Changes in Libido and Sexual Health
Changes in libido, comfort, arousal, stamina, or sexual performance can affect far more than intimacy. They may influence confidence, mood, relationships, sleep, and how you feel in your everyday life. Sexual health is closely connected with hormonal and metabolic health, nutrition, medications, stress, sleep, emotional well-being, relationships, lifestyle, and overall physical health.
If something feels different, you do not have to simply accept it as your new normal. Our personalized services can help identify contributing factors and create a plan designed to support sexual desire, arousal, function, confidence, and overall well-being
At Your Formula, Dr. Jonathan Zaidan, MD, and Suzana Marku, NP-C, provide personalized, medically guided sexual wellness care for women and men. Offering telehealth care to eligible patients across Michigan and Florida, Your Formula combines comprehensive evaluations, appropriate lab testing, evidence-based treatment, and ongoing provider support.
Common Sexual Health Concerns
Reduced Libido & Desire
Hormonal changes, stress, sleep quality, metabolic health, and lifestyle factors may all contribute to decreased sexual desire and reduced intimacy. A personalized provider evaluation may help identify contributing causes and support overall sexual wellness and confidence.
Hormonal Imbalance
Hormonal fluctuations may contribute to changes in libido, vaginal comfort, mood, energy, and overall sexual wellness. Personalized treatment plans may help support hormonal balance and improve quality of life through individualized care.
Vaginal Dryness & Pelvic Changes
Changes in estrogen levels may impact vaginal tissue health, lubrication, and comfort during intimacy. Provider-guided care may help support vaginal wellness, pelvic comfort, and overall intimate health.
Stress, Mood & Sleep Disruption
Chronic stress, poor sleep, and emotional health may impact hormone regulation, intimacy, and sexual satisfaction. Personalized wellness support may help improve overall balance, mood, and quality of life.
Erectile Dysfunction
Erectile dysfunction may be influenced by circulation, hormonal balance, stress, metabolic health, and lifestyle factors. A comprehensive provider evaluation may help identify contributing causes and guide individualized treatment options.
Low Testosterone
Declining testosterone levels may contribute to reduced libido, fatigue, decreased muscle mass, mood changes, and lower sexual performance. Personalized care plans may help support hormonal wellness and overall vitality when clinically appropriate.
Reduced Stamina & Performance
Energy levels, recovery, cardiovascular health, and stress can all affect sexual performance and confidence. Individualized treatment plans may focus on optimizing overall wellness and long-term health support.
Circulation & Metabolic Health
Cardiovascular and metabolic health play an important role in sexual wellness and erectile function. Provider-guided care may help support healthy circulation, metabolic balance, and overall performance.
Personalized Sexual Health Treatment
Your Formula takes an individualized approach that considers hormonal, metabolic, nutritional, psychological, medication-related, relationship, and lifestyle factors that may affect desire, arousal, comfort, performance, and overall sexual wellness.
Sexual Health Treatment Options for Women
Your Formula may consider several treatment options for female sexual health concerns based on your individual symptoms, goals, and clinical evaluation:
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Testosterone: May be considered as part of individualized hormonal and sexual wellness care when clinically appropriate.
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Oxytocin: May be incorporated into a personalized sexual wellness plan for eligible patients.
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Scream Cream: A topical therapy that may be considered for certain female sexual health concerns based on provider evaluation.
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PT-141: May be considered for eligible patients as part of individualized treatment for sexual desire or arousal concerns.
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Hormone replacement therapy (HRT): HRT may be considered when hormonal changes are contributing to concerns such as reduced libido, vaginal discomfort, low energy, or other symptoms.
Sexual Health Treatment Options for Men
Treatment for male sexual health concerns is also individualized based on symptoms, health history, hormone levels when appropriate, and treatment goals. Options may include:
- Testosterone replacement therapy (TRT): May be considered for men with clinically appropriate testosterone-related concerns.
- Oxytocin: May be incorporated into individualized sexual wellness treatment when appropriate.
- PT-141: May be considered for eligible patients as part of a personalized sexual health plan.
- Sildenafil: A prescription option that may be considered for erectile function concerns when clinically appropriate.
- Tadalafil: Another prescription option that may be considered for erectile function concerns based on provider evaluation.
Whole-Person Sexual Wellness Support
Medication or hormone therapy may be only one part of the treatment plan. Your Formula may also address factors that can influence sexual health, including:
- Nutrition
- Exercise and physical activity
- Sleep quality
- Stress management
- Pelvic health
- Metabolic and cardiovascular wellness
- Medication-related contributors
- Psychological and emotional factors
- Relationship and lifestyle considerations
- Evidence-informed supplementation
Ongoing follow-up allows your provider to review your symptoms, laboratory findings when appropriate, response to treatment, and changing goals so your care can be adjusted over time.
Why Choose Your Formula for Sexual Health Care
Modern sexual wellness, guided by medical expertise. Your Formula delivers personalized, evidence-based sexual health care through a clinician-led telehealth experience focused on hormonal balance, intimacy, performance, and overall wellness for both men and women. Founded by Dr. Jonathan Zaidan and Suzana Marku, NP-C, the practice was built to make medically guided care more accessible while maintaining a thoughtful, individualized approach.
Each patient receives a detailed evaluation rather than a one-size-fits-all solution. Your Formula may assess contributing factors related to reduced libido, changes in desire or arousal, erectile dysfunction, vaginal dryness, hormonal changes, fatigue, mood concerns, medications, metabolic health, lifestyle, and performance-related symptoms. Treatment may combine hormonal or prescription therapies with nutrition, sleep, exercise, pelvic health support, and other strategies when appropriate. The practice also works with a PCAB-approved pharmacy and is LegitScript certified, supporting a care model centered on clinical integrity, safety, and ongoing provider involvement.
Just as importantly, care does not stop after a prescription is written. Follow-up, guidance, and adjustments are built into the process so treatment can continue to reflect your changing needs and goals. The focus is helping you work toward greater energy, confidence, relief from bothersome symptoms, improved vitality, and a stronger sense of connection.
Reclaim Confidence and Connection With Sexual Health
Your Formula provides personalized sexual health telehealth care for women and men across Michigan and Florida with comprehensive evaluations, laboratory review when appropriate, and evidence-based treatment plans designed to support sexual wellness, hormonal health, and overall well-being through clinician-guided care.
Call (313) 380-5779 to book a consultation and explore a clinician-guided plan built around your sexual health, hormonal wellness, and overall well-being.
