Sexual Health

Introduction: Why Sexual Health Needs an Integrative Approach

Sexual health is a vital component of overall wellness—but often misunderstood or overlooked. At Patients Medical in New York City, we go beyond pills and quick fixes. Our integrative approach combines functional medicine, holistic therapies, and advanced diagnostics to uncover the root causes of sexual dysfunction, fatigue, hormonal imbalance, or loss of libido.

We treat the whole person—physically, emotionally, and hormonally—to restore intimacy, confidence, and vitality.

What Is Sexual Dysfunction?

Sexual dysfunction refers to persistent problems during any phase of the sexual response cycle—desire, arousal, orgasm, or resolution—that prevent satisfaction.

Common Conditions We Treat Include:

  • Erectile dysfunction (ED)Low libido in men and women
  • Painful intercourse (dyspareunia)
  • Vaginal dryness or atrophy
  • Premature ejaculation
  • Difficulty achieving orgasm
  • Hormonal imbalances affecting sexual desire
  • Low testosterone (Low-T) or estrogen levels

Whether the cause is hormonal, neurological, vascular, or emotional, we personalize every treatment plan.

Common Symptoms of Sexual Health Imbalance

If you’re experiencing any of the above, it’s not “just aging.” It’s a signal worth investigating.

Root Causes: Why Did This Happen?

Our functional medicine model focuses on identifying why sexual symptoms develop—not just suppressing them. Some common contributors include:

  • Hormonal imbalances (testosterone, estrogen, DHEA, cortisol, thyroid)
  • Stress and adrenal fatigue affecting libido and stamina
  • Nutrient deficiencies like zinc, magnesium, B vitamins
  • Chronic inflammation or autoimmune issues
  • Poor circulation and vascular dysfunction
  • Side effects from medications (e.g., antidepressants, blood pressure drugs)
  • Gut dysfunction that impacts estrogen metabolism
  • Emotional trauma, anxiety, or depression

Advanced Diagnostic Testing We Use

At Patients Medical, we dig deeper using advanced lab testing to pinpoint what’s really affecting your sexual health:

Comprehensive hormone panels (testosterone, estrogen, progesterone, DHEA, thyroid)

Adrenal stress/cortisol rhythm testing

Micronutrient and metabolic testing

Cardiovascular and circulation markers

Inflammatory markers and oxidative stress

Gut health (microbiome, leaky gut, estrogen detox pathways)

Sexual function questionnaires and psycho-emotional assessments

Integrative Treatments for Sexual Wellness

Bioidentical Hormone Therapy (BHRT)

Customized hormone replacement using plant-based hormones that mimic your body’s natural chemistry. We treat men and women for:

  • Low testosterone (andropause)
  • Menopause and perimenopause
  • Estrogen/progesterone imbalances
  • Thyroid support

Nutritional Therapy

Your diet plays a major role in sexual health. We craft nutrient-rich, anti-inflammatory plans that boost energy, improve hormone production, and support vascular health.

IV Nutrient Therapy

Specialized IV drips with amino acids, B vitamins, magnesium, zinc, and antioxidants support hormone metabolism, libido, and energy production.

Herbal & Nutraceutical Support

We offer medical-grade supplements like:

  • Maca root
  • Tribulus terrestris
  • Ashwagandha
  • L-arginine
  • Ginseng
  • Omega-3 fatty acids
    All protocols are overseen by a physician.

Stress Reduction & Mind-Body Therapies

Sexual performance and desire are closely tied to mental health. We offer:

  • Acupuncture
  • Mindfulness and meditation training
  • Adaptogenic herbs to support adrenal balance
  • Cognitive-behavioral support for anxiety and trauma

Regenerative Sexual Therapies

Depending on the need, we may recommend:

  • PRP Therapy (O-Shot®, P-Shot®)
  • Vaginal rejuvenation with ThermiVa®
  • Erectile enhancement options
  • Pelvic floor therapy

Real Patient Case Study: Reclaiming Intimacy

David, 48, came to us feeling “disconnected and drained.” He struggled with low libido, fatigue, and occasional erectile issues. Labs showed low testosterone, high cortisol, and nutrient deficiencies.

We created a 12-week protocol:

  • BHRT with testosterone cream
  • IV nutrient therapy with zinc and B12
  • Stress reduction program with meditation
  • Nutritional coaching

Three months later, David reported improved stamina, restored desire, and a closer relationship with his partner.

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

Integrative sexual health care combines conventional medicine with holistic and functional approaches to address the root causes of sexual dysfunction, hormonal imbalances, low libido, and other issues. We evaluate your physical, emotional, and hormonal health to create a personalized plan.

 We treat a wide range of concerns including low libido, erectile dysfunction, vaginal dryness, painful intercourse, premature ejaculation, low testosterone, menopausal symptoms, and hormone-related mood or energy issues.

Yes. Imbalances in estrogen, testosterone, progesterone, thyroid, and cortisol can impact libido, arousal, and sexual satisfaction. Our hormone panels help us identify and address these imbalances naturally and safely.

Absolutely. Chronic stress, poor sleep, diet, sedentary lifestyle, and emotional trauma can all contribute to sexual dysfunction. We offer stress reduction therapy, nutritional support, and lifestyle guidance as part of your treatment.

We offer advanced diagnostic testing including hormone panels (testosterone, estrogen, cortisol, thyroid), adrenal function, nutrient levels, cardiovascular health, and emotional well-being assessments to uncover the root cause of symptoms.

In many cases, yes. Low libido is often a symptom of deeper imbalances—hormonal, psychological, or metabolic. Our integrative treatment plans are designed to restore desire and vitality naturally.

 Yes. We specialize in personalized care for all genders. Our treatments address issues like erectile dysfunction, low testosterone, menopause-related symptoms, vaginal atrophy, and more.

When used appropriately and under medical supervision, bioidentical hormones can safely restore balance and improve sexual function, mood, and energy. We use precise lab testing to tailor dosages to each patient.

Some patients notice improvements within weeks, especially with hormone balancing and stress reduction. Others may see gradual changes over a few months as deeper imbalances are corrected.

 We are an out-of-network provider, but we provide superbills for insurance reimbursement. Some lab testing may be partially covered depending on your plan.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

Make an Appointment