It’s one of the most underserved areas in medicine — women struggling with low libido, vaginal dryness, discomfort during intimacy, or just a lack of desire that can’t be explained away by stress or aging. For far too long, these symptoms have been minimized, dismissed, or wrapped in shame. But at Yoo Direct Health, we’re on a mission to normalize these conversations and offer real, evidence-based solutions.

Because here’s the truth: You don’t have to live with low desire. You don’t have to accept pain or disconnection. You can feel like yourself again — sexually, emotionally, and physically.

Whether you’re in your 20s or 60s, sexual health is a vital sign — and it tells us a lot about your hormones, nervous system, circulation, and emotional health. Hormones are chemicals produced by endocrine glands that regulate many functions in the body. These hormones travel through the bloodstream to reach different organs and tissues, where they exert their effects. If something is “off,” we listen. And then, we dig deeper.

Symptoms We Commonly See in Our Clinic

If you’re not sure what’s “normal” anymore, you’re not alone. These are some of the most common sexual health concerns our patients bring up:

  • Low or absent libido (desire for intimacy feels gone)
  • Difficulty with arousal or “getting in the mood”
  • Pain with penetration (sometimes labeled as vaginismus or dyspareunia)
  • Vaginal dryness or irritation
  • Loss of sensitivity or pleasure, especially post-childbirth or during menopause
  • Inability or decreased ability to orgasm
  • Emotional disconnect from partner or self during intimacy
  • Feeling frustrated or “broken” without knowing why

These symptoms can arise due to hormone fluctuations (like perimenopause or postpartum), which often result from changes in the activity of specific cells within endocrine glands responsible for hormone production. Other causes include stress, trauma, nervous system dysregulation, side effects from birth control or antidepressants, or even past surgical procedures like hysterectomy.

The good news? You are not broken. And you are not alone.

Our Root-Cause Approach to Sexual Wellness

At Yoo Direct Health, we don’t just look at one piece of the puzzle. Sexual wellness is multifactorial, which means your libido and sexual satisfaction are influenced by everything from your hormone levels and neurotransmitters to your blood flow, nervous system, and vaginal tissue health. Hormones control many functions in the body, including those related to sexual wellness, by acting as chemical messengers. They travel through the bloodstream and act on specific tissues to regulate these functions and maintain overall balance.

We use functional medicine testing and a regenerative approach to uncover why you’re not feeling your best — and then we build a custom treatment plan to help restore your vitality, confidence, and connection.

Meet Addyi: A Daily Libido Support Option

For some women, the issue is rooted in brain chemistry. That’s where Addyi (flibanserin) can help.

Addyi is an FDA-approved, non-hormonal medication designed to treat acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women. In simpler terms — it helps boost desire in women who used to have a healthy libido but now feel like it’s disappeared for no clear reason.

How it works:
Addyi acts on serotonin and dopamine — two key neurotransmitters involved in sexual desire. Unlike medications taken “as needed,” Addyi is taken daily and works gradually, with most women seeing improvements in libido and sexual satisfaction around the 60-day mark.

What you need to know:

  • Taken once daily at bedtime
  • Not to be mixed with more than 1 alcoholic beverage (skip your dose if you plan to drink more)
  • Best for premenopausal women experiencing a drop in libido not explained by other medical or psychological conditions

Addyi is just one tool — and for many women, it works best when combined with other treatments that address hormonal, physical, or emotional imbalances.

Other Sexual Wellness Services at Yoo Direct Health

MonaLisa Touch®: Vaginal Rejuvenation Without Surgery

This gentle, in-office CO2 laser treatment helps rebuild the vaginal lining, improving elasticity, hydration, and pH. It’s ideal for women experiencing:

  • Vaginal dryness or itching
  • Painful intercourse
  • Recurrent UTIs
  • Changes after menopause, childbirth, or chemotherapy

Treatments take just a few minutes and typically involve 3 sessions spaced over several weeks, with annual maintenance if desired.

The O-Shot®: PRP for Enhanced Sensation & Function

The O-Shot uses platelet-rich plasma (PRP) from your own blood, injected into specific areas to:

  • Increase sensitivity and arousal
  • Improve lubrication
  • Enhance orgasm intensity and frequency
  • Support tissue regeneration

Similar to therapies that use your own hormones to restore balance and function, the O-Shot utilizes your body’s own platelet-rich plasma to support sexual function.

There’s little to no downtime, and it can be especially helpful for women who feel numb, disconnected, or have difficulty reaching climax.

Peptides for Libido & Connection

Peptides are signaling molecules that can optimize everything from healing to hormone balance. When it comes to sexual wellness, we often use:

  • PT-141: Stimulates arousal and libido via the central nervous system
  • Oxytocin: The “bonding” hormone — supports emotional closeness and orgasm quality

These therapies are often used in combination with hormone therapy or other regenerative treatments.

Ongoing research is expanding our understanding of how peptide therapies can support sexual wellness and hormone balance.

Bioidentical Hormone Replacement Therapy (BHRT)

Hormones like estrogen, progesterone, testosterone, and DHEA play a direct role in sexual function and overall energy. The ovaries are a key endocrine gland involved in hormone production and balance, especially in women. If your hormone levels are off — whether due to menopause, stress, or thyroid dysfunction — your body will feel it. We customize your BHRT plan based on comprehensive lab testing to accurately measure your hormone level and your specific symptoms.

Why Sexual Wellness Matters

This isn’t just about sex. It’s about quality of life. Intimacy is a key part of feeling connected, confident, and alive — and it influences your mental health, your relationships, and even your physical healing. Physical touch and skin-to-skin contact are essential for sexual wellness and emotional connection, enhancing the sensation and authenticity of intimate experiences.

At Yoo Direct Health, we’re not afraid to talk about what matters. We’ll meet you wherever you are, offer a judgment-free space to share your concerns, and walk with you through the options that fit your goals.

Ready to Feel Like Yourself Again?

If you’ve been feeling “off” and unsure what to do about it, you’re not alone — and you don’t have to figure this out by yourself.

Book a consult with us at Yoo Direct Health and start your journey back to feeling whole, connected, and you.

Let’s bring your spark back. Learn more on The Better Yoo Podcast!