Sexual Health Treatments
Comprehensive sexual wellness solutions for men and women — from erectile dysfunction and low libido to arousal enhancement and hormonal optimization. Multiple treatment pathways, personalized to your needs.
Our Sexual Health Treatments
Multiple evidence-based pathways — each personalized to your symptoms, lab results, and goals.
Erectile Dysfunction Treatment
Comprehensive evaluation and treatment for ED — addressing vascular, hormonal, and neurological factors, not just prescribing a pill.
Learn more →ED Medications (Cialis, Viagra & More)
PDE5 inhibitors, custom compounds, and combination protocols — prescribed based on your physiology, not a generic script.
Learn more →PT-141 Peptide Therapy
A neurological approach to restoring desire. PT-141 activates melanocortin receptors in the brain to increase arousal — effective for both men and women.
Learn more →Female Sexual Health
Hormone optimization, oxytocin therapy, and desire enhancement for women experiencing low libido, arousal difficulty, or diminished satisfaction.
Learn more →Topical Arousal Therapy
Custom-compounded topical cream for enhanced female sexual sensitivity and satisfaction.
Learn more →Why Sexual Health Matters
Sexual health isn't separate from your overall health — it's a direct reflection of it. Erectile dysfunction is often the first clinical sign of cardiovascular disease. Low libido frequently signals hormonal imbalance. Sexual dissatisfaction correlates strongly with depression, relationship strain, and reduced quality of life. Treatments like PT-141 peptide therapy now offer neurological approaches to restoring desire alongside traditional hormonal and vascular interventions.
Yet sexual health concerns remain among the most undertreated conditions in medicine. The Massachusetts Male Aging Study found that while 52% of men between ages 40-70 experience erectile dysfunction, only 25% seek treatment. Women's sexual dysfunction is even more underdiagnosed, with most providers lacking training in female sexual health.
At Rewind Anti-Aging, we treat sexual health as the medical issue it is — with thorough diagnostics, multiple treatment options, and zero judgment.
Treatment Categories
Multiple treatment pathways targeting different aspects of sexual function — matched to your specific needs.
Oral Medications
MenPDE5 inhibitors and custom compound blends for on-demand or daily use
Injection Therapy
MenBi-Mix, TriMix, and QuadMix — 80-90%+ success rate for ED
PT-141 Peptide
Men & WomenNeurological desire enhancement — works on the brain, not just blood flow
Oxytocin Therapy
Men & WomenIntranasal spray for arousal, bonding, mood, and orgasm intensity
Topical Compounds
WomenLibido Cream and Vitamin E cream for arousal, sensitivity, and comfort
Hormone Optimization
Men & WomenTestosterone, estrogen, and progesterone balancing for restored sexual function
Sexual Health for Men & Women
Male and female sexual dysfunction encompass distinct conditions, each with different causes and treatment approaches.
Male Sexual Dysfunction
- Erectile dysfunction (ED) — inability to achieve or maintain an erection sufficient for sexual activity
- Low libido — decreased sexual desire, often related to low testosterone, stress, or medication side effects
- Premature ejaculation — ejaculation occurring sooner than desired during sexual activity
- Delayed ejaculation — difficulty reaching orgasm despite adequate stimulation
52% of men ages 40-70 experience some degree of erectile dysfunction.
Female Sexual Dysfunction
- Low libido / Hypoactive Sexual Desire Disorder (HSDD) — persistent lack of sexual desire causing distress
- Arousal difficulties — inability to become physically aroused despite desire
- Vaginal dryness and pain — particularly common during perimenopause and menopause
- Difficulty reaching orgasm — anorgasmia
- Decreased sexual satisfaction — reduced intensity or enjoyment
Women's sexual health is deeply connected to hormonal balance during perimenopause and menopause.
Benefits of Sexual Health Treatment
When the right treatment addresses the right cause, the improvements extend far beyond the bedroom.
Restored Desire
Treatments targeting both hormonal and neurological pathways to reignite sexual desire in men and women.
Reliable Performance
From oral medications to injectable therapy with 80-90%+ success rates — solutions for every level of ED.
Enhanced Arousal
Topical compounds, oxytocin therapy, and hormonal optimization to increase sensitivity and blood flow.
Deeper Intimacy
Oxytocin therapy reduces anxiety, strengthens emotional bonding, and enhances the connection between partners.
Overall Health Insight
ED is often the first sign of cardiovascular disease. Treating sexual health means uncovering deeper health issues.
Confidence & Well-Being
Sexual health is directly tied to self-esteem, relationship satisfaction, and overall quality of life.
PDE5 Inhibitors & Custom Compounds
PDE5 inhibitors work by blocking the enzyme phosphodiesterase type 5, which allows the smooth muscle in penile blood vessels to relax and fill with blood during arousal. They require sexual stimulation to work — they don't produce spontaneous erections.
We offer both standard medications and custom compound blends delivered as sublingual troches (dissolved under the tongue) for faster absorption and enhanced efficacy:
- Sildenafil (Viagra) — Works within 30-60 minutes, lasts 4-6 hours
- Tadalafil (Cialis) — Works within 30-60 minutes, lasts up to 36 hours. Also available as a daily low-dose option for continuous readiness
- Sildenafil + Oxytocin blend — Combines blood flow enhancement with oxytocin's arousal and bonding effects
- Sildenafil + Testosterone blend — Combines blood flow support with direct testosterone enhancement
- Tadalafil + Testosterone blend — Long-acting PDE5 inhibitor with testosterone support
- Tadalafil + Oxytocin + Sermorelin + Testosterone — Our most comprehensive compound combining blood flow, hormonal, and peptide support
Penile Injection Therapy
For men who don't respond adequately to oral medications — or who want a more reliable, powerful response — injectable therapy delivers medication directly to the penile tissue. This is the most effective non-surgical treatment for erectile dysfunction.
| Treatment | Composition | Effectiveness | Best For |
|---|---|---|---|
| Bi-Mix | Papaverine + phentolamine | ~80% of patients | Good first-line injectable option |
| TriMix | Alprostadil + papaverine + phentolamine | 80-90%+ | Gold standard — when Bi-Mix is insufficient |
| QuadMix | TriMix + atropine | Near 100% | Most treatment-resistant cases |
Erection onset occurs within 5-15 minutes of injection. We teach you the self-injection technique in the office — it's simpler than most patients expect, using ultra-fine insulin syringes that cause minimal discomfort.
Physical Causes of Male Sexual Dysfunction
- Low testosterone (the most common hormonal cause)
- Cardiovascular disease and atherosclerosis (reduced blood flow)
- Diabetes and insulin resistance
- High blood pressure
- Obesity
- Medications (antidepressants, blood pressure drugs, finasteride)
- Pelvic surgery or injury
- Excessive alcohol or tobacco use
Psychological Causes
- Performance anxiety
- Stress and work pressure
- Depression and anxiety
- Relationship conflict
Most cases involve a combination of physical and psychological factors. Comprehensive blood work — including testosterone, thyroid, metabolic markers, and cardiovascular indicators — helps identify the physical contributors so treatment addresses the root cause, not just the symptom.
Our Approach to Sexual Health
From consultation to optimization — every step is confidential, thorough, and personalized to you.
Confidential Consultation
Discuss your concerns in a private, judgment-free environment. We understand the sensitivity of these issues and treat every conversation with discretion.
Comprehensive Evaluation
Blood work including testosterone (total and free), estradiol, thyroid, metabolic markers, and cardiovascular indicators. We need to understand the full picture.
Identify Root Causes
Is it hormonal? Vascular? Psychological? Medication-related? Usually it's a combination. We identify every contributing factor.
Personalized Treatment Plan
Based on your evaluation, we recommend the most appropriate treatment pathway — hormone therapy, medications, peptides, topical compounds, or a combination.
Follow-Up & Optimization
Sexual health treatment requires fine-tuning. We follow up to assess results, adjust dosing, and ensure you're getting the outcomes you want.
Treatment Options for Women
Female sexual dysfunction is far more common than most women realize — and far more treatable than most providers acknowledge. Women's sexual health is deeply connected to hormonal balance, especially the decline in estrogen, progesterone, and testosterone during perimenopause and menopause.
Libido Cream (Scream Cream)
A topical compound applied to the genital area before sexual activity to enhance arousal, sensitivity, and blood flow. Our formulation contains aminophylline (increases blood flow), L-arginine (precursor to nitric oxide for smooth muscle relaxation), and optional additions of sildenafil and/or testosterone. Applied 15-30 minutes before sexual activity. Effects include increased sensitivity, enhanced arousal, improved lubrication, and more intense orgasms.
Vitamin E Cream for Vaginal Health
For women experiencing vaginal dryness — a common and undertreated symptom of declining estrogen — medical-grade Vitamin E cream provides moisturizing support to vaginal tissues, reducing discomfort and pain during intercourse.
Hormone Optimization for Women
Many women's sexual health concerns resolve when hormones are properly balanced through bioidentical hormone therapy. Low-dose testosterone replacement in women can dramatically improve libido, arousal, and sexual satisfaction. Estrogen and progesterone optimization addresses vaginal dryness, mood, and overall sexual wellness.
Oxytocin Benefits
Sexual Health
- Enhanced arousal and sexual desire
- Increased intensity of orgasm
- Deeper emotional bonding and intimacy with partner
- Reduced sexual anxiety and inhibition
Additional
- Anti-inflammatory properties
- Mood enhancement and reduced anxiety
- Improved social bonding and trust
- Reduced cortisol (stress hormone) levels
Administered 15-30 min before activity via nasal spray.
PT-141 (Bremelanotide) for Men
PT-141 works through a completely different mechanism than any other sexual health treatment. Instead of targeting blood flow (like PDE5 inhibitors) or hormones (like testosterone), PT-141 activates melanocortin receptors in the brain — directly increasing sexual desire and arousal at the neurological level. Administered as a subcutaneous injection 45-60 minutes before sexual activity. One of the few treatments that genuinely addresses desire rather than just mechanics.
PT-141 for Women
PT-141 is FDA-approved for premenopausal women with Hypoactive Sexual Desire Disorder (HSDD) under the brand name Vyleesi. It's one of the only medications that directly targets female sexual desire at the neurological level. We also prescribe it off-label for postmenopausal women experiencing low desire.
Hormone Optimization for Men
Low testosterone is often the underlying driver of both ED and low libido. Restoring testosterone to optimal levels through hormone replacement therapy frequently resolves or significantly improves sexual function without the need for additional medications. For many men, TRT alone restores sexual function — for others, it enhances the effectiveness of PDE5 inhibitors or injectable therapy.
Strategies That Support Sexual Health
Medication and hormone therapy work best when supported by lifestyle optimization:
- Exercise — Cardiovascular exercise improves blood flow and endurance. Resistance training boosts testosterone naturally. Even 150 minutes of moderate exercise per week significantly improves sexual function.
- Nutrition — Mediterranean-style diets rich in vegetables, lean protein, healthy fats, and antioxidants support cardiovascular and hormonal health. Foods high in zinc (oysters, red meat, pumpkin seeds) and L-arginine (nuts, spinach) support sexual function.
- Stress Management — Chronic stress elevates cortisol, which directly suppresses testosterone and sexual desire. Regular stress-reduction practices (meditation, exercise, adequate sleep) make a measurable difference.
- Sleep — Most testosterone production occurs during deep sleep. Poor sleep quality directly impairs sexual function and desire.
- Limit Alcohol — While small amounts may reduce inhibition, alcohol is a depressant that impairs sexual function, reduces testosterone, and contributes to ED.
Why Patients Choose Rewind
-
Men and Women
Comprehensive sexual health for both, not just one gender.
-
Multiple Treatment Pathways
Oral medications, custom compounds, injectable therapy, peptides, topical creams, hormone therapy. We match the treatment to your specific situation.
-
Root-Cause Approach
We don't just hand you a pill. We investigate why sexual function has declined and address the underlying causes.
-
Custom Compounding
Our compound blends (sildenafil + oxytocin + testosterone, etc.) are tailored combinations you won't find at a pharmacy.
-
Integrated With Overall Health
Sexual health is connected to hormones, cardiovascular health, metabolism, and mental health. We treat the whole person, not just the symptom.
-
Complete Confidentiality
HIPAA-compliant, private consultations, discreet treatment.
Sexual Health Insights from Our Blog
PT-141 for Sexual Health
How PT-141 peptide therapy supports intimate wellness.
Signs of Low Testosterone in Men
How hormonal decline affects sexual function and desire.
Can Women Take Testosterone?
How testosterone supports female sexual health and libido.
Cialis vs Viagra: Which Is Right for You?
Comparing the two most prescribed ED medications — duration, onset, and lifestyle fit.
Testosterone and Libido: How Low T Affects Sex Drive
The direct connection between testosterone levels and sexual desire in men and women.
Frequently Asked Questions
How common is erectile dysfunction?
Very common. The Massachusetts Male Aging Study found that 52% of men between ages 40-70 experience some degree of erectile dysfunction. An estimated 30 million American men are affected, yet only about 25% seek treatment. ED is not an inevitable part of aging — it's a treatable medical condition.
What causes erectile dysfunction?
ED is usually caused by a combination of physical and psychological factors. Physical causes include cardiovascular disease, diabetes, low testosterone, high blood pressure, obesity, and certain medications (antidepressants, blood pressure drugs). Psychological causes include stress, anxiety, depression, and relationship issues. A comprehensive evaluation including bloodwork helps identify your specific contributing factors.
What is the difference between Viagra, Cialis, and custom compounds?
Viagra (sildenafil) lasts 4-6 hours and works on demand. Cialis (tadalafil) can last up to 36 hours, earning it the nickname 'the weekend pill,' and can also be taken daily at a lower dose. Our custom compound blends combine PDE5 inhibitors with hormones like testosterone and oxytocin for enhanced efficacy — addressing multiple aspects of sexual function simultaneously.
What is TriMix injection therapy?
TriMix is a self-administered injection containing three medications (alprostadil, papaverine, and phentolamine) injected directly into the side of the penis. It produces an erection within 5-15 minutes and is approximately 80-90% effective — even in patients who don't respond to oral medications. We teach you the injection technique, which is simpler and less uncomfortable than most patients expect.
Do you treat female sexual dysfunction?
Yes. Women's sexual health is a significant part of our practice. We offer Libido Cream (topical arousal enhancement), oxytocin therapy (intranasal spray for arousal, bonding, and mood), PT-141 peptide (centrally-acting libido enhancement), Vitamin E cream for vaginal dryness, and hormone optimization. Many women's sexual health issues are directly related to hormonal changes during perimenopause and menopause.
What is PT-141 and how does it work?
PT-141 (bremelanotide) is a peptide that works through the central nervous system — specifically melanocortin receptors in the brain — to increase sexual desire. Unlike Viagra/Cialis which work on blood flow mechanics, PT-141 addresses desire and arousal at the neurological level. It works for both men and women and is administered as a subcutaneous injection or nasal spray before sexual activity.
Can low testosterone cause sexual problems?
Absolutely. Testosterone is the primary driver of sexual desire in both men and women. Low testosterone leads to decreased libido, erectile dysfunction in men, reduced arousal in women, and decreased sexual satisfaction. Many patients see dramatic improvement in sexual function when testosterone is optimized through hormone replacement therapy.
Is treatment confidential?
Completely. All consultations, treatments, and medical records are handled with strict confidentiality in accordance with HIPAA regulations. We understand the sensitive nature of sexual health concerns and maintain a professional, judgment-free environment.
How quickly do sexual health treatments work?
It depends on the treatment. PDE5 inhibitors (sildenafil, tadalafil) work within 30-60 minutes. TriMix injections work within 5-15 minutes. PT-141 takes 45-60 minutes. Hormone optimization through testosterone therapy typically improves libido over 2-6 weeks. Oxytocin effects are felt within 15-30 minutes of nasal administration.
Will my partner know I'm receiving treatment?
That's entirely your choice. Many patients choose to include their partners in the conversation, which can strengthen intimacy and understanding. Others prefer to keep treatment private. We support whatever approach works best for you and your relationship.
Take the First Step
Sexual health concerns are medical issues with medical solutions. Schedule a confidential consultation to discuss your 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.