Hormone Therapy for Sexual Health
Struggles with libido, arousal, or sexual satisfaction can deeply affect confidence and connection—but these changes aren’t just about age. Hormonal shifts, lifestyle factors, and even medications can all play a role in diminishing sexual well-being. At Nourish House Calls, we combine functional medicine with personalized hormone therapy to help patients restore vitality, reignite passion, and enjoy a fulfilling intimate life.
Why Sexual Health Deserves More Attention
A thriving sex life often reflects underlying wellness and connection. When libido decreases or performance issues arise, it’s more than just a bedroom issue—it can ripple through emotional health and relationships. While some may be told that these changes are “just part of aging,” our clinical perspective differs: vibrant sexual health can and should be supported throughout your lifespan.
The Role of Hormones in Sexual Function
Hormones play a central role in regulating sexual function and pleasure. For women, estrogen, testosterone, progesterone, and DHEA are critical, while for men, testosterone and DHEA are especially influential. Low levels of any of these can contribute to decreased libido, difficulty with arousal, vaginal dryness, erectile dysfunction, and even anorgasmia.
For many women, low testosterone is the most underrecognized yet most common contributor to diminished sexual desire. This essential hormone supports libido, energy, and overall sexual responsiveness—yet is frequently overlooked in traditional care models because it isn’t commercially available in standard pharmaceutical formulations. At Nourish, we offer customized, compounded testosterone therapy tailored to each woman’s unique needs through our hormone therapy services.
Neurotransmitters and Medications: The Brain-Body Connection
Neurotransmitters like dopamine and serotonin also play a critical role. Dopamine enhances sexual pleasure and orgasmic capacity, while excessive serotonin—often elevated through antidepressants or certain adaptogens like 5-HTP—can inhibit climax and reduce enjoyment. If you’re taking medications that influence these pathways, it’s important to evaluate how they may be affecting your sexual health.
This holistic understanding is why we approach every case with a multi-layered perspective, combining hormone therapy with targeted lifestyle and supplement strategies.
Age, Life Stage, and Medical Conditions
While it’s true that hormones shift with age, that doesn’t mean sexual wellness has to decline. Whether you’re navigating the transition of perimenopause, dealing with symptoms of menopause, or managing andropause as a man, your desire for intimacy and connection remains valid.
Other contributors include:
- Thyroid and adrenal imbalances
- Diabetes, heart disease, and chronic illness
- Side effects of certain medications
- Psychological stress and lifestyle factors
Functional medicine looks at all these root causes—not just the symptoms—to create a roadmap toward restoration and renewal.
How Hormone Therapy Can Help
Hormone therapy remains one of the most effective tools in our toolkit for addressing sexual dysfunction and enhancing libido. Through lab testing, we identify deficiencies and tailor a plan that aligns with your biology and goals.
At Nourish House Calls, hormone replacement may include:
- Topical creams for testosterone, estrogen, and DHEA
- Oral progesterone where appropriate
- Injectable therapies when absorption via the skin isn’t optimal
We never guess. Hormone levels are tested prior to prescribing, ensuring accuracy and safety. Whether you’re struggling with vaginal dryness, erectile dysfunction, or diminished interest, customized hormone therapy can be a transformative solution.
Nutrition and Lifestyle: The Foundation of Sexual Wellness
Hormone therapy alone isn’t the whole story. Diet and lifestyle significantly influence hormonal health and sexual function. We recommend:
- Anti-inflammatory, low-sugar, high-protein diets
- Avoiding seed oils and limiting alcohol
- Managing caffeine to reduce adrenal stress
- Supporting sleep, stress, and exercise balance
This comprehensive strategy helps regulate cortisol, insulin, and other hormones that interact with your sexual function, making your treatment plan more effective and sustainable.
Compassionate, Personalized Care
Our approach is never one-size-fits-all. Whether you’re 35 or 75, our goal is to help you feel empowered, connected, and vibrant—on your terms. We believe no one is “too old” to care about their sex life, and we’re honored to walk this journey with our patients.
Ready to Take the First Step?
If any part of this conversation resonates with you—or if you suspect hormone imbalances may be affecting your sexual health—we’d love to talk. At Nourish House Calls, we offer free 15-minute discovery calls so you can speak with our team, ask questions, and determine if our approach is right for you.
Click here to book your free discovery call and start your journey to renewed intimacy, energy, and well-being.
Frequently Asked Questions
Many women notice a gradual decline in libido, increased vaginal dryness, discomfort during intercourse, or difficulty reaching orgasm. These symptoms often correspond with hormonal changes, particularly low testosterone or estrogen, which can occur during perimenopause and menopause.
When monitored and administered under medical supervision, hormone therapy—especially with bioidentical formulations—can be safe and effective. At Nourish, we use comprehensive lab testing to ensure your levels are within optimal ranges and adjust treatment as needed over time.
Yes. Men experiencing symptoms like decreased libido, erectile dysfunction, fatigue, or mood changes may have low testosterone or imbalances in other hormones like DHEA or cortisol. Our hormone therapy services offer personalized plans for men, too.
Many antidepressants, particularly SSRIs, can decrease sexual desire and make it harder to orgasm. This is due to increased serotonin levels. We carefully evaluate each patient’s medication regimen to identify potential contributors and adjust treatment plans accordingly.
For many patients, topical creams provide an easy and effective method for hormone delivery. However, depending on individual absorption and preferences, oral or injectable forms may be used. At Nourish, we work with compounding pharmacies to deliver the most appropriate dose and form for each person.
The first step is a thorough evaluation that includes lab testing and a comprehensive health history. If you’re experiencing symptoms related to libido, mood, energy, or sleep, you may be an ideal candidate for customized hormone therapy.