-up when needed.
YOUR QUESTIONS
Frequently Asked Questions
Is it normal for sexual function or desire to change over time?
Changes can occur with aging, hormonal transitions, health conditions, medications, stress, relationship factors, and other circumstances. A change may be common without being something you simply have to ignore. Evaluation can help identify factors that may be contributing.
Do sexual health concerns always mean there is a hormone problem?
No. Hormones are one possible contributor, but sexual wellness can also be influenced by cardiovascular and metabolic health, medications, neurologic conditions, emotional well-being, sleep, lifestyle, relationships, and other factors.
Does VECTOR treat both women and men?
Yes. VECTOR provides individualized sexual wellness evaluation and care for adult women and men.
Will I need an examination or laboratory testing?
That depends on your concern and medical history. Examination or testing may be recommended when it can help clarify contributing factors or guide treatment.
Does VECTOR treat erectile dysfunction?
Yes. Erectile concerns can be evaluated medically, including consideration of medications, hormonal factors, cardiovascular and metabolic health, and other potential contributors. Treatment depends on the individual evaluation.
Does VECTOR offer PRP for sexual wellness?
Platelet-based regenerative treatments may be considered for selected patients. Whether treatment is appropriate depends on the concern, available evidence, health history, goals, and individual clinical assessment.
Will treatment improve sexual function or sensation?
Outcomes vary based on the cause of the concern, treatment selected, overall health, and individual response. No treatment can guarantee improvement in sexual function, sensation, desire, performance, or intimacy.
Do I need a concierge membership for sexual wellness care?
No. Sexual wellness services are available separately from VECTOR's concierge medicine membership.
Can I talk about this without it being awkward?
Yes. These conversations are routine here, and they start with what you’re experiencing rather than with an assumed treatment.
What can be done about low libido?
It depends what’s contributing. Options may include hormone management, medical therapy, medication review or other factors — discussed after an evaluation, not before one.
Is ED always about testosterone?
No. Cardiovascular health, medications, sleep, stress and other factors can contribute, which is why evaluation comes before any prescription.
Sex hurts — what would you look at?
Pain with intimacy (dyspareunia) has several possible contributors, including vaginal comfort or dryness and changes associated with perimenopause or menopause. Evaluation starts there.
Is this confidential?
Your care is handled under the same privacy protections as the rest of your medical record, and communication runs through the patient portal rather than ordinary email.
RELATED SERVICES
Explore Related Care
Individualized hormone care when clinically appropriate.
Evidence-informed platelet-based care for selected uses.
Care supporting broader metabolic health.