Sexual Health

Feel Like Yourself Again

Changes in sexual health are common during perimenopause, but that doesn't mean you have to simply accept them. Hormonal changes can affect libido, arousal, vaginal comfort, intimacy, and sexual function. Sleep disruption, stress, anxiety, mood changes and other symptoms of perimenopause can also affect how you feel about yourself and your relationship.

At Summerlin Healing Minds, we provide personalized women's sexual health and wellness care for women in Summerlin, the greater Las Vegas area, and Minnesota. Our approach looks at the whole person- including hormonal, physical, and emotional factors that may be affecting your sexual well-being.

Personalized Women's Sexual Health Care

Testosterone vaginal cream: Custom-compounded hormone treatment used to improve perimenopausal and postmenopausal vaginal dryness, pain during intercourse, and low libido. The cream works directly on local androgen receptors. Benefits include moisture restoration, increased thickness and elasticity, reduction in pain during sexual activity, and is hypothesized to enhance blood flow, and genital sensitivity.

Estradiol vaginal cream: When your natural levels of estrogen drops, this impacts vaginal tissue; reducing natural lubrication, thinning vaginal tissue, and decreasing vaginal elasticity. Otherwise called, genitourinary syndrome of menopause (GMS). Vaginal estrogen helps replace the estrogen that has been lost and can improve dryness as well as overall tissue elasticity. Options for application include suppositories, inserts, tablets, and rings. This type of estrogen delivers a vastly smaller amount of estrogen that systemic HRT and works locally on the vaginal tissue.

Oxytocin: Not only does oxytocin drive uterine contractions for childbirth and assists in the "letdown" of breast milk but it also plays an important factor in sexual arousal and desire. Oxytocin enhances orgasm contraction and intensity, facilitates pair-bonding (often called the "love hormone"), enhances a sense of trust, affection, and interpersonal attachment, reduces anxiety, and in men, stimulates neurological pathways that assist with erectile quality.

DIM: Helps women in perimenopause with cycle-related breast tenderness, mood swings, or stubborn estrogen-dominant symptoms. Supports the conversion of strong or "bad" estrogens into milder, beneficial forms. Typical dosing between 150-300 mg and recommend pairing with calcium-D-glucarate and Vitamim K to support phase-II detoxification in the liver.

Dehydroepiandrosterone (DHEA): is a natural steroid hormone that supports the creation of testosterone and estrogen. DHEA naturally declines as we age, with a peak in our 20's and 30's.

Bremelanotide (PT-141): Improve sexual desire and arousal. Typical dosing 1.75 mg SQ or dissolvable lozenge before sexual activity.

Customized combination troches for use prior to sexual activity are available.