Sexual Health
Comprehensive sexual health care for all genders and sexual orientations — with more thoughtful evaluation, more discretion, and care that recognizes how physical symptoms, emotional well-being, hormones, relationships, and prevention all intersect.
Sexual health is bigger than a single diagnosis.
Many patients do not arrive with one perfectly defined problem. They come in because something feels different: intimacy feels more stressful, desire has changed, pain is present, function feels unreliable, or prevention and testing have become part of how they want to care for themselves more intentionally.
A stronger sexual health page should make it clear that this is a place to talk about the full picture. That can include prevention, function, pain, desire, hormones, arousal, reproductive health, and the emotional side of sexual well-being — all in a setting that feels medically grounded and respectful.
Erections, arousal, orgasm, and desire
Sexual health care may include evaluation of erection changes, orgasm concerns, arousal differences, low libido, or changes in sexual response over time.
Pain, irritation, and physical changes
Some patients are dealing with pain during intimacy, tissue dryness, pelvic discomfort, or body changes that affect comfort and confidence.
Testing, education, and proactive care
Sexual health also includes preventive care, sexual health education, and thoughtful discussion of testing and risk-reduction strategies.
Care should fit the patient
Hormones, stress, relationships, identity, prior experiences, and overall health can all influence sexual wellness and deserve to be taken seriously.
A more complete and more personalized starting point
This page should give patients permission to bring in more than one concern. Sexual health care can involve prevention, symptoms, hormones, body comfort, sexual confidence, and changes in intimacy that do not always fit neatly into a single category.
- Sexual wellness history and symptom review
- Libido, arousal, orgasm, and function evaluation
- Pain with intimacy and pelvic comfort discussion
- Hormone-related symptom review when relevant
- Sexual health testing and prevention planning
- Inclusive care shaped around the individual patient
Some patients want answers about a specific issue. Others want a more intelligent place to start because something feels off in their sexual well-being and they are not sure why. The value of this page is that it makes room for both.
The consultation should help patients feel understood, give structure to what they are experiencing, and clarify which next steps actually fit their goals.
Frequently asked questions
Sexual health can include desire changes, erection or arousal concerns, orgasm issues, pain with intimacy, prevention needs, hormone-related sexual wellness changes, and broader questions about comfort, confidence, and sexual well-being.
No. This service page is designed to support all genders and sexual orientations with care that is individualized rather than one-size-fits-all.
Yes. Prevention can be a core part of sexual health care, including testing, education, and proactive discussions around safer and more informed sexual wellness decisions.
Yes. Hormonal changes can influence libido, arousal, body comfort, mood, energy, and the overall experience of intimacy for some patients.
If you have persistent concerns about desire, pain, arousal, orgasm, function, prevention, or sexual confidence, it is worth scheduling a dedicated sexual health visit.
Ready for a more personalized sexual wellness conversation?
If you are looking for comprehensive sexual health care in Los Angeles, request a consultation with Joshua R. Gonzalez, MD.