Female Sexual Health
Compassionate, discreet support for desire, comfort, and confidence—built around you.
Sexual health is an important part of whole-body wellness. If your desire, arousal, comfort, or ability to reach orgasm has changed, and it’s affecting your confidence or quality of life. You’re not alone. At Ascentis Health + Wellness, we provide a safe, supportive space for women to talk about what’s going on and explore real, medically guided solutions without shame or judgment.
Our goal is simple: help you feel more like yourself again, through individualized care that’s thoughtful, evidence-based, and respectful of your comfort and boundaries.
What Is Female Sexual Dysfunction (FSD)?
Female Sexual Dysfunction (FSD) refers to ongoing concerns related to sexual desire, arousal, orgasm, or pain that cause personal distress. It’s common, and it’s often influenced by more than one factor: hormones, stress, medications, medical conditions, life stage changes, and relationship dynamics can all play a role.
Symptoms may include:
- Low desire or reduced libido
- Reduced arousal or sensitivity
- Difficulty reaching orgasm
- Vaginal dryness or discomfort
- Pain with intercourse
- Feeling disconnected from intimacy compared to “before”
FSD can occur at any age, but it’s especially common during major life transitions like pregnancy, postpartum, perimenopause, and menopause. Hormone shifts (including low estrogen or testosterone), pelvic floor concerns, chronic illness, depression/anxiety, and certain medications (including some antidepressants) can all contribute.
Our Approach: Identify the “Why” First
At Ascentis, we don’t jump straight to a product or a prescription. We begin with a comprehensive evaluation to identify likely contributors and tailor treatment accordingly.
That may include discussing:
Symptoms and timeline (what changed, when, and how)
Hormone health and life stage factors
Medications and potential side effects
Pelvic or vaginal symptoms (dryness, irritation, pain)
Stress, sleep, mental load, and relationship factors
Underlying health conditions that may contribute
From there, we build a plan that feels
realistic and supportive, because this is personal,
and it deserves a thoughtful approach.
Initial Treatment Options
For many women, improvement comes from a combination of targeted medical therapies and comfort-focused support.
Oral Options (When Appropriate)
Depending on your symptoms and screening, a provider may discuss options such as:
- Flibanserin for premenopausal women experiencing low sexual desire
- Bremelanotide (injectable) to support desire through central nervous system pathways in select cases
- Low-dose testosterone therapy (off-label) for libido support in appropriately screened women
These therapies are used selectively and require medical supervision due to potential side effects and the importance of proper candidacy.
Topical & Local Therapies for Comfort and Arousal
Topical treatment is often helpful, especially when dryness, irritation, or discomfort are present.
Options may include:
- Vaginal estrogen (cream, tablets, or rings) to support tissue health, lubrication, and elasticity—particularly in peri- and postmenopausal women
- Compounded topical creams (sometimes including estrogen, testosterone, or vasodilating agents) to support local blood flow and sensitivity
- Non-hormonal moisturizers and lubricants to improve comfort and reduce friction
When appropriately selected, these approaches can significantly improve sexual comfort, responsiveness, and overall quality of life.
Additional Options: Compounded Arousal Creams
Some women benefit from compounded topical formulations designed to enhance arousal, sensitivity, and orgasmic response. These are commonly known as Climax, Scream, and Euphoria creams.
These creams are applied locally—typically to the clitoris or vulvar area—shortly before sexual activity. Formulas vary by compounding pharmacy, but they generally work by supporting local blood flow, nerve sensitivity, and tissue responsiveness.
Ingredients may include variations of:
- Theophylline
- Arginine
- Sildenafil
- Papaverine
- Alprostadil
- Ergoloid Mesylate
- Pentoxifylline
What Each Cream Is Designed To Do
Important note: These compounded products are not FDA-approved, and results can vary by individual. Side effects are usually mild and localized, such as temporary warmth, tingling, or irritation.
What to Expect at Ascentis
A Comfortable, Discreet Conversation
You’ll never be rushed. We’ll listen and ask the right questions so we can understand what you’re experiencing.
Evaluation and Testing (When Needed)
If hormone imbalance or menopause-related changes may be contributing, lab work may be recommended to guide safe and personalized care.
A Personalized Plan
You’ll receive a clear plan that may include topical therapies, hormonal support (when appropriate), lifestyle strategies, referrals (such as pelvic floor therapy), or other targeted recommendations.
Ongoing Support & Follow-Up
We adjust your plan based on how you respond—because your body isn’t static, and your care shouldn’t be either.
Ready to Talk? We’re Here.
If you’re experiencing changes in desire, comfort, or intimacy, you don’t have to navigate it alone. We’re here to support you with discretion, compassion, and real medical guidance.