Supporting confidence, intimacy and well-being
Sexual Wellness
Changes in sexual health can affect women and men. A private, physician-guided evaluation helps explore possible causes and appropriate options.
- 2013 Providing personalized care
- A4M Board-certified physician
- 20+ years Doctor-led experience
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- Private medical evaluation
- Care for women and men
- Individualized guidance
- Respectful follow-up
What is Sexual Wellness?
Sexual health is part of overall well-being and quality of life for women and men. Changes in desire, function or comfort can be associated with hormonal, vascular, metabolic, lifestyle, medication-related or emotional factors. They should not automatically be dismissed as a normal part of aging.
Care begins with a private conversation. Dr. Jeff Ugalde reviews your symptoms, medical history, medications, lifestyle and goals. Laboratory testing or other diagnostic assessment may be recommended when appropriate.
Why choose Age Metrics Medical?
Recommendations aim to address possible underlying contributors, not simply a symptom. Depending on your evaluation, options may include hormone optimization, lifestyle measures, PRP or other physician-directed treatments. Benefits, uncertainties, risks and alternatives should be discussed before treatment.
What your care may include
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Private consultation
Discuss symptoms, history, medications, lifestyle and goals.
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Testing when appropriate
Labs or other assessment may help explore hormonal, metabolic or vascular factors.
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Treatment discussion
Hormone, lifestyle, PRP or other physician-directed options may be considered according to your evaluation.
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Follow-up
Review your response and adjust recommendations when needed.
Who may benefit from an evaluation?
A consultation can help explore changes in desire, function or comfort.
- Decreased libido or desire
- Difficulty achieving or maintaining sexual function
- Changes in performance
- Dryness or discomfort during intimacy
- Changes associated with menopause or possible low testosterone
- Concerns affecting confidence, relationships or quality of life
What to expect
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Private conversation
Discuss symptoms, history, medications, lifestyle and goals.
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Clinical assessment
Testing may be recommended to explore potential contributing factors.
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Individualized plan
Discuss appropriate options, their evidence, limitations and risks.
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Follow-up
Monitor your response and adjust the plan when needed.
Frequently asked questions
Are sexual wellness concerns normal with aging?
Some changes become more common with age, but they should not automatically be ignored. An evaluation may identify factors worth addressing.
Will I need laboratory testing?
Possibly. The need for testing depends on your symptoms and medical history.
What treatments are available?
Options depend on evaluation and may include hormone optimization, lifestyle measures or other physician-guided care. No option suits everyone.
Is PRP used for sexual wellness?
PRP may be discussed for selected patients. Your physician can explain the current evidence, potential benefits, limitations and alternatives.
How long does treatment take?
There is no single timeline. Your clinician can outline visits and follow-up after evaluating your situation.
International patients
Considering care in Costa Rica?
International patients may consider Costa Rica for individualized sexual wellness care. Timing, treatment and cost depend on your evaluation; ask the clinic for an estimate and visit plan before travel.
Related care
Explore services and treatments that may be discussed as part of a broader plan.
Clinical references
- 01 Hypoactive Sexual Desire Disorder: International Society for the Study of Women’s Sexual Health Expert Consensus Panel Review Mayo Clinic Proceedings (2017)
- 02 The British Society for Sexual Medicine Guidelines on Male Adult Testosterone Deficiency World Journal of Men’s Health (2023)
- 03 The management of erectile dysfunction: an AUA update The Journal of Urology (2005)
Start with a private conversation
Speak with Dr. Jeff Ugalde about your concerns and whether evaluation or a personalized plan may be appropriate.