Longevity Treatment Guides

Choose licensed urology, gynecology, or sexual-medicine care, with an exam for pain or ED and heart-risk screening. Devices and PRP often have weaker evidence than a spa menu implies.

GSM options include moisturizers, local vaginal estrogen or DHEA, ospemifene, and devices. Compare evidence, systemic exposure, and contraindications. Device evidence is often weaker.

ED care includes lifestyle measures, PDE5 inhibitors, vacuum devices, alprostadil, implants, and counseling. Shockwave and PRP are often limited or investigational. Screen heart risk first.

Sexual concerns should be evaluated by the symptom and its context, not by gender stereotypes or a single hormone value. Pain needs an exam. Erectile dysfunction is also a cardiovascular risk marker.

Laser, radiofrequency, PRP shots, and fillers are often sold for GSM, desire, or ED. Many lack strong evidence. FDA has warned about vaginal energy devices. Start with a licensed exam.

An ED evaluation reviews medical, sexual, and psychosocial history and screens cardiovascular risk. AUA guidance treats ED as a possible marker of vascular disease.

Licensed pelvic-floor physical therapy can address muscle-related sexual pain after a clinician exam. Internal treatment is optional and requires ongoing consent.

Licensed sex therapy is talk-based care for distress, pain, desire, and relationship factors. Coaching is not psychotherapy and is not a substitute for a licensed therapist.

GSM care starts with moisturizers and lubricants, then local hormones when needed. Energy devices have weaker evidence and are not first-line treatment.

Evidence-based sexual wellness care matches licensed medical, pelvic, and counseling options to the symptom. Hormones and devices are not automatic first steps.