Sexual Health Care in Hanover, Maryland
A thoughtful evaluation of the changes affecting desire, function, and comfort.
Sexual concerns can be difficult to bring up, but they deserve careful medical attention. At the Institute for Human Optimization, we evaluate concerns such as erectile dysfunction, low libido, painful sex, vaginal dryness, and changes during perimenopause or menopause. Anil Bajnath, MD, considers your symptoms, medical history, medications, hormones, metabolic health, and personal goals before discussing appropriate options.
Private, one-on-one care
Changes in erection quality, desire, or sexual confidence can have several contributing factors. A medical evaluation can help identify concerns that may be related to cardiovascular health, diabetes, medications, hormones, sleep, stress, or other conditions.
Erectile dysfunction, or ED, is persistent difficulty getting or keeping an erection sufficient for sexual activity. Blood vessel health, neurologic conditions, medication effects, psychological factors, and hormonal conditions may all play a role. ED can also be a reason to assess broader cardiovascular risk.
We discuss when the change began, how often it occurs, your medical history, medications, and other symptoms. A physical examination and selected laboratory testing may be recommended based on your history.
Depending on the findings, care may include changes to relevant health risks, prescription ED medication, treatment of a confirmed hormonal condition, or referral for additional evaluation. We can also discuss services such as shockwave therapy or platelet rich plasma injections, including the current evidence, costs, and uncertainties, if you are interested.
If erection difficulties persist, recur, or cause concern, a medical evaluation can help identify possible contributors and treatment options.
No. Testosterone is one possible factor. Circulation, medications, metabolic health, stress, and other conditions may also contribute.
It can be. Erectile dysfunction may be a marker of underlying cardiovascular risk, which is one reason to discuss persistent symptoms with a clinician.
Treatment depends on your health history, preferences, possible causes, and whether a particular option is safe and appropriate for you.
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Changes in desire, arousal, vaginal comfort, or pain with sex can occur at different stages of life. Pregnancy, breastfeeding, perimenopause, menopause, medication effects, stress, and relationship factors may all be relevant. We begin by listening to what has changed and what matters to you.
Desire varies from person to person and can change over time. If a change is persistent or distressing, we review your health history, symptoms, medications, sleep, mood, and relationship context to consider possible contributors.
Vaginal dryness and painful sex are common concerns during and after menopause, although they can have other causes. An evaluation can help determine whether local treatment, pelvic health care, or another approach is appropriate.
Depending on the cause, options may include vaginal moisturizers or lubricants, prescription local therapy, selected systemic treatment, changes to medications, pelvic floor care, or referral to another specialist. We discuss the expected benefits, risks, and alternatives before choosing a plan.
Desire can change with health, life circumstances, medications, and hormonal transitions. You can seek care whenever a change is concerning to you.
Yes. Hormonal changes can contribute to vaginal dryness and pain with sex. Effective treatment options are available, depending on your circumstances.
No. Your options depend on the symptoms being treated, your medical history, and your preferences. Hormonal and nonhormonal approaches can be discussed.
Postpartum changes can involve hormones, breastfeeding, healing, pelvic floor function, sleep, and stress. An evaluation can help identify what may be contributing.
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Learn more about the evaluations and services that may be discussed as part of an individualized sexual health plan.
Evaluation of erectile concerns, low libido, hormones, and related health factors.
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Individualized hormone evaluation and treatment when clinically appropriate.
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Learn about available procedures and the evidence and uncertainties around their use.
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Review the procedure, current evidence, potential risks, and other ED options.
Learn moreSchedule a consultation with Anil Bajnath, MD, at the Institute for Human Optimization in Hanover, Maryland. We’ll listen to your concerns, review your health history, and discuss options that fit your goals.
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