Sexual Wellness Columbus, Ohio
discrete Treatments To Improve Intimacy, SENSATION & Comfort
We appreciate the mind-body connection, and deeply understand that sexuality is an important part of the individual. Your needs shift and change over time, which is why we offer a range of safe and result-driven Sexual Wellness treatments, each tailored to help you feel like your best, most vital self.
Why Sexual Wellness? Because It’s Important.
Many health concerns voiced by women are often overlooked during medical appointments — sexual dysfunction is one of them. It encompasses a range of issues, such as low desire, difficulty to orgasm, or experiencing pain during intercourse. Sadly, women are often dismissed and told there is little to be done. Consequently, they resign themselves to accepting these symptoms as their new normal and give up hope. These are serious symptoms that can undoubtedly impact relationships and the self-esteem of both partners.
Using a holistic approach utilizing a comprehensive history, physical examination, and lab work, we decipher what is the best personalized treatment approach for you. Treatment can include lifestyle adjustments, diet changes, supplements, and prescription medications. Your sex life is important, and you were made to enjoy it.
We Address A Full Range of Sexual Concerns
A decreased interest in sex is usually caused by more than one factor — we look at stress, hormone imbalances, fatigue, medications and more, uncovering what’s been creating your inhibitions and how to release them.
Decreased Ability To Orgasm
Inability or difficulty to orgasm is common, but it doesn’t have to be normal. Reaching climax can be made much easier using simple in-office injections, laser treatments, and other useful interventions.
Discomfort During Intercourse
Pain or discomfort experienced during sex can be attributed to vaginal dryness, hormonal imbalances, pelvic floor dysfunction, or emotional stressors. We take a holistic approach to addressing each of these potential underlying causes.
Sexual dysfunction refers to any recurring issue that may be experienced in the moments before, during, or after sex. In order to resolve sexual dysfunction, we look at all of the physical and psychological dimensions that are at play.
Confidence and Relationship Issues
Challenges with communication & intimacy can affect sex, as well as the self-esteem of both partners. We dive deep into the relationship you have with your partner & the one you have with yourself.
Hormonal Changes and Imbalances
Irregularities or changes in hormones like testosterone, estrogen, & progesterone can significantly impact your sexual wellbeing. We provide guided hormonal support for low testosterone, PMS, perimenopausal, and postmenopausal symptoms.
Irregular or Heavy Cycles
A regular cycle depends on precise hormonal signals, making it vulnerable to potential issues. Unlike conventional treatments, we investigate where these disruptions occur and target underlying hormonal imbalances to better regulate menstruation.
Treatments For Empowering Sexual Wellness
The O-Shot (also known as PRP for Sexual Wellness) is a non-surgical procedure that uses your body’s own platelet-rich plasma (PRP) to enhance sexual pleasure and improve orgasmic response in women. This treatment stimulates tissue regeneration and increases sensitivity, leading to a life-changing improvement in satisfaction.
diVa & diVaTyte
These two nonsurgical therapies use a controlled thermal laser to address different aspects of vaginal health. diVa is designed to improve atrophy, dryness and irritation. diVaTyte increases tightness and enhances external tone. Both solutions require little-to-no downtime and can be performed within a single session at our private office.
Labiaplasty is a surgical procedure that involves altering the size, shape, or appearance of the labia minora or majora. For many patients, labiaplasty can positively impact their physical wellbeing by reducing discomfort or self-consciousness during physical activities, while also enhancing overall confidence with sexual experiences.
Hormone Replacement Therapy
A hormonal imbalance can cause many symptoms that affect your sexuality, including a loss of desire, sexual dysfunction and vaginal discomfort. Hormone Replacement Therapy (HRT) — combined with lifestyle intervention — not only addresses these concerns but can also result in an overall better mood and more natural energy levels.
The Differences Between Sexual Wellness in Conventional Medicine & Functional Medicine
When voicing concerns about sexual wellness with a primary care provider, patients often find themselves facing frustrating limitations. The doctor is hurried, and hormonal assessments are frequently overlooked. Even when testing is performed, it often solely done using blood samples, severely limiting the scope of the conversation. Rather than aiming to optimize a patient’s sexual wellbeing, the provider’s aim is primarily used to rule things out, overlooking crucial opportunities for improving that individual’s care. Moreover, discussions around confidence and relationship issues are often neglected, leaving a patient feeling unheard…
That is traditional medicine.
Now, what would happen if we took that same patient voicing the same exact issues, and put them into a system that prioritized their sexual health and wellbeing? Comprehensive assessments, including the collection of serum, salivary, and urinary hormone samples, would help the patient understand how hormone balance can be attained. Their provider would help them to recognize that their symptoms are interconnected, utilizing multiple avenues to address their underlying sexual issues comprehensively. Moreover, the patient and provider would delve beyond the physical aspects, exploring the impacts of relationships, emotional health, and confidence, fostering a personalized treatment approach that resonates with the patient…
This is functional medicine.
Frequently Asked Questions
We’ve been conditioned to accept mood swings, headaches, bloating, gastrointestinal symptoms, and breast tenderness as inevitable parts of our menstrual cycle, with no recourse but to endure them or rely on birth control. However, these symptoms stem from imbalances in progesterone and estrogen levels throughout the cycle. Each hormone fluctuates differently, and an imbalance or misalignment between them can lead to these symptoms. Fortunately, lifestyle changes, dietary adjustments, nutritional supplements, and occasionally medications can help alleviate these issues.
Perimenopause is the transitional phase leading up to menopause. It typically begins in a woman’s 40s, although it can start earlier or later.
Perimenopause can be a rollercoaster of events. Some hormones decrease with time, while others go up and down, fluctuating with the month and creating a crazy cycle of symptoms. Some months, you may experience a heavy cycle with all the typical symptoms like breast tenderness, irritability or other mood changes, heavy bleeding, or perhaps trouble sleeping. Perimenopause can last years, but it doesn’t have to be a miserable experience. With the right support, we can help you navigate this transition with grace.
After menopause, our hormone levels generally decline, impacting various aspects of health including brain function, cardiovascular health, bone density, energy levels, and weight management. This decrease can involve hormones such as estrogen, progesterone, DHEA, and testosterone. Symptoms of low hormone levels may include diminished libido, weight gain, cognitive fog, muscle stiffness, discomfort during intercourse, mood fluctuations, hot flashes, and night sweats.
There’s a period following menopause where bioidentical hormone replacement therapy might offer relief, and we’re here to guide you through understanding the potential risks and benefits associated with it.
Our monthly menstrual cycle is orchestrated by a symphony of hormones all working together. For it to function smoothly, our brain must precisely signal our ovaries with pulsatile hormones, which in turn must accurately interpret these signals. Throughout each phase of our cycle, a delicate balance of these hormones must be maintained. It’s truly remarkable that this intricate process occurs reliably every 28 days.
However, there are numerous points in this complex system where things can go awry. Identifying and addressing hormonal issues at the right time and place is crucial. Absence of cycles could indicate issues with the hypothalamus, thyroid, insulin levels, or an imbalance between progesterone and estrogen. Yet, there’s often an underlying reason for these disruptions, and resorting solely to oral contraceptives as a solution may overlook the root cause.
Heavy menstrual cycles, whether they occur regularly or irregularly, can be not only bothersome but also lead to complications such as anemia, pain, and fatigue. Conventional medical approaches often suggest birth control methods, ablation procedures, or even hysterectomy. However, these treatments fail to address the root cause of hormonal imbalance. Living with hormone imbalances, such as estrogen dominance, can elevate the risk of certain cancers, exacerbate endometriosis, and worsen other cycle-related symptoms.
Fortunately, it’s possible to rebalance hormones through lifestyle adjustments, dietary modifications, supplementation, and sometimes medications. By addressing the underlying hormonal imbalance, it’s possible to reduce bleeding and alleviate its symptoms.
We use various methods to accurately assess the hormonal levels in your body, and to obtain a comprehensive picture of your bound and free hormones, as well as metabolites.
Blood tests are a common method for checking hormone levels. A blood sample is usually drawn from a vein, typically in the arm, and sent to the lab for analysis. This method measures the concentration of hormones circulating in the bloodstream at a specific moment in time. It provides valuable information about hormone levels and can help us diagnose hormonal imbalances or disorders.
Urine tests are another way to assess your hormone levels. In this method, a urine sample collected over a period of 24 hours, is analyzed to measure hormone metabolites. Urine testing can provide information about hormone levels and how hormones are being metabolized and eliminated from the body. It’s particularly useful for assessing certain hormones like cortisol and estrogen.
Saliva testing is gaining popularity as a non-invasive method for checking hormone levels. Saliva samples are collected using swabs or tubes and analyzed for hormone concentrations. This method measures the bioavailable (free) fraction of hormones, which can better reflect hormone activity at the tissue level compared to blood tests. Saliva testing is often used to assess hormones like cortisol, estrogen, progesterone, and testosterone.
Treating hormone imbalances involves a multifaceted approach. By combining these approaches, we can tailor treatment plans to address your individual hormone imbalances effectively.
Making lifestyle changes can have a significant impact on hormone balance. This may include stress management techniques such as mindfulness, meditation, or yoga to reduce cortisol levels and promote relaxation. Adequate sleep is crucial for hormone regulation, so improving sleep habits and addressing sleep disturbances is essential. Regular physical activity, such as aerobic exercise or strength training, can also help regulate hormones like insulin and cortisol.
Nutrition plays a vital role in hormone production and metabolism. A balanced diet rich in whole foods, fruits, vegetables, lean proteins, and healthy fats can support hormonal health. Specific dietary interventions, such as reducing sugar and refined carbohydrate intake to stabilize blood sugar levels, or increasing fiber intake to support estrogen metabolism, may be recommended. Additionally, certain nutrients and supplements, such as omega-3 fatty acids, vitamin D, and magnesium, can support hormone balance.
Regular physical activity is crucial for hormone regulation. Exercise can help maintain a healthy weight, reduce insulin resistance, and improve mood. Both aerobic exercise and strength training have been shown to positively influence hormone levels, including insulin, cortisol, and sex hormones like estrogen and testosterone.
In some cases, supplementation with vitamins, minerals, or botanical extracts may be recommended to support hormone balance. For example, herbal supplements like chasteberry (Vitex agnus-castus) may help regulate menstrual cycles and alleviate symptoms of hormonal imbalances in women. Omega-3 fatty acids, probiotics, and adaptogenic herbs like ashwagandha or rhodiola may also support hormonal health.
In certain situations, pharmaceutical interventions may be necessary to address hormone imbalances. This may include hormone replacement therapy (HRT) for menopausal symptoms or conditions such as hypothyroidism or polycystic ovary syndrome (PCOS). Hormonal contraceptives may also be prescribed to regulate menstrual cycles and manage symptoms associated with hormonal imbalances.
Yes, bioidentical hormones are safe. The safety of bioidentical hormones is a common concern, especially due to the negative perceptions following the 2002 Women’s Health Initiative (WHI) study. However, it’s important to note that the hormones used in that study are far different from the bioidentical hormones we use today, and the demographic involved in the study would not be recommended today.
Our first-line approach is to use bioidentical hormones that have been approved by the FDA. These hormones are structurally identical to the hormones naturally produced by the body, which may reduce the risk of adverse effects compared to synthetic hormones. In cases where compounded hormones are necessary, we carefully assess the risks and benefits of each hormone and tailor the treatment plan to meet the individual needs of the patient.
Ready To Prioritize Your Own Body & Mind?
At Donaldson, every aspect of your health and happiness is important, and learning about your body shouldn’t stop after high school. We empower you to continue your sexual education with us & get in touch today to schedule your private consultation with one of our sexual rejuvenation experts.
From Our Experts
5 Frequently Asked Questions About Vaginal Rejuvenation
With age-related hormone changes, many women experience vaginal discomfort and decreased sexual satisfaction. Vaginal rejuvenation is often the answer.
Understanding Hormone Replacement Therapy (HRT): Exploring the Different Types
Functional Medicine expert Dr. Marguerite Weston explores the pros & cons of the different types of Hormone Replacement Therapy, including patches, topical treatments, troches and oral medications.