You deserve to feel confident, connected, and in control of your sexual health.

At Longevità Medical, we help you get there—starting with answers you can trust and care that meets you where you are.

Whether you’re experiencing a change in desire, arousal, or performance, Longevità Medical offers a compassionate, personalized approach that starts with one powerful tool: information.

We Offer Support for These Concerns

Loss of Interest in Sex
Difficulty Getting Aroused
Having Trouble Finishing
Pain During Intercourse

Get Your Libido Back

Get Your Libido Back image Model(s)

A decline in sexual interest—often called low libido—can stem from physical, emotional, or hormonal changes. It doesn't mean something is wrong with you. It means your body may be asking for care. We're here to help you understand what's changed and guide you toward feeling like yourself again.

Restore Your Physical Response

Restore Your Physical Response image Model(s)

When the body doesn't respond the way you expect—even when the desire is there—it can feel frustrating or confusing. With the right support, you can improve arousal and reconnect with your body.

Get More Sexual Satisfaction

Get More Sexual Satisfaction image Model(s)

Difficulty reaching orgasm is more common than many people realize. Whether it's delay, discomfort, or inability, we can help with proven ways to gain confidence and satisfaction in your sexual experiences.

Enjoy Intimacy Without Pain

Enjoy Intimacy Without Pain image Model(s)

Sex should never hurt. Painful intercourse can result from a variety of treatable conditions. We listen, we take you seriously, and we offer personalized care to help you reclaim comfort and confidence.

We Offer Support for These Concerns

  • Loss of Interest in Sex

    Get Your Libido Back

    Get Your Libido Back image Model(s)

    A decline in sexual interest—often called low libido—can stem from physical, emotional, or hormonal changes. It doesn't mean something is wrong with you. It means your body may be asking for care. We're here to help you understand what's changed and guide you toward feeling like yourself again.

  • Difficulty Getting Aroused

    Restore Your Physical Response

    Restore Your Physical Response image Model(s)

    When the body doesn't respond the way you expect—even when the desire is there—it can feel frustrating or confusing. With the right support, you can improve arousal and reconnect with your body.

  • Having Trouble Finishing

    Get More Sexual Satisfaction

    Get More Sexual Satisfaction image Model(s)

    Difficulty reaching orgasm is more common than many people realize. Whether it's delay, discomfort, or inability, we can help with proven ways to gain confidence and satisfaction in your sexual experiences.

  • Pain During Intercourse

    Enjoy Intimacy Without Pain

    Enjoy Intimacy Without Pain image Model(s)

    Sex should never hurt. Painful intercourse can result from a variety of treatable conditions. We listen, we take you seriously, and we offer personalized care to help you reclaim comfort and confidence.

    How It Affects …

    Woman standing in front of mirror smiling

    Women

    Sexual dysfunction in women can take many forms—from diminished desire to discomfort or difficulty during intimacy.

    Common Symptoms:

    • Low libido 
    • Vaginal dryness 
    • Painful intercourse 
    • Orgasm difficulties 
    • Emotional distancing 

    Contributing Factors:

    • Perimenopause or menopause
    • Hormone imbalance
    • Stress, anxiety, or fatigue
    • Side effects of medications
    • Changes in circulation or tissue sensitivity 
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    Man standing in mirror shaving

    Men

    Sexual dysfunction in men involves changes in performance, stamina, or desire, which are often caused by low testosterone, circulation issues, or psychological stress.

    Common Symptoms:

    • Erectile dysfunction (ED) 
    • Low libido 
    • Ejaculation issues 
    • Performance anxiety 
    • Emotional distancing 

    Contributing Factors:

    • Low testosterone (low T)
    • Cardiovascular or circulatory issues 
    • Stress, depression, or cognitive overload 
    • Metabolic conditions or diabetes 
    • Side effects of medication 
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    Get to Know Longevità

    • How is Longevità Medical different?

      Longevità Medical blends hormone optimization and whole-person care to assess what's driving your health—what's thriving, what could improve, and how to support lasting wellness.

    • Who do you treat?

      Longevità Medical cares for adults seeking a more personalized, proactive approach to wellness—whether they're navigating hormonal changes, aging concerns, or simply want to feel their best long-term.

    • Do I need to be experiencing symptoms to see you?

      Not at all—many patients visit us feeling well and want to keep it that way. We help you optimize your health now and get ahead of age-related changes.

    • How do you personalize my care?

      We design your treatment plan based on your lab work and goals. Our recommendations honor what your body is telling us and what matters most to you.

    • What can I expect during my first appointment?

      Your first visit is all about getting to know you. We review your health history, talk through your goals, and explain exactly what your care journey will look like.

    • Who will I be working with during my care?

      You'll partner with a team of experts in hormone health and preventive care—all working together to support your goals, now and long-term.

      Treatment Designed for You

      Your journey begins with a virtual consultation to discuss your symptoms and medical history. If you are a good candidate for treatment, we order your bloodwork alongside other evaluations, as needed.

      Once your results are in, we meet with you in person to discuss our findings and create a plan that fits your needs, goals, and preferences. This plan may include treatment at our office or recommendations to share with your broader care team.

      • Bioidentical Hormone Replacement Therapy (BHRT) – Improve libido, energy, and emotional well-being through monitored, personalized hormone therapy.
      • Targeted Supplements and Lifestyle Recommendations – Support hormone balance and improve blood flow, mood, and energy levels.
      • EMSELLA® Pelvic Floor Therapy – Enhance vaginal muscle tone and circulation without surgery or downtime.
      Science graphic showing illuminated brain chemistry

      Leadership & Care That Inspires

      Dr. Vito Quatela

      Vito C. Quatela, M.D., FACS

      Founder and Medical Director

      A double board-certified facial plastic surgeon with decades of experience, Dr. Vito Quatela founded Longevità Medical as a natural extension of his commitment to treating the whole patient—inside and out. Known for his vision and innovation, he has built a career helping people look younger and feel more confident. With Longevità Medical, he expands that mission into proactive wellness, offering patients the tools and insights they need to take charge of how they age. Dr. Quatela continues to lead the practice with the same standard of excellence that defines his surgical and aesthetic work.

      Meet Dr. Quatela
      Julie A. Chatt, MSN, FNP-C

      Julie A. Chatt, MSN, FNP-C

      Certified Hormone Optimization Specialist

      Julie Chatt is a board-certified nurse practitioner with more than two decades of experience in patient care. At Longevità Medical, she specializes in advanced hormone optimization and personalized wellness plans, helping patients feel their best through every stage of life. Known for her thorough, compassionate approach, Julie takes the time to understand each person's health goals and translate complex test results into clear, actionable steps. She's an integral part of Longevità's diagnostic-first model, guiding patients from evaluation through long-term support.

      Meet Julie Chatt

      Sexual Dysfunction FAQ 

      Still have questions? Contact us for help.

      Contact Us
      What is sexual dysfunction?

      Sexual dysfunction refers to any ongoing challenge during the sexual response cycle that makes intimacy difficult, unsatisfying, or distressing. It can affect desire, arousal, orgasm, or cause pain—and it affects people of all genders and ages.

      Does sexual dysfunction go away?

      Sexual dysfunction can be resolved—or, at the very least, improved—with the right treatment and care. Even when symptoms are more persistent, we can help you regain comfort and control over your sexual health.

      Is sexual dysfunction a mental disorder?

      While mental health can influence intimate health, many cases of sexual dysfunction involve physical or hormonal factors too. We consider your health holistically to understand what’s behind the changes you’re experiencing.

      How do you know if you have sexual dysfunction?

      If you’re noticing ongoing issues with desire, arousal, orgasm, or pain that feel disruptive or frustrating, it may be time to explore what’s going on.

      When should you seek treatment?

      If sexual dysfunction symptoms persist for more than a few months, or if they’re affecting your confidence or relationships, it’s worth getting checked out.

      Who is at risk for sexual dysfunction?

      Sexual dysfunction can affect anyone. However, it’s more common with age, hormone changes, certain medications, or chronic health conditions.

      Can sexual dysfunction be prevented?

      Often, yes. Healthy lifestyle habits, stress management, and early attention to your hormone health can reduce your risk of sexual dysfunction or delay the onset of symptoms.

      Is it normal to experience changes in sexual function with age?

      It’s common to notice shifts in libido, arousal, or satisfaction as you age—but that doesn’t mean you have to settle for them. Many age-related shifts have identifiable causes, and there are practical, effective ways to address them.

      Start Your Journey

      Your sexual wellness deserves more than a surface-level solution. For personalized sexual dysfunction treatments in Victor, New York, contact Longevità Medical today at (585) 244-1506 or by requesting your consultation online.

      Contact
      (585) 244-1506 Contact Us