Sexual Dysfunction

Even though we have come a long way in our openness about sexual health, it can still be difficult to talk about, even with medical providers. You may feel especially vulnerable if you’re experiencing problems with sexual desire or performance. It’s important to know, however, that treatment for sexual dysfunction is available—including bioidentical hormone replacement therapy—in the Greater Rochester, NY, area.

Julie A. Chatt, our nurse practitioner, is a certified provider of bioidentical hormone replacement therapy (BHRT) and customizes treatments for patients after reviewing their health histories and results of targeted blood tests.

How Do Hormone Levels Affect Sexual Function?

A healthy libido for both women and men involves an array of hormones that are often labeled “sex hormones.” The most familiar sex hormones are estrogen for women and testosterone in men. Other hormones involved in promoting sexual drive and desire include progesterone and DHEA, which relay messages between organs and cells. As hormone levels dip with age and other factors, such as stress, it can affect the sex drives of women and men during menopause and andropause, respectively.

For women, changes to genital tissue caused by a sharp decline in estrogen levels reduce sensation because blood flow to the pelvic region decreases. That increases the time needed to become aroused and reach orgasm.  

Declining testosterone levels in men—often called low T—interfere with their ability to achieve an erection or to maintain an erection that’s firm enough for sexual intercourse or other intimacy.

Low Testosterone & Erectile Dysfunction in Men

Although testosterone levels begin to decline at around age 30, we tend to associate symptoms of low T with middle age. When testosterone levels decline significantly, men may experience numerous symptoms associated with andropause. One of those is erectile dysfunction, or ED. ED may occur every time you want to have sex or happen inconsistently.

Not all men with ED have low testosterone levels. In fact, low T isn’t the most common cause of ED. But if low T is diagnosed as the cause of ED, testosterone replacement therapy at our practice near Rochester, NY, can help restore libido and the ability to reach and maintain erections.

Sexual Dysfunction in Women

Difficulty reaching orgasm and reduced libido, especially during or following menopause, are the most common signs of sexual dysfunction related to a woman’s hormone levels. Other symptoms may include experiencing pain during intercourse and vaginal dryness. Many of these symptoms are interrelated—vaginal dryness can result in discomfort during intercourse and ultimately reduce a woman’s desire to have sex. This can also lead to anxiety or depression, which are also conditions that can cause sexual dysfunction.

If these changes bother you, hormone replacement therapy is a potential solution. Both estrogen and testosterone are important hormones for a woman’s sexual health. Hormone replacement therapy helps increase the vagina’s tone and elasticity, along with increasing vaginal blood flow and enhancing lubrication.

Meet Our Providers

Owner and medical director Dr. Vito C. Quatela, along with Julie A. Chatt, MSN, FNP-C, provide regenerative medicine care tailored to the needs of their patients so they can live their best lives.

Vito C. Quatela, M.D., FACS Julie A. Chatt, MSN, FNP-C Request Your Appointment
Dr. Quatela and Julie A. Chatt standing next to each other smiling

Request Your Consultation

Having a reduced sex drive or experiencing pain during intercourse can take a toll on your overall relationship with a spouse or partner. Treatment for sexual dysfunction at Longevità Medical in Victor, NY, can help you not just physically but emotionally, as well. Women and men who want to learn more about how bioidentical hormone replacement therapy can treat sexual dysfunction travel from Buffalo, Syracuse, and throughout western New York to our office. Request a consultation using the online form or call us at (585) 244-1506 to schedule an appointment.