Female Sexual Health
Comprehensive, compassionate treatment for female sexual dysfunction — including low libido, arousal difficulties, vaginal dryness, and anorgasmia. Evidence-based therapies tailored to your unique physiology at Rewind Anti-Aging of Miami.
Understanding Female Sexual Dysfunction
Female sexual dysfunction (FSD) encompasses a range of persistent, distressing conditions that interfere with sexual desire, arousal, orgasm, or comfort. Despite affecting an estimated 40% of women at some point in their lives, FSD remains underdiagnosed and undertreated — in part because many women are reluctant to raise the topic, and in part because the medical community has historically given less attention to female sexual health.
At Rewind Anti-Aging of Miami, we take female sexual health seriously. We provide a confidential, judgment-free environment where you can discuss your concerns openly, and we offer a range of evidence-based treatments that address the hormonal, neurological, and physical dimensions of female sexual function.
Types of Female Sexual Dysfunction
Hypoactive Sexual Desire Disorder (HSDD)
The most common form of FSD — a persistent, distressing lack of sexual desire. Not simply a temporary dip caused by stress, but a meaningful decline causing personal or relational distress. Affects an estimated 1 in 10 women, becoming more common during perimenopause and menopause.
Arousal Difficulties
Difficulty achieving or maintaining physical arousal even when desire is present — insufficient genital blood flow, reduced lubrication, decreased clitoral sensitivity. Often connected to hormonal changes, certain medications (SSRIs, hormonal contraceptives), or vascular factors.
Vaginal Dryness & Painful Intercourse
Affects up to 50% of postmenopausal women. As estrogen declines, vaginal tissue becomes thinner, less elastic, and produces less lubrication — a condition known as vaginal atrophy or genitourinary syndrome of menopause (GSM), making intercourse uncomfortable or painful.
Anorgasmia
Persistent difficulty or inability to reach orgasm despite adequate stimulation. Can be primary (never experienced), secondary (lost the ability), situational, or generalized. Causes include hormonal changes, medication side effects, pelvic floor dysfunction, and psychological barriers.
The Hormonal Connection
Hormones play a central role in female sexual function. The shifts of perimenopause and menopause profoundly affect desire, arousal, lubrication, and orgasm.
Estrogen
Maintains vaginal tissue health, lubrication, and blood flow to the genital area. Declining estrogen causes vaginal atrophy, dryness, and reduced clitoral sensitivity.
Testosterone
A primary driver of sexual desire in women. Levels decline steadily with age — by menopause, most women have approximately half the testosterone they had in their 20s.
Progesterone
Affects mood, sleep quality, and overall well-being. Fluctuations during perimenopause can indirectly impair sexual function through anxiety, sleep disruption, and mood changes.
DHEA
A precursor hormone that converts to both estrogen and testosterone. Levels peak in the mid-20s and decline progressively, contributing to the overall hormonal decline affecting sexual health.
This is why sexual health treatment at Rewind often begins with a comprehensive hormone evaluation. Many women are surprised to learn that women can benefit from testosterone therapy to restore sexual desire. Addressing the hormonal foundation makes targeted treatments significantly more effective.
Treatment Options at Rewind Anti-Aging
We offer multiple evidence-based treatments that address female sexual function from every relevant angle — hormonal, neurological, and physical.
Libido Cream / Scream Cream
Custom-compounded topical cream applied to the clitoral and vaginal area 30 minutes before activity. Contains aminophylline (phosphodiesterase inhibitor for blood flow), L-arginine (nitric oxide precursor for vessel dilation), and additional ingredients tailored to individual needs. Enhances genital blood flow, nerve sensitivity, and ability to achieve arousal and orgasm with minimal systemic effects.
Oxytocin Nasal Spray
Oxytocin — the hormone naturally released during touch, intimacy, and orgasm — promotes bonding, reduces anxiety, and enhances pleasure. Supplemental oxytocin nasal spray used 30-60 minutes before activity can enhance emotional closeness, reduce performance anxiety and self-consciousness, increase physical arousal and sensitivity, and improve orgasm intensity. Particularly effective for women whose difficulties are connected to stress, anxiety, or emotional disconnection.
PT-141 (Bremelanotide / Vyleesi)
A peptide that activates melanocortin receptors in the brain, directly increasing sexual desire and arousal at the neurological level. FDA-approved as Vyleesi for premenopausal women with HSDD. Administered as a subcutaneous injection 45-60 minutes before activity. Addresses the desire component — the part that makes you want to be intimate in the first place.
Learn more about PT-141 →Vitamin E Cream
For women experiencing vaginal dryness and tissue thinning, topical Vitamin E cream provides moisturizing and tissue-nourishing benefits. Vitamin E is an antioxidant that supports cell membrane integrity, promotes tissue healing, and improves moisture content and elasticity of vaginal tissue. Can be used daily as a moisturizer and before intercourse to reduce friction and discomfort.
Hormone Optimization
When sexual dysfunction is rooted in hormonal imbalance — as it frequently is during perimenopause and menopause — optimizing hormone levels produces transformative improvements. Estrogen replacement for vaginal health, testosterone optimization for libido, progesterone balancing for mood and sleep, and DHEA supplementation when indicated.
Learn about female HRT →Our Approach to Female Sexual Health
Compassionate, comprehensive, and personalized to your unique situation.
Confidential Consultation
We discuss your symptoms, medical history, medications, hormonal status, and relationship context in a private, judgment-free setting.
Comprehensive Evaluation
Blood work to assess estradiol, testosterone, progesterone, DHEA-S, thyroid function, and other markers. Understanding your hormonal picture is essential.
Personalized Treatment Plan
We match treatments to your specific symptoms and causes. Some women benefit from topical treatments alone. Others need hormone optimization. Many benefit from combination.
Follow-Up & Adjustment
Sexual health treatment requires fine-tuning. We follow up to assess results, adjust treatments, and ensure meaningful improvement.
Related Treatments
PT-141 Therapy
Bremelanotide peptide that works through brain melanocortin receptors to enhance sexual desire and arousal.
Learn more →Female Hormone Replacement Therapy
Bioidentical hormone therapy tailored for women experiencing menopause, perimenopause, or hormonal imbalance.
Learn more →Sexual Health
Explore our full range of sexual health services for both men and women at Rewind Anti-Aging.
Learn more →Explore Women's Sexual Health
Frequently Asked Questions
What is HSDD and how common is it?
Hypoactive Sexual Desire Disorder (HSDD) is a persistent lack of sexual desire that causes personal distress. It is the most common female sexual dysfunction, affecting an estimated 1 in 10 women — approximately 6 million premenopausal and 12 million postmenopausal women in the United States alone. HSDD is not simply a low sex drive or the natural fluctuation in desire that everyone experiences. It is a recognized medical condition characterized by a meaningful decline in desire that causes significant personal or interpersonal distress.
What is Scream Cream and how does it work?
Scream Cream (also called Libido Cream) is a custom-compounded topical cream applied directly to the genital area approximately 30 minutes before sexual activity. It contains a combination of vasodilating and nerve-sensitizing ingredients — typically aminophylline, L-arginine, and other agents — that increase blood flow and nerve sensitivity to the clitoral and vaginal tissue. The result is enhanced physical arousal, increased sensation, and improved ability to reach orgasm. It is prescribed by our medical providers and compounded at a licensed pharmacy.
Can hormone changes cause sexual dysfunction?
Absolutely. Hormonal changes are one of the most common drivers of female sexual dysfunction. Estrogen decline during perimenopause and menopause causes vaginal dryness, thinning of vaginal tissue (vaginal atrophy), and reduced blood flow to the genital area — all of which contribute to discomfort during intercourse and decreased arousal. Testosterone, though often thought of as a male hormone, plays a critical role in female sexual desire. Women produce testosterone from the ovaries and adrenal glands, and levels decline steadily with age. Progesterone fluctuations also affect mood, sleep, and overall sense of well-being, indirectly impacting sexual function.
What is PT-141 and is it safe for women?
PT-141 (bremelanotide) is a peptide that works through melanocortin receptors in the brain to increase sexual desire and arousal. It is FDA-approved under the brand name Vyleesi specifically for premenopausal women with HSDD. It is administered as a subcutaneous injection approximately 45 to 60 minutes before anticipated sexual activity. Common side effects include nausea (which typically diminishes with repeated use), flushing, and headache. PT-141 is unique because it addresses desire at the neurological level rather than targeting genital blood flow.
How does oxytocin nasal spray help with sexual health?
Oxytocin is often called the bonding hormone or love hormone. It is naturally released during physical intimacy, orgasm, and emotional connection. Oxytocin nasal spray delivers supplemental oxytocin that can enhance feelings of emotional closeness, reduce performance anxiety, increase arousal, and improve orgasm intensity. It is used approximately 30 to 60 minutes before sexual activity and works particularly well for women whose sexual difficulties are connected to stress, anxiety, or emotional disconnection.
Do I need a consultation before starting treatment?
Yes. Female sexual dysfunction has multiple potential causes — hormonal, psychological, relational, and medical — and effective treatment depends on identifying the right factors. During your confidential consultation at Rewind Anti-Aging of Miami, we review your medical history, hormonal status, medications, and symptoms to develop a personalized treatment plan. We may recommend blood work to assess hormone levels including estradiol, testosterone, thyroid function, and other markers that affect sexual health.
Reclaim Your Sexual Health
Female sexual dysfunction is treatable. Schedule a confidential consultation to discuss your concerns and explore personalized treatment options.
⚕ Medical Disclaimer
The information on this page is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. All treatments at Rewind Anti-Aging of Miami are performed under the supervision of licensed medical professionals. Individual results may vary. Consult your physician before beginning any new treatment protocol.
Meet our clinical team →Areas We Serve in Miami & South Florida
Our Wynwood clinic at 24 NW 29th Street serves patients across the Miami metro in person and the entire state of Florida via telehealth.