Sexual health & midlife
Common, not untreatable.
Painful sex, low desire, and changes in sensation are common in midlife, and commonly dismissed as something to live with. They're also some of the most reliably treatable menopause symptoms, once someone actually treats them.
Clinician-led · Symptom-focused, not lab-gated · Ships to your door
Treatment, matched to your symptom
Tell us what's changed. We'll tell you what treats it.
Every symptom below has its own mechanism and its own first-line treatment. Most start based on what you're experiencing, no labs required. Testosterone is the one exception.
If you're experiencing: dryness or pain with sex
Vaginal estrogen
Restores vaginal tissue directly. It's the first-line, standard-of-care treatment for genitourinary syndrome of menopause: effective, safe, and inexpensive.
No labs required to start
If you're experiencing: low desire that's causing distress
Transdermal testosterone
The strongest evidence-based option for low desire with distress. Endorsed by multiple medical societies for postmenopausal women, prescribed at female-appropriate doses.
Baseline labs required
If you're experiencing: dulled sensation or slower orgasm
Vasodilator cream & pelvic floor PT
A non-hormonal cream applied before intimacy can increase blood flow and sensitivity. Pelvic floor therapy helps when muscles are too weak or too tight.
No labs required to start
If you're experiencing: dryness that hasn't fully responded to other treatments
DHEA capsules
An alternative to vaginal estrogen for restoring tissue health. Converted locally to estrogen and testosterone, with minimal absorption into the rest of the body.
No labs required to start
How we organize your visit
One framework, if it's useful: CARE
Behind the scenes, your clinician thinks through four components: Comfort, Arousal, Response, Enjoyment, to make sure nothing gets missed. You don't need to remember the acronym; we just wanted you to know your visit isn't a five-minute guess.
Dryness, tissue thinning, and pain with sex. Addressed first, since nothing else works well while sex still hurts.
Desire and drive, including the normal shift at midlife from wanting sex first to needing stimulation to start.
Genital sensation and orgasm: how intense, how quick, and how your body feels afterward.
Physical and emotional satisfaction, and how much any of this is actually bothering you.
What women tell us
"It was quite easy and convenient to sign up and to schedule an appointment. My discussion with Carrie was satisfying compared to the run-around I got from my long-term providers who didn't have full expertise on hormone treatments and their potential impacts on me."
Lauren S.
"I felt a great connection with my provider. It was easy to communicate via Zoom. She was very likeable and thorough and covered everything I wondered about. I feel hopeful."
Liz S.
"I sure love Julee! She is so caring, compassionate, and listens to every concern. I'm also so thankful as I have limited access to services where I live, so not having to drive to an office was invaluable."
Elizabeth H.
How it works
Book your visit
Tell us what's changed before your appointment, so your clinician starts with context, not a blank page.
Meet your clinician
A 20–30 minute virtual visit focused entirely on midlife women's health, including sexual health.
Start your care plan
Prescriptions ship to your door. Follow-ups adjust your plan as symptoms change.
Simple, transparent pricing
Self-pay only, by design: clear costs up front, no coverage approvals or claim denials in the way of your care. HSA/FSA-eligible.
Initial consultation
$150
30-minute one-on-one video visit
- Personalized treatment plan
- Ongoing secure messaging with your clinician
- Baseline labs only if pursuing testosterone
Follow-up consultation
$75
as-needed check-in video visit
- Review progress or new symptoms
- Adjust your treatment plan
- Same clinician, full history on hand
Annual consultation
$175
yearly comprehensive review
- Confirms your plan still fits your goals
- Video visit, secure messaging included
- HSA/FSA-eligible
Pricing shown reflects inflexxionhealth.com/consultation-services. Confirm current rates before publishing, since these can change.
Frequently asked questions
Do you accept insurance?
No, we're self-pay only, by design. That means transparent pricing and no waiting on coverage approvals or claim denials to get care started. Visits are HSA/FSA-eligible.
What happens in my first visit?
A 20–30 minute virtual consultation with a clinician who specializes in midlife women's health. We'll review your symptoms, history, and goals, and build a plan together.
Do I need lab work before starting treatment?
Only if you're considering testosterone, which requires baseline labs. Every other treatment we offer is based on your symptoms and history, not a lab value.
Do you offer in-person services?
Care is delivered virtually, with direct referrals to in-person specialists, including pelvic floor therapy, across our regional clinician network.
Is it too late to treat this if it's been going on for years?
No. Genitourinary syndrome of menopause and low-desire symptoms typically respond to treatment regardless of how long they've been present.
What you'll learn
Quick answers, if you're skimming
Q: Is this actually hormonal, or is it stress, age, or my relationship?
A: It's hormonal at the root. Falling estrogen changes vaginal tissue directly, and falling estrogen and testosterone affect desire and arousal. Stress and relationship context can compound it, but they're not the cause.
Q: Is painful sex during menopause permanent?
A: No. Pain from vaginal dryness and tissue thinning (genitourinary syndrome of menopause) is highly responsive to local vaginal estrogen, often within weeks.
Q: Do I need labs before starting treatment?
A: For most symptoms, no. Treatment is based on what you're experiencing, not a blood test. The one exception is testosterone, which does require baseline labs.
Q: Why did wanting sex used to come first, and now it doesn't?
A: Desire commonly shifts at midlife from spontaneous to responsive: interest that shows up after stimulation starts, not before. It's a normal change, not a loss of interest.
You don't have to keep working around this.
Book a visit with a clinician who specializes exclusively in midlife women's health, and treats sexual health as a first question, not an afterthought.
Book your visit