Sexual Dysfunction

What is Sexual Dysfunction ?

Sexual Dysfunction refers to ongoing difficulties in sexual desire, arousal, or physical response that interfere with satisfaction, intimacy, or connection. This condition can affect both men and women, and it can appear gradually or suddenly. It is not simply a physical issue — sexual wellness involves the interconnected balance of hormones, circulation, nervous system regulation, emotional well-being, and relationship health.

 

At First Call DPC, we treat sexual dysfunction with respect and discretion. We understand that sexual health is an essential part of quality of life, identity, and confidence. When sexual function changes, it can impact emotional connection, self-esteem, and intimate relationships — which is why it deserves thoughtful, compassionate care.

 

Sexual dysfunction is common, but it is not something you have to ignore, accept as “normal with age,” or try to manage alone. There are real, effective, personalized treatment options that restore desire, function, pleasure, and connection.

What Causes Sexual Dysfunction ?

Sexual dysfunction is often the result of multiple overlapping factors, such as:

Hormonal Causes

Low testosterone

Estrogen or progesterone decline in women

Thyroid imbalance

Cortisol (stress hormone) dysregulation

Circulatory & Physical Causes

Reduced blood flow to sexual organs

Diabetes or insulin resistance

High cholesterol or high blood pressure

Pelvic floor tension or nerve dysfunction

Post-pregnancy changes

Medications that impact libido or arousal

Emotional & Psychological Factors

Stress and burnout

Anxiety or fear of performance

Depression or mood imbalance

Relationship tension or disconnection

Lifestyle Contributors

Alcohol use

Poor sleep

Chronic inflammation

Sedentary lifestyle

Nutrient deficiencies

Sexual dysfunction is not a personal failure — it is a physiological message that something in the system needs support and rebalancing.

What Symptoms Will I Experience With Sexual Dysfunction ?

Symptoms vary depending on the individual, but can include:

For Men:

Difficulty achieving or maintaining an erection

Reduced firmness or performance confidence

Lower libido or sexual desire

Decreased morning erections

Longer recovery time between arousal

For Women:

Low or fluctuating sexual desire

Vaginal dryness or discomfort during intimacy

Difficulty achieving arousal or orgasm

Sensitivity changes or decreased pleasure

Emotional disconnection from sexual experiences

For All Individuals:

Fatigue or low emotional energy

Stress interfering with intimacy

Feeling mentally interested but physically unresponsive

Reduced confidence or self-esteem

Relationship frustration or withdrawal

Many people express:

  • “I want to feel connected again.”
  • “I miss feeling confident and present.”
  • “This used to feel natural — now it feels forced.”

These experiences are valid — and treatable.

What Should I Try at Home Before Seeing a Provider for Sexual Dysfunction ?

Some steps may begin restoring balance:

Prioritize Sleep

Rest restores hormone production and nervous system responsiveness.

Reduce Alcohol Intake

Alcohol temporarily relaxes but ultimately reduces sexual arousal and performance.

Increase Physical Activity

Regular movement increases blood flow and boosts energy, libido, and mood.

Reduce Chronic Stress

Stress chemistry is the opposite of intimacy chemistry — calming the system supports desire.

Open Communication With Your Partner

Emotional safety improves physical response.

If you’ve already tried these — and still feel disconnected from your sexual wellness — deeper assessment is needed. Your body is asking for support, not more effort.

Best Treatment Options for Sexual Dysfunction

Treatment is most effective when it addresses the root cause, not just the symptom.

At First Call DPC, treatment may include:

Hormone Optimization

Restoring testosterone, estrogen, progesterone, or thyroid balance supports desire, arousal, sensitivity, energy, and mood.

Peptide Therapy

Peptides can enhance circulation, nitric oxide signaling, sensitivity, and nerve function while also supporting emotional resilience.

Erectile or Arousal Support Therapies

Targeted medications or therapies can improve blood flow and physical response when appropriate.

Pelvic Floor Evaluation

For both men and women, pelvic muscle tension can block sexual response. Guided release, therapy, or strengthening can vastly improve function.

Counseling or Communication Support (When Needed)

Sexual function is deeply connected to emotional safety, identity, and relationship patterns.

Lifestyle-Based Metabolic & Stress Support

Improving sleep, inflammation, gut function, and stress response enhances intimacy chemistry.

Our goal is not just physical function — but pleasure, connection, confidence, and fulfillment.

Our Process for Treating Sexual Dysfunction

Private, Compassionate Conversation

We speak openly — without judgment — about your experiences, goals, and concerns.

Comprehensive Lab Testing

We evaluate hormones, blood flow markers, metabolic function, nutrient levels, inflammation, thyroid health, and stress chemistry.

Root Cause Explanation

We explain what’s happening and why — clearly and respectfully.

Personalized Treatment Plan

Your plan may include hormonal support, peptide therapy, performance support, pelvic floor therapy, or stress recovery strategies.

Direct Access & Ongoing Support

You stay in direct communication with your provider — adjusting your plan as your body responds.

At First Call DPC, intimacy is not treated as an afterthought — it’s treated as a meaningful part of wellness.