Sexual Health • Institute for Human Optimization
SEXUAL HEALTH
Gain confidence with peak sexual health.
Sexual health is a reflection of your overall well-being. At the Institute for Human Optimization, we approach intimacy, desire, and performance with the same depth and precision that we bring to longevity and metabolic health. Whether you are navigating erectile dysfunction, low libido, perimenopause, or changes after childbirth, our goal is to help you understand what shifted and guide you back to feeling like yourself.
Men’s Sexual Health
Sexual performance is often the first place men notice that something has changed. Erections may feel weaker, desire may drop, or confidence does not match the demands of life. These patterns are not random. They reflect shifts in blood flow, hormones, stress, sleep, and metabolic health.
What causes erectile dysfunction
Erectile dysfunction is usually driven by more than one factor. Common contributors include reduced blood flow, hormonal changes, insulin resistance, nerve sensitivity, medication side effects, and chronic stress or performance anxiety. Understanding which of these apply to you is the foundation of effective treatment.
Signs you may be experiencing ED
You may be experiencing ED if erections are harder to achieve or maintain, if morning erections occur less often, or if you begin to avoid intimacy because you are uncertain how your body will respond. Many men also notice changes in desire or a disconnect between mental interest and physical performance.
Treatment options
At the Institute for Human Optimization, treatment is built around objective data and your specific goals. Plans may include advanced lab testing, individualized ED medications, testosterone optimization when appropriate, shockwave therapy, regenerative injections such as the P Shot, peptide support, and focused strategies for sleep, stress, and recovery. The goal is to address the systems behind performance, not just the symptoms in the moment.
Improving your sex life
When we support the physiology behind erections, desire, and stamina, the result is more confidence, more predictable performance, and a sex life that complements the way you want to live and lead.
Men’s Sexual Health FAQ
Erectile dysfunction is the ongoing difficulty getting or keeping an erection firm enough for sex. Occasional changes are common. When it becomes persistent, it is worth evaluating.
ED can be related to blood flow, hormones, neurologic function, metabolic health, medications, stress, or a combination of these. It often reflects broader cardiovascular or metabolic patterns.
If changes in erection quality or reliability are persistent and different from your prior baseline, and if it affects your confidence or intimacy, a structured men’s health evaluation is appropriate.
Duration depends on the cause. Stress-related ED may improve quickly with targeted changes. Vascular or hormonal contributors often require a more comprehensive and ongoing approach.
ED is very common and increases with age and with cardiometabolic risk factors. Many men do not talk about it, which can make it feel more isolating than it needs to be.
Diagnosis includes a detailed history, review of medications, physical exam when appropriate, and targeted lab testing to understand hormones, cardiometabolic risk, and inflammation.
The best treatment is the one that fits your physiology and goals. That is why we personalize every plan rather than relying on a single medication or protocol.
Women’s Sexual Health
Desire, arousal, and comfort change across seasons of life. Hormones, mental load, sleep, pregnancy, breastfeeding, perimenopause, and medications all influence how sex feels. When libido, comfort, or connection shift, you deserve an explanation and a plan, not dismissal.
Let’s talk libido
Libido often changes in response to stress, hormone patterns, energy, and relationship context. Rather than labeling it as a problem, we use it as information. We start by listening to what feels different and what you would like your experience to be now.
You deserve a great sex life
A healthy sex life can mean feeling more comfortable in your body, less pain, more ease with arousal, and the ability to be present without pressure. Our role is to help you move toward that in a way that feels safe and aligned with your values.
Therapies we may use
At the Institute for Human Optimization, your plan may include hormonal and non-hormonal prescriptions, supplements, and regenerative therapies to support tissue quality, lubrication, sensitivity, and comfort. We consider where you are in your hormonal and reproductive life and design care around that context.
- Hormonal prescriptions: bioidentical estrogen, progesterone, and testosterone when clinically appropriate.
- Non-hormonal prescriptions: options that support desire, arousal, or reduce pain when hormones are not preferred or are contraindicated.
- Supplements: targeted support for libido, stress resilience, mitochondria, and mood.
- Regenerative therapies: PRP-based vaginal or vulvar treatments to support lubrication, sensitivity, and tissue integrity.
Support for perimenopause, menopause, and low libido
Perimenopause and menopause can shift desire, lubrication, sleep, and mood. We help you understand these changes and create a plan that may include hormone therapy, local treatments, regenerative support, and pelvic health collaboration when needed. Low libido is multifactorial. Together we identify your most important drivers and address them step by step.
Women’s Sexual Health FAQ
Yes. Libido often shifts with stress, hormone fluctuations, major life events, and the demands of work, parenting, and relationships. Persistent or distressing changes deserve thoughtful evaluation.
In some women, carefully prescribed hormone therapy can support libido, comfort, and mood. Whether hormones are a good option depends on your history, risk profile, and goals.
There are non-hormonal medications, supplements, and regenerative options that can support desire, arousal, and comfort. We work within your preferences and medical needs.
PRP-based regenerative approaches and local therapies can help support lubrication, sensitivity, and tissue health for some women. We review risks, benefits, and alternatives before proceeding.
It is rarely too late to improve comfort, lubrication, or sexual confidence. Many women experience meaningful improvements with the right combination of therapies and support.
Yes. We consider hormones, metabolism, nervous system regulation, mental load, and relationship context because all of these influence sexual health.
Therapies That Support Sexual Health
Explore the services at the Institute for Human Optimization that most often support sexual performance, libido, and long-term vitality.
Hormone Optimization
Personalized hormone therapy for men and women to support libido, energy, mood, and long-term health.
Regenerative Medicine
Biologic and PRP-based therapies that support tissue repair, sensitivity, vascular health, and performance.
Men’s Sexual Health Programs
Comprehensive evaluation and treatment for erectile dysfunction, low libido, and high-performance longevity.
Peptide Therapy
Targeted peptide protocols that support nitric oxide production, recovery, body composition, and sexual performance.
P-Shot
PRP-based penile injections designed to support blood flow, sensitivity, and erectile function in the right candidates.
O-Shot
Regenerative PRP therapy for women to support lubrication, sensitivity, comfort, and sexual confidence.
Why Sexual Health Matters More Than You Think
Sexual health is one of the most honest reflections of your overall physiology. Changes in desire, arousal, erection quality, comfort, or connection rarely happen in isolation. They’re often early signals of shifts in hormones, blood flow, metabolic health, nervous system regulation, stress load, and sleep quality.
At the Institute for Human Optimization, we don’t treat sexual health as a symptom to silence. We treat it as meaningful information — a starting point for understanding your biology more deeply, restoring confidence, and rebuilding connection in the ways that matter most to you.
When we address sexual health with precision and compassion, the result isn’t just better intimacy. It’s better energy, better sleep, better relationships, and a renewed sense of feeling like yourself again.
Private • Discreet • Physician-Led
Your sexual health deserves more than a quick fix.
If you’re noticing changes in desire, performance, comfort, or confidence, you don’t have to guess what’s happening. At the Institute for Human Optimization, we combine data, experience, and discretion to help you understand the “why” and move toward feeling like yourself again.
Serving patients in Maryland and across the United States via telemedicine/virtual visits.
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