Sexual Health and Urology in Los Angeles: Private, Thoughtful Care
Sexual health and urologic concerns deserve more than a rushed conversation. Joshua R. Gonzalez, MD provides discreet, individualized care for adults across Los Angeles, West Hollywood, Miracle Mile, and surrounding communities.
Medical expertise matters. So does feeling heard.
Sexual health is connected to confidence, relationships, hormones, physical comfort, identity, fertility, and overall quality of life. The right care begins with a conversation that is specific to you.
What falls under sexual health?
Sexual medicine sits at the intersection of urology, hormones, circulation, neurologic health, pelvic function, psychology, relationships, and preventive care.
That range is one reason patients may struggle to know where to start. A concern may feel clearly physical, quietly emotional, or somewhere in between. It may follow a surgery, medication change, pregnancy, menopause, gender transition, new relationship, or simply appear without an obvious explanation.
Dr. Gonzalez evaluates the full picture rather than isolating one symptom. His Los Angeles practice brings together sexual and reproductive health, men’s health, women’s health, general urology, hormone care, and evidence-informed prevention.
Sexual function
Erectile dysfunction, changes in arousal, orgasm concerns, premature or delayed ejaculation, and low desire.
Hormones & life stages
Low testosterone, menopause-related changes, hormone-related sexual wellness, and individualized monitoring.
Pain & anatomy
Painful sex, pelvic pain, penile health, Peyronie’s disease, and other urologic symptoms.
Prevention & planning
HIV and STI prevention, fertility conversations, vasectomy counseling, and reproductive goals.
Gender-affirming support
Respectful care coordinated around anatomy, hormones, sexual function, identity, and personal goals.
Advanced options
When appropriate, treatment plans may include in-office technologies or procedures after a medical evaluation.
You do not need to arrive with the correct medical label. Bring the change you have noticed, when it began, how it affects you, and what you would like to improve. The diagnostic work is part of the visit.
Why a sexual medicine specialist matters
A sexual symptom is not always a single-condition problem—and an effective plan should reflect that.
Consider erectile dysfunction. It can involve blood flow, nerve function, hormones, medications, sleep, stress, pelvic anatomy, or health conditions that deserve attention. Low desire can be influenced by hormonal shifts, pain, mood, medication effects, relationship context, or several factors at once. Pain during sex may require a careful review of tissue health, pelvic function, infection risk, prior procedures, and the circumstances in which pain occurs.
A specialist-led evaluation connects those pieces. The goal is to understand why a change is happening before deciding what to do next. This may include a detailed history, focused examination, laboratory testing, imaging or other diagnostics when indicated, and a discussion of the options that fit your preferences and health profile.
Good sexual health care makes room for nuance: the symptom, the person, and the life around it.
Treatment is never one-size-fits-all. Depending on the concern, a plan may include education, medication review, lifestyle support, prescription therapy, hormone management, pelvic-health collaboration, an office-based procedure, or referral to another trusted clinician. Sometimes reassurance and a clearer understanding of what is happening are meaningful parts of care, too.
What thoughtful care looks like
No two visits are identical, but a clear process helps make sensitive care feel less uncertain.
A private conversation
Start with what has changed, what is bothering you, and what a successful outcome would mean in your life. Relevant partners, practices, medications, surgeries, and health history can be discussed without judgment.
A focused evaluation
Your assessment is shaped by the concern. Testing or an examination is recommended only when it can add useful clinical information.
A plan you understand
Options, limitations, possible side effects, and alternatives should be explained in plain language so decisions can be made together.
Follow-through
Sexual health often evolves. Follow-up allows the plan to be adjusted based on response, priorities, and new information.
Inclusive care for every body and every relationship
High-quality sexual medicine should be clinically exact and personally respectful.
Dr. Gonzalez cares for people of all genders and sexual orientations, including a large community of LGBTQ+ patients. The conversation can account for anatomy, identity, hormone use, partners, relationship structure, fertility goals, prevention needs, and the kinds of sexual activity that are relevant to your health—without forcing your experience into a generic template.
This approach is especially important when care crosses specialties. A patient seeking gender-affirming care, for example, may also want to preserve sexual function or fertility. Someone asking about erectile function may also benefit from preventive screening. A menopause-related concern may involve pain, tissue health, libido, and relationship goals at the same time.
Respect is not an extra feature of care. It is what makes accurate, candid medical communication possible.
Private care near West Hollywood and Miracle Mile
For patients looking for a sexual health doctor in Los Angeles, privacy and convenience matter. Dr. Gonzalez’s office is located at 5757 Wilshire Boulevard, Suite 475, Los Angeles, CA 90036, near Miracle Mile, Beverly Grove, West Hollywood, Hollywood, and Beverly Hills.
The setting is designed for focused, one-on-one care. Whether the concern is new, longstanding, or something you have found difficult to discuss elsewhere, you can begin with a confidential consultation and a clear clinical plan.
View contact and location information, or request an appointment online when you are ready.
Common questions
What kind of doctor treats sexual health concerns?
The right clinician depends on the concern. A urologist with dedicated sexual-medicine training can evaluate sexual function alongside urinary, reproductive, hormonal, and anatomic factors. Dr. Gonzalez is a board-certified, fellowship-trained urologist and sexual medicine specialist.
Does Dr. Gonzalez treat both men and women?
Yes. The practice offers men’s health, women’s health, hormone-related care, sexual medicine, reproductive health, preventive services, and general urology. Care is individualized to the patient’s anatomy, health history, symptoms, and goals.
Is the practice LGBTQ+ affirming?
Yes. Dr. Gonzalez provides affirming care for patients of all genders and sexual orientations. Relevant discussions may include identity, anatomy, hormones, partners, sexual function, fertility, STI prevention, and gender-affirming goals.
Can STI and HIV prevention be part of a sexual-health visit?
Yes. Depending on your needs, care may include individualized testing, PrEP counseling and monitoring, vaccination review, and a prevention plan shaped by anatomy and sites of exposure. Screening frequency and tests are determined with your clinician.
Where is the office located?
The practice is at 5757 Wilshire Boulevard, Suite 475, Los Angeles, CA 90036, convenient to Miracle Mile, West Hollywood, Beverly Grove, Hollywood, and Beverly Hills.
Your questions deserve time, clarity, and a plan.
Schedule a confidential consultation with Joshua R. Gonzalez, MD in Los Angeles.