Personalized, confidential, physician-led sexual health assessments for women and men.

Sexual health is an important part of overall health and well-being.

It involves much more than sexual performance or desire. Sexual health encompasses physical function, emotional well-being, intimacy, comfort and personal relationships.

Changes in sexual health can occur at different stages of life and may be influenced by a variety of physical, hormonal, psychological and lifestyle factors.

At Ontario Regenerative Medicine (ORM), we recognize that sexual health concerns are personal.

Our approach begins with listening, understanding your individual circumstances and helping you explore appropriate next steps.

Your sexual health is personal. Your care should be too.

Sexual health can change throughout adulthood.

Some changes occur gradually, while others may be associated with particular life stages, medical circumstances or changes in overall health.

People may seek a sexual health consultation because of:

  • Changes in sexual desire or libido
  • Changes in sexual arousal
  • Erectile difficulties
  • Vaginal dryness or discomfort
  • Changes in sexual sensation
  • Discomfort during sexual activity
  • Changes associated with perimenopause or menopause
  • Questions about hormones and sexual physiology
  • Concerns involving intimacy or sexual satisfaction
  • Changes following certain medical procedures
  • Medication-related concerns

These experiences can have multiple contributing factors.

A particular symptom does not automatically establish a hormonal imbalance or indicate that a specific treatment is required.

Understanding what has changed—and why—matters more than choosing a treatment before an assessment.

Understanding Sexual Health Throughout a Woman’s Life

Women’s sexual health involves a complex interaction between reproductive physiology, hormones, physical health, psychological well-being and personal circumstances.

Sexual health can change during different life stages, including:

  • The reproductive years
  • Pregnancy and postpartum
  • Perimenopause
  • Menopause
  • Postmenopause
  • Following certain medical or surgical procedures

Women may experience changes involving sexual desire, arousal, vaginal comfort, lubrication or intimacy.

These concerns deserve thoughtful assessment without assuming that one hormone is responsible.

Hormones & Women’s Sexual Health

Estrogen, progesterone and testosterone are naturally occurring hormones in women.

They participate in normal female physiology, but sexual health is influenced by many additional factors.

An individualized assessment can help determine which factors may be relevant to a woman’s concerns.

Explore Women’s Sexual Health at ORM

Learn more about the factors that influence women’s sexual health and what to expect during an individualized consultation.

Men’s Sexual Health

Understanding Sexual Health Throughout Adulthood

Men’s sexual health involves physical, hormonal, neurological, circulatory and psychological factors.

Changes in sexual health can occur at different ages and for different reasons.

Common reasons men seek assessment include:

  • Changes in sexual desire
  • Erectile difficulties
  • Changes in sexual satisfaction
  • Concerns involving sexual performance
  • Questions about testosterone and other hormones
  • Changes associated with medications or medical conditions
  • Changes in general health or well-being

Hormones & Men’s Sexual Health

Testosterone is an important naturally occurring hormone in men.

Men also naturally produce estrogen, including estradiol.

Both are part of normal male physiology.

However, changes in sexual function or libido should not automatically be attributed to testosterone or another hormone.

A broader assessment may be appropriate to understand the factors involved.

Explore Men’s Sexual Health at ORM

Learn about the different aspects of men’s sexual health and ORM’s individualized approach to assessment.

Sexual health may change as people move through adulthood.

However, aging does not mean that every individual will experience the same concerns.

Changes may involve:

  • Hormonal life stages
  • Physical health
  • Medications
  • Sleep
  • Stress
  • Psychological well-being
  • Relationship circumstances
  • Other individual factors

Rather than assuming that a change is simply an unavoidable part of aging—or that it must be caused by hormones—an assessment can help clarify the circumstances.

Age is part of your health history. It is not your entire health story.

Understanding the Relationship

Hormones are part of normal sexual and reproductive physiology.

In women, estrogen, progesterone and testosterone form part of a changing hormonal environment throughout adulthood.

In men, testosterone and estradiol are part of normal endocrine physiology.

However, sexual symptoms are not reliable indicators of a particular hormone level on their own.

For example:

  • Reduced libido does not automatically mean testosterone is low.
  • Vaginal discomfort does not automatically establish an estrogen deficiency.
  • Erectile difficulties do not necessarily indicate a hormonal condition.
  • Changes in sexual satisfaction can involve multiple contributing factors.

Hormone testing may be considered when clinically appropriate, but it is not automatically necessary for every sexual health concern.

Perimenopause and menopause involve significant changes in female reproductive physiology.

During these life stages, women may notice changes in sexual desire, vaginal comfort, arousal or general well-being.

Hormonal changes may be relevant, but other factors can also contribute.

These may include medications, sleep, physical health, pelvic-floor considerations, stress and relationship factors.

ORM’s approach is to consider the individual woman’s experience rather than assuming that all menopause-related sexual concerns have the same cause.

Erectile function involves communication between the nervous system, blood vessels and other physiological processes.

Erectile difficulties can have numerous potential contributing factors, including cardiovascular, neurological, hormonal, medication-related and psychological factors.

Persistent or new erectile difficulties warrant appropriate medical assessment, including consideration of underlying health conditions.

They should not automatically be attributed to testosterone or treated as an isolated performance concern.

Vaginal and genitourinary health are important aspects of women’s sexual well-being.

Concerns may include dryness, irritation, discomfort or changes during sexual activity.

These experiences can occur for different reasons, including hormonal life-stage changes, medications, dermatological conditions and other medical factors.

Appropriate assessment can help identify potential contributing factors and determine whether further evaluation is needed.

Sexual health is not exclusively physical.

Stress, emotional well-being, self-image, relationship circumstances and previous experiences can all influence intimacy and sexual satisfaction.

For some individuals, changes in sexual health can also affect confidence or relationships.

A respectful clinical discussion recognizes both the physical and emotional aspects of sexual health.

The objective is to understand the individual rather than reduce a personal concern to a single laboratory result or medical procedure.

This page provides general educational information about sexual health and Ontario Regenerative Medicine’s approach to individualized assessment.

It is not intended to advertise or recommend a particular prescription drug, hormone product, medical device or treatment method.

Sexual health concerns can have multiple possible causes and may require further investigation or referral.

Diagnosis and treatment decisions require individualized assessment by an appropriate healthcare professional.