What is female sexual dysfunction?

Female sexual dysfunction refers to ongoing concerns with sexual desire, arousal, orgasm, comfort, or pain that affect intimacy or quality of life. It may involve low libido, difficulty becoming aroused, difficulty reaching orgasm, vaginal dryness, painful intimacy, or anxiety around sexual activity.

What causes female sexual dysfunction?

Female sexual dysfunction can be linked to hormone changes, menopause, vaginal dryness, pelvic floor tension, thyroid concerns, mood changes, stress, relationship factors, medical conditions, or medications such as SSRIs and other antidepressants.

What is sexual dysfunction treatment for women?

Sexual dysfunction treatment for women depends on the cause. Care may include hormone or non-hormonal options, vaginal therapies, pelvic floor support, medication review, sexual wellness counseling, lifestyle guidance, or treatment for menopause-related vaginal and intimacy changes.

Can menopause cause sexual dysfunction?

Yes. Perimenopause and menopause can affect estrogen levels, vaginal tissue, lubrication, desire, arousal, sleep, mood, and comfort during intimacy. These changes may contribute to low libido, vaginal dryness, painful intimacy, or orgasm changes.

Can SSRIs cause sexual dysfunction?

Yes. SSRIs and some antidepressants may contribute to reduced desire, delayed orgasm, difficulty climaxing, reduced sensation, or arousal changes. Dr. Deepali Kashyap can review medication-related sexual side effects and discuss appropriate next steps.

What is post-SSRI sexual dysfunction?

Post-SSRI sexual dysfunction, sometimes called PSSD, refers to sexual symptoms that continue after stopping an SSRI. Symptoms may include reduced libido, orgasm difficulty, genital numbness, reduced sensation, or arousal changes. Evaluation is important because symptoms can have multiple contributing factors.

FSIAD stands for Female Sexual Interest/Arousal Disorder. It may involve low sexual desire, reduced arousal, low interest in intimacy, reduced sexual thoughts, or difficulty responding sexually.

Anorgasmia means difficulty reaching orgasm, delayed orgasm, reduced orgasm intensity, or inability to climax despite stimulation. It may be related to hormones, medications, stress, mood, pelvic floor factors, or medical history.

GPPPD stands for Genito-Pelvic Pain/Penetration Disorder. It may involve pain with penetration, pelvic floor tightness, fear of pain, vaginal discomfort, or difficulty with intimacy.

When should I see a doctor for sexual dysfunction?

You should consider seeing a doctor if low desire, pain, dryness, orgasm difficulty, medication-related changes, or intimacy concerns are persistent, distressing, or affecting your relationship, comfort, or confidence.

Female Sexual Dysfunction Treatment in Henderson, NV|Galleria Women's Health

Is Pain, Dryness, or Low Libido Affecting Intimacy?

Confidential care for female sexual dysfunction and intimacy concerns, including:

Low Interest in Intimacy
Reduced Desire
Arousal Difficulty
Emotional Withdrawal
Orgasm Difficulty
Painful Intimacy
Vaginal Dryness
Physical Discomfort
Menopause Changes
Thyroid Shifts
Medication-Related Changes
Past Trauma Concerns

Female Sexual Dysfunction Doctor in Henderson, NV

Dr. Deepali Kashyap

Dr. Deepali Kashyap provides confidential sexual dysfunction care for women who are experiencing changes in desire, arousal, orgasm, comfort, or intimacy. As a women’s sexual health specialist in Henderson, Dr. Deepali Kashyap looks beyond the symptom itself to evaluate hormonal, medical, medication-related, emotional, and lifestyle factors that may be affecting sexual wellbeing and designs personalized care that supports comfort, confidence, and connection.

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Our Approach to Female
Sexual Dysfunction Treatment

Sexual health is personal, and every woman’s experience is different. At Galleria Women’s Health, care is guided by expertise, empathy, and a commitment to restoring comfort, confidence, and connection. Each step of the process is thoughtfully designed to identify root causes and create lasting results.

We Accept Major Insurance Plans*

View Accepted Insurance

*Coverage varies by plan and service. Some tests, scans, procedures, or treatments may require prior authorization.

1. Low Libido & Changes in Sexual Desire

Why don't I feel like having sex anymore even though I love my partner?

Sexual desire can change even in a healthy, supportive relationship. Stress, fatigue, hormonal changes, medications, and emotional health may all affect libido. Some women also experience responsive desire, meaning interest develops after intimacy begins rather than beforehand. If the change is persistent or personally distressing, a sexual health evaluation may help identify contributing factors.

Is it normal to never feel spontaneous sexual desire but still enjoy intimacy once it starts?

Yes. Not everyone experiences spontaneous sexual desire. Some women develop interest after affectionate touch, emotional connection, or other forms of stimulation. This is called responsive desire and does not necessarily indicate a sexual disorder. Treatment is generally considered when changes in desire cause ongoing personal distress or interfere with sexual wellbeing.

Why has my libido suddenly decreased in my 30s when I'm not menopausal?

Reduced sexual desire in your 30s may be associated with stress, inadequate sleep, depression, anxiety, medication effects, relationship concerns, or certain medical conditions. Hormonal contraception and changes after pregnancy may also contribute. Menopause is not the only possible explanation. Reviewing when the change began can help identify potential triggers.

Can low sexual desire be treated even when my hormone levels are normal?

Yes. A normal hormone result does not rule out a treatable sexual desire concern. Low libido may involve psychological, relationship, neurological, medication-related, or other medical factors. Treatment may include medication adjustments, counseling, sex therapy, or selected prescription treatments. The most appropriate approach depends on the diagnosis, individual health risks, and patient preferences.

2. Sexual Arousal, Sensation & Physical Response

Why does my body not respond sexually even when I feel mentally interested?

Mental desire and physical arousal do not always occur together. A woman may feel interested in intimacy but experience limited lubrication, reduced genital sensation, or difficulty becoming physically aroused. Medications, hormonal changes, inadequate stimulation, and medical conditions can contribute. An evaluation can help distinguish physical arousal concerns from changes in sexual desire.

Why do I feel less sensitive to touch during intimacy than I used to?

Reduced genital sensitivity may be associated with certain medications, hormonal changes, nerve-related conditions, diabetes, or differences in stimulation. Symptoms that appear suddenly or occur alongside numbness elsewhere deserve medical assessment. Understanding whether the change involves sensation, arousal, or orgasm can help identify suitable treatment options.

Can diabetes affect sexual arousal and vaginal sensation?

Yes. Diabetes may affect blood vessels, nerves, vaginal comfort, and sexual response. Poor glucose control can also increase the risk of certain genital infections and contribute to fatigue. Women experiencing reduced sensitivity, dryness, or arousal difficulties may benefit from reviewing diabetes management alongside a focused sexual and gynecological health evaluation.

Why does my body take longer to become aroused as I get older?

Changes in circulation, vaginal tissue, hormonal activity, medications, and general health may influence arousal with age. Some women need more time or different types of stimulation than previously. These changes are not necessarily a disorder, but persistent difficulty that causes distress may benefit from assessment and individualized support.

3. Orgasm Difficulties & Changes in Sexual Satisfaction

Why can I reach orgasm alone but not during sex with my partner?

Different types of stimulation can produce different sexual responses. Many women require direct or indirect clitoral stimulation to reach orgasm, which may not occur consistently during penetration alone. Anxiety, communication difficulties, and differences in stimulation can also contribute. This experience does not automatically indicate a medical disorder.

Why does it take me much longer to orgasm than it used to?

Changes in orgasm timing may be linked to antidepressants, fatigue, stress, hormonal changes, reduced sensation, or changes in stimulation. The timing itself is not necessarily concerning unless it represents an unwanted change or causes distress. Reviewing medications, symptom onset, and accompanying physical changes can help identify contributing factors.

Can I experience an orgasm but barely feel any pleasure from it?

Yes. Some women report orgasms that feel less intense or satisfying than before. Medication effects, mood disorders, hormonal changes, and altered genital sensation may contribute. A clinician can review whether the change is related to a medication, medical condition, or broader sexual response concern and discuss possible management options.

Is it possible to improve orgasm difficulties without taking hormones?

Yes. Depending on the cause, non-hormonal approaches may include changes in stimulation, sex therapy, medication review, or treatment of pelvic floor problems. Addressing stress and communication difficulties may also help. Hormone therapy is not universally indicated for orgasm concerns, and treatment should target the factors identified during evaluation.

4. Painful Intimacy, Penetration & Pelvic Floor Concerns

Why do I feel burning or stinging at the vaginal opening during penetration?

Burning at the vaginal entrance may be associated with inadequate lubrication, skin irritation, infections, vestibulodynia, or pelvic floor muscle tension. The location and timing of pain can help distinguish possible causes. Persistent discomfort should be evaluated rather than repeatedly treated as a yeast infection without confirmation.

Why does penetration feel impossible even when I'm relaxed and want to have sex?

Involuntary tightening of the pelvic floor muscles may make penetration painful or difficult, even when someone consciously wants intimacy. This can occur with genito-pelvic pain/penetration disorder or other pelvic conditions. Treatment may include pelvic floor physical therapy, gradual desensitization, and appropriate psychological support rather than forcing penetration.

What causes deep pelvic pain during sex rather than pain at the vaginal opening?

Deep pain during intercourse may be associated with endometriosis, ovarian cysts, pelvic inflammatory disease, pelvic floor dysfunction, or other gynecological conditions. The cause may differ from superficial vaginal pain. A clinician may recommend a pelvic examination, imaging, or other investigations depending on accompanying symptoms and medical history.

Can pelvic floor physical therapy help with painful sex even if I don't have urinary leakage?

Yes. Pelvic floor physical therapy can help women with muscle tightness, difficulty relaxing pelvic muscles, or pain during penetration, even without urinary incontinence. Treatment may focus on relaxation, breathing, muscle coordination, and gradual rehabilitation. Strengthening exercises such as Kegels are not always appropriate when muscles are already excessively tense.

5. Medications, Hormones & Medical Conditions

What can I do if my antidepressant improves my mood but reduces my sexual pleasure?

Some antidepressants can affect libido, arousal, genital sensation, and orgasm. If the medication is otherwise helping, your prescribing clinician may consider dosage adjustments, alternative medicines, or other strategies depending on your mental health needs. Do not stop or reduce antidepressants without medical guidance, as withdrawal symptoms or recurrence of depression may occur.

Can birth control pills affect my sex drive or vaginal lubrication?

Some women report changes in libido or lubrication while using hormonal contraception, although research findings vary and many experience no negative effects. Relationship factors, stress, other medications, and underlying conditions can also contribute. If symptoms begin after changing contraception, a clinician can review whether an alternative method might be appropriate.

Can testosterone treatment help women who have lost interest in sex?

Carefully monitored transdermal testosterone may benefit selected postmenopausal women diagnosed with hypoactive sexual desire disorder (HSDD) after a comprehensive assessment. It is not recommended as a general treatment for every case of low libido. Testosterone use for women in the United States is off-label and requires discussion of uncertain long-term safety, appropriate dosing, and monitoring.

Can thyroid disorders affect sexual desire and satisfaction?

Both hypothyroidism and hyperthyroidism may contribute to changes in sexual desire, energy, mood, and sexual response. However, low libido alone does not establish a thyroid disorder. If symptoms such as fatigue, weight changes, menstrual irregularities, or temperature sensitivity are also present, thyroid evaluation may be appropriate based on clinical findings.

6. Sexual Health Treatment & Personal Care Decisions

Is there a prescription medication for low sex drive in women?

Certain prescription medications are available for appropriately diagnosed hypoactive sexual desire disorder, including flibanserin and bremelanotide for eligible patients under their current prescribing criteria. These medications are not suitable for everyone and have specific precautions and adverse effects. Treatment selection requires a review of medical history, other medicines, and the causes of reduced desire.

Do I need hormone testing before receiving treatment for sexual dysfunction?

Not always. Many sexual health concerns are assessed through medical and sexual history, medication review, symptom patterns, and examination when appropriate. Hormone tests may be useful when particular endocrine conditions are suspected or certain treatments require baseline monitoring. Comprehensive hormone panels are not routinely necessary for every sexual dysfunction concern.

Can sex therapy help if my symptoms have a physical cause?

Yes. Physical and psychological factors frequently interact in sexual health. Sex therapy may help address anxiety, avoidance, communication difficulties, or changes in sexual confidence while medical treatments address pain or other physical symptoms. A combined approach can be appropriate when several factors contribute to the same concern.

What happens during a sexual health consultation if I'm uncomfortable discussing intimacy?

A sexual health consultation typically begins with a confidential conversation about symptoms, medical history, medications, and personal concerns. You can explain what feels uncomfortable and ask questions before agreeing to any examination. A pelvic examination is not required for every concern, and testing or treatment should be discussed with your consent and based on clinical need.

What to Expect From Your
Menopause Consultation

Your consultation provides a private, respectful space to discuss your concerns and understand the physical, hormonal, medication-related, or emotional factors that may be affecting your sexual health.

How We Provide Personalized Treatment
for Female Sexual Dysfunction

Personalized Treatment Options for Lasting Change

Every woman’s experience with sexual health is unique, and treatment should reflect that individuality. At Galleria Women’s Health, care plans are customized to address both the physical and emotional aspects of sexual dysfunction. Each program blends evidence-based medical therapies with supportive lifestyle guidance to target erthe underlying causes—not just the symptoms.

Hormonal Balance and Support
Emotional and Psychological Wellbeing
Physical and Sexual Function Improvement
Hormonal Optimization
Psychological and Emotional Support
Lifestyle and Relationship Enhancements
Medical Interventions and Devices
Alternative and Complementary Therapies

Hormonal Balance and Support

Every woman’s hormonal landscape is unique, and restoring that balance is central to improving desire, arousal, and overall comfort. At Galleria Women’s Health, hormonal care is personalized to your body’s needs, life stage, and goals.

Bioidentical Hormone Replacement::Using plant-based hormones like estrogen, progesterone, and testosterone to restore hormonal balance naturally.
Vaginal Estrogen::Creams, tablets, or rings applied locally to reduce dryness and discomfort during intimacy.
Herbal Supplements::Natural herbs such as maca, black cohosh, or red clover to support hormonal health and enhance libido.
Nutritional Support: Incorporating omega-3 fatty acids, vitamin D, and magnesium to promote healthy hormonal pathways.

Achieving hormonal harmony can significantly enhance your sexual well-being. Contact us to learn more.

Emotional and Psychological Wellbeing

Emotional health is crucial for intimacy; addressing stress and mental health can improve desire and satisfaction.

Mindfulness and Relaxation Techniques:Practices like meditation or deep breathing help reduce stress and increase presence during intimacy.
Herbal Stress Support:Adaptogens such as ashwagandha or holy basil help manage cortisol levels and promote calmness.
Counseling and Therapy:Professional support can address relationship issues or past trauma, boosting confidence and connection.
Visualization and Journaling:Techniques to foster positive thoughts and emotional openness, enhancing sexual confidence.

Taking care of your emotional health creates a solid foundation for a fulfilling sex life. Reach out to explore options.

Physical and Sexual Function Improvement

Enhancing physical health and sexual response can lead to better intimacy experiences.

Pelvic Floor Physical Therapy:Exercises like Kegels strengthen pelvic muscles, improving arousal and reducing discomfort.
Vaginal Laser Therapy:Non-invasive laser treatments stimulate collagen production, improving elasticity and lubrication.
Medical Devices and Lubrication:Use of vibrators or dilators can enhance arousal and comfort during intimacy; lubricants reduce dryness.
Regular Exercise and Fitness:Physical activity increases blood flow, energy, and overall sexual responsiveness.

Improving physical function supports more pleasurable and comfortable intimacy. Contact us for personalized options.

Hormonal Optimization

Hormone levels significantly impact libido, arousal, and overall sexual health.

Hormone Testing:Comprehensive panels to assess levels of estrogen, testosterone, DHEA, and others.
Bioidentical Hormone Therapy:Customized treatments to restore hormonal balance, improving desire and energy.
Supplements and Nutrients:Vitamin D, zinc, and other nutrients support hormonal health and sexual function.
Lifestyle Adjustments:Adequate sleep, stress management, and a balanced diet enhance hormone production.

Optimizing hormones can revitalize your libido and improve sexual satisfaction. Consult with a specialist for personalized care.

Psychological and Emotional Support

Addressing mental health and emotional well-being is crucial for a fulfilling sex life.

Counseling and Therapy: Working with a mental health professional can help resolve anxiety, depression, or trauma affecting intimacy.
Couples Counseling:Enhances communication, understanding, and emotional connection between partners.
Mindfulness and Stress Reduction Techniques:Practices like meditation and deep breathing reduce stress that hampers arousal.
Building Self-Esteem:Activities and counseling aimed at improving body image and confidence.

Taking care of your mental and emotional health creates a supportive foundation for sexual intimacy. Reach out for guidance tailored to your needs.

Lifestyle and Relationship Enhancements

Lifestyle choices and relationship dynamics play a vital role in sexual health.

Adequate Sleep:Quality rest is essential for hormone regulation and libido.
Open Communication:Talking honestly with your partner about desires, needs, and concerns fosters intimacy.
Reducing Substance Use:Limiting alcohol and avoiding drugs that impair sexual response.
Addressing Relationship Issues:Working through conflicts and fostering emotional closeness can reignite passion.

Making positive lifestyle changes and nurturing your relationship can significantly improve your sexual well-being. For broader metabolic and lifestyle support, explore the MetaboLonge wellness program.

Medical Interventions and Devices

When other approaches are ineffective, medical options can be considered.

Medications:Use of drugs like sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra) to improve erectile function.
Devices:Vacuum erection devices, penile pumps, or constriction rings to assist with achieving and maintaining an erection.
Surgical Options:Penile implants or vascular surgery in cases of severe dysfunction.
Hormone Therapy:Testosterone replacement if a deficiency is diagnosed.

Note: All medical interventions should be undertaken under the guidance of a qualified healthcare professional.

Alternative and Complementary Therapies

Some individuals explore alternative options to support sexual health.

Herbal Supplements:Use of herbs like ginseng, maca, or yohimbine may enhance libido and performance, but always consult a healthcare provider before use.
Acupuncture:May help improve blood flow and reduce stress, potentially benefiting sexual function.
Mind-Body Techniques:Practices such as yoga, meditation, and tai chi can reduce stress and improve overall well-being.
Counseling and Support Groups:Sharing experiences and receiving emotional support can alleviate anxiety related to sexual issues.

Note: The effectiveness of these therapies varies, and it's important to discuss them with a healthcare professional to ensure safety and appropriateness.

Frequently Asked Questions

What is female sexual dysfunction?

Female sexual dysfunction refers to ongoing concerns with sexual desire, arousal, orgasm, comfort, or pain that affect intimacy or quality of life. It may involve low libido, difficulty becoming aroused, difficulty reaching orgasm, vaginal dryness, painful intimacy, or anxiety around sexual activity.
What causes female sexual dysfunction?

Female sexual dysfunction can be linked to hormone changes, menopause, vaginal dryness, pelvic floor tension, thyroid concerns, mood changes, stress, relationship factors, medical conditions, or medications such as SSRIs and other antidepressants.
What is sexual dysfunction treatment for women?

Sexual dysfunction treatment for women depends on the cause. Care may include hormone or non-hormonal options, vaginal therapies, pelvic floor support, medication review, sexual wellness counseling, lifestyle guidance, or treatment for menopause-related vaginal and intimacy changes.
Can menopause cause sexual dysfunction?

Yes. Perimenopause and menopause can affect estrogen levels, vaginal tissue, lubrication, desire, arousal, sleep, mood, and comfort during intimacy. These changes may contribute to low libido, vaginal dryness, painful intimacy, or orgasm changes.
Can SSRIs cause sexual dysfunction?

Yes. SSRIs and some antidepressants may contribute to reduced desire, delayed orgasm, difficulty climaxing, reduced sensation, or arousal changes. Dr. Deepali Kashyap can review medication-related sexual side effects and discuss appropriate next steps.

What is post-SSRI sexual dysfunction?

Post-SSRI sexual dysfunction, sometimes called PSSD, refers to sexual symptoms that continue after stopping an SSRI. Symptoms may include reduced libido, orgasm difficulty, genital numbness, reduced sensation, or arousal changes. Evaluation is important because symptoms can have multiple contributing factors.
What is FSIAD?

FSIAD stands for Female Sexual Interest/Arousal Disorder. It may involve low sexual desire, reduced arousal, low interest in intimacy, reduced sexual thoughts, or difficulty responding sexually.
What is anorgasmia?

Anorgasmia means difficulty reaching orgasm, delayed orgasm, reduced orgasm intensity, or inability to climax despite stimulation. It may be related to hormones, medications, stress, mood, pelvic floor factors, or medical history.
What is GPPPD?

GPPPD stands for Genito-Pelvic Pain/Penetration Disorder. It may involve pain with penetration, pelvic floor tightness, fear of pain, vaginal discomfort, or difficulty with intimacy.
When should I see a doctor for sexual dysfunction?

You should consider seeing a doctor if low desire, pain, dryness, orgasm difficulty, medication-related changes, or intimacy concerns are persistent, distressing, or affecting your relationship, comfort, or confidence.

Female Sexual Dysfunction Treatment in Henderson, NV

Is Pain, Dryness, or Low Libido Affecting Intimacy?

15+ Years

5,000+

200+

Dr. Deepali Kashyap

Female Sexual Dysfunction Doctor in Henderson, NV

Dr. Deepali Kashyap

Our Approach to Female Sexual Dysfunction Treatment

01. Private Sexual Health Consultation

02. Diagnostic Testing & Root-Cause Evaluation

03. Personalized Treatment Plan

4. Ongoing Support & Reassessment

We Accept Major Insurance Plans*

Women's Sexual Health Questions: Find Answers to Your Concerns

1. Low Libido & Changes in Sexual Desire

Why don't I feel like having sex anymore even though I love my partner?

Is it normal to never feel spontaneous sexual desire but still enjoy intimacy once it starts?

Why has my libido suddenly decreased in my 30s when I'm not menopausal?

Can low sexual desire be treated even when my hormone levels are normal?

2. Sexual Arousal, Sensation & Physical Response

Why does my body not respond sexually even when I feel mentally interested?

Why do I feel less sensitive to touch during intimacy than I used to?

Can diabetes affect sexual arousal and vaginal sensation?

Why does my body take longer to become aroused as I get older?

3. Orgasm Difficulties & Changes in Sexual Satisfaction

Why can I reach orgasm alone but not during sex with my partner?

Why does it take me much longer to orgasm than it used to?

Can I experience an orgasm but barely feel any pleasure from it?

Is it possible to improve orgasm difficulties without taking hormones?

4. Painful Intimacy, Penetration & Pelvic Floor Concerns

Why do I feel burning or stinging at the vaginal opening during penetration?

Why does penetration feel impossible even when I'm relaxed and want to have sex?

What causes deep pelvic pain during sex rather than pain at the vaginal opening?

Can pelvic floor physical therapy help with painful sex even if I don't have urinary leakage?

5. Medications, Hormones & Medical Conditions

What can I do if my antidepressant improves my mood but reduces my sexual pleasure?

Can birth control pills affect my sex drive or vaginal lubrication?

Can testosterone treatment help women who have lost interest in sex?

Can thyroid disorders affect sexual desire and satisfaction?

6. Sexual Health Treatment & Personal Care Decisions

Is there a prescription medication for low sex drive in women?

Do I need hormone testing before receiving treatment for sexual dysfunction?

Can sex therapy help if my symptoms have a physical cause?

What happens during a sexual health consultation if I'm uncomfortable discussing intimacy?

Female Sexual Dysfunction Concerns We Treat

What Our Sexual Dysfunction Doctor Can Help You Manage

Low Desire & Reduced Interest

Arousal Difficulty

Orgasm Difficulty

Painful Intimacy

Vaginal Dryness

Medication-Related Sexual Changes

Hormonal & Menopause-Related Changes

Emotional & Trauma-Related Concerns

Chronic Illness & Sexual Health

Relationship & Confidence Concerns

What to Expect From Your Menopause Consultation

Intimacy Changed After Perimenopause or Menopause?

How We Provide Personalized Treatment for Female Sexual Dysfunction

Personalized Treatment Options for Lasting Change

Hormonal Balance and Support

Emotional and Psychological Wellbeing

Physical and Sexual Function Improvement

Hormonal Optimization

Psychological and Emotional Support

Lifestyle and Relationship Enhancements

Medical Interventions and Devices

Alternative and Complementary Therapies

Testimonials

Patient Experiences and Success Stories

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Emily

Sarah

Faq

Frequently Asked Questions

What is female sexual dysfunction?

What causes female sexual dysfunction?

What is sexual dysfunction treatment for women?

Can menopause cause sexual dysfunction?

Our Approach to Female
Sexual Dysfunction Treatment

What to Expect From Your
Menopause Consultation

Intimacy Changed After
Perimenopause or Menopause?

How We Provide Personalized Treatment
for Female Sexual Dysfunction