Sexual Wellness

Conveniently located to serve the areas of Miami, FL

Sexual health is an important part of overall well-being, affecting both the body and mind. Challenges with sexual function can impact men and women alike, often making it crucial to address the underlying causes for effective treatment.

Dr. Jason Shapiro and Dr. Luis Dominguez, and their team at TribecaMed understand that sexual health is deeply personal and interconnected with essentially every other aspect of wellness. Located in Miami, TribecaMed offers innovative, evidence-based therapies designed to help both men and women restore vitality, optimize hormone balance, and improve sexual function safely and effectively. Our approach combines bioidentical hormone replacement, peptide therapy, regenerative treatments, and metabolic optimization to target the root causes of sexual dysfunction rather than just the symptoms.

To schedule your consultation and learn more, contact TribecaMed online or call (305) 763-8832. We offer both in-person and virtual consultations.

Mens' Sexual Health
Mens' Sexual Health

Women's Sexual Health
Women's Sexual Health

Causes of Sexual Dysfunction

For Women

For women, sexual dysfunction often involves a complex interaction between hormones, emotional health, and physical wellness. (1) Common causes include:

  • Hormonal imbalance related to menopause, perimenopause, or postpartum changes
  • Polycystic ovary syndrome (PCOS) or thyroid disorders
  • Stress, anxiety, or depression
  • Relationship strain or emotional distress
  • Side effects from certain medications
  • Poor circulation or pelvic floor weakness
  • Sleep disturbances or chronic fatigue
  • Nutritional deficiencies or metabolic issues

For Men

Sexual dysfunction in men can also stem from a wide variety of physical, hormonal, and psychological factors, (2) including:

  • Low testosterone levels or hormone imbalance
  • Diabetes or other metabolic disorders
  • High blood pressure or cardiovascular disease
  • Obesity and poor nutrition
  • Sedentary lifestyle
  • Psychological factors such as anxiety, depression, or stress
  • Medication side effects
  • Alcohol or tobacco use
  • Poor sleep quality or chronic fatigue
  • Nerve damage or pelvic injury.

Symptoms

Symptoms Women Experience

Women’s sexual dysfunction can manifest in several different ways, depending on hormonal balance and individual health history. Some of the most common symptoms include:

  • Low sexual desire or interest in intimacy
  • Vaginal dryness or discomfort during intercourse
  • Reduced sensitivity or arousal
  • Fatigue and low energy levels
  • Mood swings or irritability
  • Difficulty achieving orgasm
  • Sleep disturbances
  • Weight gain or loss of lean muscle

Symptoms Men Experience

Common symptoms of sexual dysfunction in men include:

  • Reduced libido or sexual desire
  • Premature or delayed ejaculation
  • Fatigue and mood changes
  • Loss of muscle mass or increased body fat
  • Decreased confidence or motivation
  • Reduced satisfaction in intimate relationships

The specialists at TribecaMed recognize that these symptoms are not isolated issues but signals that the body’s natural balance has shifted. By restoring hormone harmony and supporting physical function, the team helps patients regain confidence and comfort in their sexual health.

Sexual Wellness Treatments for Women

Our team offers a range of integrative treatments that enhance women’s sexual wellness by restoring balance, comfort, and confidence at every stage of life. After establishing a baseline and looking into root causes, we may recommend treatments such as the following:

Bioidentical Hormone Replacement Therapy (BHRT) for Women

Bioidentical hormone replacement therapy (BHRT) for women is designed to help regulate estrogen, progesterone, and testosterone levels using plant-derived hormones that mimic those naturally produced by the body. This treatment is particularly effective for women going through menopause, perimenopause, or general hormonal imbalances that affect libido and mood. By restoring hormonal harmony, BHRT can improve energy, desire, mood, and overall vitality. (3)

Peptide Therapy

Peptide therapy uses specific amino acid chains that stimulate the body’s natural hormone production and cellular regeneration. For women, peptide therapy can help improve energy levels, increase fat metabolism, enhance sleep quality, and boost libido.

(4) In the process, this treatment can enhance sensitivity, improve natural lubrication, and support stronger pelvic muscle tone. The therapy is minimally invasive and supports long-term health.

Sexual Wellness Treatments for Men

TribecaMed offers a comprehensive selection of sexual wellness therapies for men that target the hormonal, vascular, and psychological components of sexual performance. Each plan is customized based on lab results and personal goals to fully restore vitality and confidence. Some of the ways we achieve this include:

Testosterone Optimization Therapy

Testosterone is a critical hormone for sexual function, energy, and muscle maintenance. (5) At TribecaMed, testosterone optimization therapy is designed to restore hormone levels to their optimal range using natural, personalized dosing. Patients often experience improved energy, libido, mood, and body composition after treatment.

Bioidentical Hormone Replacement Therapy (BHRT) for Men

BHRT treatments at TribecaMed do not just apply to women, as men experiencing age-related declines in testosterone or other hormonal imbalances can benefit from BHRT for men. This treatment provides a natural and precise approach to restoring balance. Unlike synthetic hormones, bioidentical hormones match the molecular structure of those produced by the body, resulting in improved sexual function, increased strength, sharper focus, and reduced fatigue. (3)

Peptide Therapy

For men, peptide therapy enhances the body’s natural production of growth hormone, promoting improved recovery, energy, and endurance. Certain peptides, such as PT-141, can directly influence sexual arousal centers in the brain, offering a natural way to boost libido and performance. (6)

PRP for Erectile Dysfunction

PRP therapy for men utilizes the body’s own growth factors to improve circulation and stimulate tissue regeneration within the genital region. This approach helps address the underlying vascular causes of erectile dysfunction and supports stronger, longer-lasting erections. (7) It is a great alternative for men who prefer to avoid pharmaceutical interventions.

Schedule a Consultation to Take Control of Your Sexual Health

If you are experiencing symptoms of sexual dysfunction or simply want to restore balance and vitality, the first step is to schedule a consultation at TribecaMed. Our team specializes in personalized, integrative treatments that support hormonal health, metabolic function, and long-term wellness in both men and women. To begin your journey toward renewed vitality, enhanced sexual wellness, and improved overall health, contact TribecaMed online or by calling (305) 763-8832 to schedule either an in-person consultation or a virtual consultation.

FAQ

What causes sexual dysfunction in men and women?

While there is no one exact cause, sexual dysfunction is often linked to physical, hormonal, and psychological factors. For women, common causes include hormonal changes (menopause, post-pregnancy changes, etc.), thyroid disorders, stress, and more. For men, low testosterone, metabolic disorders, cardiovascular issues, psychological stress, and lifestyle factors can all play a role.

What are the most common symptoms of sexual dysfunction?

Symptoms can differ for men and women experiencing sexual dysfunction. Women may experience low sexual desire, vaginal dryness, brain fog, mood changes, or difficulty achieving orgasm. Men may notice reduced libido, premature or delayed ejaculation, fatigue, loss of muscle mass, or decreased satisfaction in intimate relationships.

What treatments does TribecaMed offer for women’s sexual wellness?

TribecaMed offers personalized therapies, including bioidentical hormone replacement therapy (BHRT), peptide therapy, and platelet-rich plasma (PRP) for vaginal rejuvenation.

How does TribecaMed treat sexual dysfunction in men?

Men can benefit from testosterone optimization, BHRT, peptide therapy, and PRP for erectile dysfunction. Treatments are tailored to the individual and focus on restoring hormone balance, improving circulation, enhancing energy, and supporting sexual performance naturally.

How do I get started with sexual wellness treatments at TribecaMed?

The first step in getting started is to schedule a consultation. During your consultation, our team will assess your concerns, identify root causes of dysfunction, and design a personalized treatment plan.

References

  1. Krakowsky Y, Grober ED. A practical guide to female sexual dysfunction: An evidence-based review for physicians in Canada. Canadian Urological Association Journal. 2018;12(6):211-216. doi:https://doi.org/10.5489/cuaj.4907
  2. Anderson D, Laforge J, Ross MM, et al. Male Sexual Dysfunction. Health Psychology Research. 2022;10(3). doi:https://doi.org/10.52965/001c.37533
  3. National Academies of Sciences E, Division H and M, Policy B on HS, et al. The Safety and Effectiveness of Compounded Bioidentical Hormone Therapy. www.ncbi.nlm.nih.gov. Published July 1, 2020. https://www.ncbi.nlm.nih.gov/books/NBK562865/
  4. Dankova I, Pyrgidis N, Tishukov M, et al. Efficacy and Safety of Platelet-Rich Plasma Injections for the Treatment of Female Sexual Dysfunction and Stress Urinary Incontinence: A Systematic Review. Biomedicines. 2023;11(11):2919. doi:https://doi.org/10.3390/biomedicines11112919
  5. Rizk PJ, Kohn TP, Pastuszak AW, Khera M. Testosterone therapy improves erectile function and libido in hypogonadal men. Current Opinion in Urology. 2017;27(6):511-515. doi:https://doi.org/10.1097/mou.0000000000000442
  6. Kim S, Cho MC, Cho SY, Chung H, Rajasekaran MR. Novel Emerging Therapies for Erectile Dysfunction. The World Journal of Men’s Health. Published online March 24, 2020. doi:https://doi.org/10.5534/wjmh.200007
  7. Anastasiadis E, Ahmed R, Khoja AK, Yap T. Erectile dysfunction: Is platelet-rich plasma the new frontier for treatment in patients with erectile dysfunction? A review of the existing evidence. Frontiers in Reproductive Health. 2022;4. doi:https://doi.org/10.3389/frph.2022.944765