Sexual Medicine — Love Your Best
Intimacy Is Part of Your Health. It Deserves Real Care.
Sexual health is deeply connected to your hormones, circulation, and overall wellbeing. We offer compassionate, medically-grounded, and completely discreet care for both men and women.
Confidential & judgment-free
Many patients say this was the first time they truly felt heard about these concerns.
Full Prescriptive Capability
As a Board Certified MD, Dr. Katherine Robb-Ramirez can prescribe medications, perform injections, and carry out procedures that fall outside the scope of many wellness clinics.
Prescription + Regenerative — Both, Not Either/Or
We combine prescription support when appropriate with PRP and regenerative procedures for synergistic results.
For Women: Restore Comfort, Confidence & Connection
Female Sexual Dysfunction
Decreased libido, difficulty with arousal, painful intercourse — we address root causes through hormone optimization, PRP, and targeted protocols.
Urinary Incontinence
PRP therapy can significantly improve both stress and urge urinary incontinence — without surgery.
PRP Rejuvenation (O-Shot)
Using your own blood's growth factors, PRP injections regenerate tissue, improve sensation, restore lubrication, and enhance sexual response.
Bioidentical Hormone Optimization
Estrogen, progesterone, and testosterone restoration dramatically improves libido, mood, vaginal health, and overall vitality.
For Men: Reclaim Performance, Confidence & Vitality
P-Shot (Priapus Shot)
PRP injection for erectile dysfunction (ED) — to regenerate tissue, improve blood flow, enhance sensitivity, and restore function.
Shockwave Therapy for ED
Low-intensity acoustic wave therapy stimulates new blood vessel formation and tissue repair to address the vascular causes of erectile dysfunction directly.
Combined Shockwave + P-Shot
Our most comprehensive protocol pairs shockwave therapy with P-Shot PRP for synergistic results.
Testosterone Optimization
Low testosterone contributes to ED, reduced libido, fatigue, and mood changes. We assess and restore your hormonal health.
Discrete ED Medication Prescriptions
Discrete prescription of medications for erectile dysfunction — because sometimes regenerative and prescription approaches work best together.
Sexual Health Is a Window Into Your Overall Health
- Poor circulation & cardiovascular risk often manifest first in sexual function
- Hormonal imbalances in estrogen, progesterone, and testosterone drive most sexual dysfunction
- Chronic inflammation suppresses libido and impairs tissue health
- Stress, gut health, and metabolic dysfunction all affect sexual response
- Fertility is dropping — studies correlate this with microplastic deposits in the testes and ovarian follicular fluid, associated with menstrual cycle changes, reduced ovarian weight, and impaired reproductive potential
- Brain health and stress disrupt hormone balance, alter neurotransmitters, and affect attention, arousal, mood, libido, and emotional bonding
We treat the cause, not just the complaint. Our integrated approach combines functional medicine evaluation with regenerative procedures.
Sexual Health Starts with Overall Health
Poor circulation and cardiovascular risk often manifest first in sexual function. Hormonal imbalances drive most sexual dysfunction. Chronic inflammation suppresses libido and impairs tissue health. Recent studies also link microplastic exposure to declining fertility, and brain health and chronic stress directly disrupt the hormones and neurotransmitters that drive sexual response.
That's why treating only the symptom — with a pill or a single procedure — rarely produces lasting results. Our integrated approach combines functional medicine evaluation with regenerative procedures.
Book a Confidential ConsultationWhat to Expect
A private, unhurried discussion of your concerns, health history, and goals.
Advanced lab work assessing sex hormones, cardiovascular markers, inflammatory status, and metabolic health.
Your custom protocol may include hormone optimization, PRP injections, shockwave therapy, or prescription support.
Follow-up visits to assess response, adjust protocols, and sustain your results.
Frequently Asked Questions
Is this embarrassing to discuss?
Our practice is specifically designed to create a professional, comfortable, and completely judgment-free environment.
Does PRP really work for sexual health?
Clinical evidence supports PRP therapy for both female sexual dysfunction and male erectile dysfunction.
How many treatments are needed?
Most protocols involve 3–6 sessions depending on the condition and your response.
Can I combine sexual medicine with functional medicine care?
Absolutely — and we strongly recommend it. Hormonal imbalance, gut health, metabolic dysfunction, and chronic stress all affect sexual health.
Is this covered by insurance?
We are cash-pay only and do not bill insurance. Many treatments are eligible for FSA/HSA reimbursement.