Feeling tired, irritable, disconnected, or unlike yourself can be frustrating, especially when the changes seem to appear without a clear reason. Whether you’ve noticed a decrease in desire, difficulty reaching orgasm, changes in lubrication, or discomfort during intercourse, our providers take the time to understand what you’re experiencing and identify treatment options based on your individual needs.
At Your Formula, Dr. Jonathan Zaidan, MD, and Suzana Marku, NP-C, provide personalized, medically guided hormone care for eligible patients. With telehealth services available throughout Michigan and Florida, Your Formula combines clinical evaluation, laboratory testing when appropriate, evidence-based treatment, and ongoing support.
Common Female Sexual Health Concerns
Sexual wellness can change throughout different stages of life. You may benefit from an evaluation if you are experiencing:
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Reduced sexual desire or libido
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Difficulty achieving orgasm
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Reduced intensity or frequency of orgasm
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Difficulty with arousal
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Vaginal dryness or difficulty with lubrication
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Pain or discomfort during intercourse
Changes in sexual satisfaction -
Other changes affecting intimacy or sexual confidence
These concerns can have many potential causes. Your provider will work with you to better understand your symptoms, health history, medications, hormonal factors, and goals before recommending treatment.
What to Expect
Your care begins with a confidential consultation with a licensed healthcare provider. We want to understand what has changed, how those changes are affecting you, and what you would like to improve.
Your provider may review your:
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Sexual health concerns and symptoms
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Medical and reproductive history
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Current medications
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Hormonal and menopausal status
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Lifestyle and overall health
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Laboratory results when clinically appropriate
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Personal treatment goals
From there, we can develop an individualized plan that may include HRT, female-dosed testosterone, compounded Scream Cream, oxytocin, PT-141, or other appropriate therapies.
Treatment recommendations are based on your individual evaluation, and not every option is appropriate for every patient.
A Personalized Approach to Female Sexual Health
There isn’t one treatment that works for every woman.
Hormone Replacement Therapy
Changes in estrogen, progesterone, testosterone, and other hormones may affect sexual desire, vaginal health, lubrication, comfort, and overall well-being.
When clinically appropriate, hormone replacement therapy (HRT) may be incorporated into your treatment plan to address hormonal factors that could be contributing to your sexual health concerns.
Female-Dosed Testosterone
Testosterone plays a role in female sexual health as well as male sexual health. For appropriately selected patients, carefully dosed testosterone therapy for women may be considered when addressing certain concerns related to sexual desire and function.
Your provider will determine whether testosterone is appropriate based on your symptoms, health history, clinical evaluation, and laboratory testing when indicated.
Scream Cream
Scream Cream is a customized compounded topical formulation that may be considered for certain women experiencing concerns related to sexual arousal and response.
Because compounded formulations can vary, your provider will determine whether this option is appropriate for your needs and provide specific instructions for its use.
Sublingual Oxytocin
Sublingual Oxytocin is a naturally occurring hormone involved in bonding, intimacy, and sexual response. Compounded oxytocin may be considered as part of an individualized sexual wellness plan for appropriate patients.
PT-141
PT-141 (bremelanotide) is another option that may be considered for certain female sexual health concerns. It works through pathways involved in sexual desire and response rather than primarily targeting blood flow.
Your provider can determine whether PT-141 may be appropriate based on your symptoms, health history, and treatment goals.
Why Choose Your Formula for Women’s Sexual Health
Modern sexual wellness, guided by medical expertise. Your Formula was founded by Dr. Jonathan Zaidan and Suzana Marku, NP-C, to expand access to individualized, evidence-based care through a streamlined telehealth model. Instead of offering a standard hormone protocol to every patient, the practice uses detailed intake information, provider evaluation, and laboratory review when appropriate to build a plan around your specific needs.
Your Formula also emphasizes ongoing provider involvement. Care does not end once treatment is prescribed. Follow-up, guidance, and adjustments help support safe, individualized treatment as your symptoms and goals change. The practice works with a PCAB-approved pharmacy and is LegitScript certified, supporting a care experience focused on clinical integrity, accessibility, and personalized attention.
Feel More Like Yourself Again
If reduced desire, difficulty reaching orgasm, vaginal dryness, painful intercourse, or other changes in sexual function are affecting your quality of life, personalized treatment options are available. A personalized medical evaluation can help determine whether hormone replacement therapy is appropriate and give you a clearer path toward feeling stronger, more balanced, and more like yourself.
Your Formula provides individualized hormone replacement therapy with telehealth care available to eligible patients throughout Michigan and Florida. Call (313) 380-5779 to book a consultation and explore a medically guided treatment plan built around your symptoms, goals, and long-term wellness.