What Is Physician-Supervised Sexual Health Care?
Sexual health is a clinical category, not a single complaint. Reduced libido, erectile dysfunction, anorgasmia, vaginal dryness, painful intercourse, and declining sexual response are all distinct conditions with distinct biological drivers. At SSK Longevity in Newport Beach, sexual health concerns are evaluated and treated with the same clinical rigor as any other system. Comprehensive lab work, physician evaluation, and pharmacist-reviewed protocol design.
The most common reason sexual health treatment fails is that it skips the diagnostic step. A pill, an injection, or a generic protocol does not solve a problem rooted in low testosterone, estrogen deficiency, vascular disease, neurochemistry, pelvic floor dysfunction, or relationship-based factors. We treat sexual health concerns by identifying the actual driver, not by handing out the most common prescription.
Sexual health treatment at SSK Longevity is built on the same clinical foundation as our TRT, HRT, and peptide therapy programs. Every protocol is designed by Dr. Sean Kelishadi, MD FACS and reviewed by Sherry Kelishadi, Pharm.D.. Many patients also pair with medical weight loss when metabolic health is part of the picture. For patients exploring aesthetic interventions related to sexual health and intimate wellness, we coordinate care with SSK Plastic Surgery.
Signs You May Benefit From Sexual Health Treatment
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Reduced libido in men or women Persistent decrease in sexual desire not explained by relationship or psychological factors. Often driven by hormonal change, neurochemical shifts, or central sexual response pathways that respond to targeted therapy.
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Erectile dysfunction or reduced erectile quality Difficulty achieving or maintaining erection sufficient for satisfactory intercourse. Often the first clinical sign of vascular disease, low testosterone, or metabolic dysfunction. Always warrants comprehensive evaluation, not just a prescription.
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Anorgasmia or delayed orgasm Difficulty reaching orgasm despite adequate stimulation and arousal. Common in patients on certain antidepressants, with hormonal imbalance, or with central sexual response dysfunction.
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Vaginal dryness, painful intercourse, or genitourinary symptoms Common in perimenopause and menopause and meaningfully responsive to hormone optimization. Often paired with broader HRT protocols at SSK Longevity Newport Beach.
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Reduced sexual response or arousal Decreased physical responsiveness, reduced lubrication, or diminished sensation during intimacy. Often multifactorial, requiring hormonal and central nervous system evaluation.
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Sexual side effects of antidepressants or other medications SSRIs, certain blood pressure medications, and other prescriptions commonly affect libido and sexual response. Pharmacist review by Sherry, Pharm.D. is critical to identify and address medication-related sexual dysfunction.
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Persistent concerns despite testosterone or hormone optimization Some patients see partial improvement on TRT or HRT but continue to experience sexual concerns. Adjunct therapies including PT-141 and tadalafil protocols address pathways that hormone therapy alone does not.
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Decline in sexual confidence or relationship strain Sexual health is part of overall quality of life. When sexual function declines, the impact extends well beyond the bedroom. Effective treatment addresses the biology while restoring confidence.
Sexual Health Treatment Pricing in Newport Beach
SSK Longevity offers physician-supervised sexual health protocols tailored to your labs, history, and clinical goals. All pricing is discussed during your consultation and depends on the specific therapies and stack selected for your protocol.
Individual results are not guaranteed and may vary from person to person.
- Physician-supervised sexual health protocol design
- Comprehensive hormonal and metabolic lab panel reviewed by Dr. Kelishadi
- Pharmacist safety and interaction review by Sherry, Pharm.D.
- PDE5 inhibitor, peptide, and hormone-based options as clinically indicated
- Confidential, direct relationship with the clinical team
- Ongoing monitoring and protocol optimization
How Sexual Health Treatment Works at SSK Longevity
Comprehensive Hormonal and Vascular Evaluation
We begin with a complete hormonal panel including total and free testosterone, estradiol, SHBG, prolactin, thyroid panel, and metabolic markers. For men with erectile concerns, vascular and metabolic risk factors are evaluated. Sexual health concerns are often the first sign of broader systemic issues.
One-on-One Consultation with Dr. Kelishadi
Dr. Sean Kelishadi, MD FACS reviews your labs personally and meets with you directly in a confidential setting to discuss your history, concerns, and goals. Sexual health is treated with the same clinical seriousness as any other system. You speak with the physician, not support staff.
Protocol Designed and Reviewed by Sherry, Pharm.D.
Sherry Kelishadi builds your individualized protocol which may include hormone optimization, PDE5 inhibitor protocols, central-acting peptides such as PT-141, or combination therapy. Every drug interaction is reviewed, including interactions with antidepressants and cardiovascular medications, before anything is dispensed.
Ongoing Monitoring and Protocol Optimization
Follow-up labs and outcome measures tracked at appropriate intervals. Sexual health protocols often require iterative adjustment to find the right combination of therapies. Your protocol is refined as your body responds, not set and forgotten.
Common Sexual Health Therapies at SSK Longevity Newport Beach
Sexual health concerns rarely have a single cause and rarely have a single solution. The therapies below represent some of our most commonly prescribed protocols, often used in combination depending on the patient and the underlying driver.
Peptide Therapy
Targeted peptides such as PT-141 act on central pathways for sexual response that are not addressed by traditional medications. PT-141 in particular is one of the most commonly prescribed sexual health peptides at SSK Longevity Newport Beach because it works centrally rather than vascularly, making it useful for patients whose sexual health concerns persist after hormone optimization or who do not respond well to standard PDE5 inhibitors.
PT-141 (Bremelanotide)
PT-141 activates central melanocortin receptors to enhance libido and sexual response in both men and women. Frequently prescribed in Newport Beach for patients whose concerns persist after hormone optimization or who do not respond well to PDE5 inhibitors.
Learn About PT-141 →Tadalafil Protocols
Daily low-dose and as-needed tadalafil protocols for erectile function and vascular health. Prescribed and monitored with attention to cardiovascular history, drug interactions, and individual response. Pharmacist-reviewed at every step.
Learn About Tadalafil Protocols →Kisspeptin
Stimulates the hypothalamic-pituitary-gonadal axis and has emerging clinical use in sexual response, particularly in men and women with hormonally-mediated sexual concerns. Used in select patients alongside or as an alternative to traditional approaches.
Learn About Kisspeptin →Why Newport Beach Patients Choose SSK Longevity for Sexual Health
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Board-certified surgeon and longevity physician Dr. Sean Kelishadi is an MD FACS and board-certified plastic and reconstructive surgeon with deep expertise in hormonal physiology and sexual health medicine. Sexual health concerns are taken seriously, evaluated thoroughly, and treated discreetly.
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Pharmacist review on every sexual health protocol Sherry Kelishadi, Pharm.D. reviews every protocol for drug interactions, particularly with antidepressants, cardiovascular medications, and other commonly prescribed drugs that affect sexual function. This level of oversight is rare in this category.
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Lab-first protocol design, always We do not prescribe sexual health medications without comprehensive hormonal and metabolic testing. Total and free testosterone, estradiol, SHBG, thyroid panel, prolactin, and metabolic markers are required before any protocol is built.
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Confidential and discreet care in Newport Beach 500 Superior Ave, Suite 340, Newport Beach, CA 92663. Sexual health concerns are handled with the same discretion and clinical seriousness as any other medical issue. Serving Newport Beach, Irvine, Costa Mesa, Laguna Beach, Huntington Beach, and greater Orange County.
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Treatment for both men and women Sexual health is not a male-only category. SSK Longevity offers protocols for women experiencing low libido, anorgasmia, vaginal dryness, painful intercourse, and reduced sexual response, in addition to comprehensive male sexual health care.
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Multiple therapy options under one clinical team Hormone optimization, PDE5 inhibitors, central-acting peptides such as PT-141, and combination protocols. The right approach is selected based on your physiology, not the clinic's most prescribed product.
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Coordinated care with SSK Plastic Surgery For patients exploring aesthetic interventions related to intimate wellness, Dr. Kelishadi coordinates care directly with SSK Plastic Surgery. Sexual health and aesthetic care can be addressed under one clinical team when appropriate.
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Direct-pay model with full transparency SSK Longevity does not bill insurance. This allows us to prescribe what is medically appropriate, spend time on clinical care, and maintain a direct relationship with every patient.
What patients actually say.
"I had been on TRT through another clinic and saw real improvement in energy and body composition, but the sexual health side never fully resolved. Dr. Kelishadi added PT-141 to my protocol after a real conversation about what was actually happening. The difference within a few weeks was the piece I had been missing."
"I came to SSK after my OB referred me. Vaginal dryness, painful intercourse, and almost no libido for two years. Dr. Kelishadi and Sherry walked me through the hormonal picture and built a protocol that addressed all of it. This is care that takes women's sexual health seriously."
"What I appreciated most was that nothing about the conversation felt rushed or transactional. Sherry asked detailed questions about every medication I was on and caught an SSRI interaction that was clearly part of the problem. We adjusted, and the result has been life-changing."
What Our Physicians Say About Sexual Health Treatment
Sexual health is one of the most undertreated and most poorly evaluated categories in medicine. Patients are handed a prescription before anyone has actually looked at their hormones, their medications, or their cardiovascular picture. The clinical questions are not difficult to ask. Most clinics just do not bother to ask them.
Medication-induced sexual dysfunction is enormous and underrecognized. SSRIs, certain antihypertensives, finasteride, and others affect libido and sexual response in ways the prescribing physician often never discusses. A real medication review changes outcomes. Sometimes the answer is not adding a new prescription. It is adjusting an existing one.
Who Is a Good Candidate for Sexual Health Treatment?
Sexual health treatment is not appropriate for every patient, and SSK Longevity does not treat it as though it is. Below are the clinical profiles that tend to benefit most from a physician-supervised sexual health protocol in Newport Beach.
Meet the Newport Beach Physicians Behind Your Protocol
Sexual Health Treatment FAQ: Newport Beach, CA
Is sexual health treatment only for men?
No. Sexual health treatment at SSK Longevity Newport Beach is offered to both men and women. Female sexual health concerns including low libido, anorgasmia, vaginal dryness, painful intercourse, and reduced sexual response are evaluated and treated with the same clinical rigor as male sexual health concerns. PT-141, hormone optimization, and combination protocols are used in both populations.
What lab work is required before sexual health treatment?
We require a comprehensive hormonal and metabolic panel before any sexual health protocol is initiated. For men this includes total testosterone, free testosterone, SHBG, estradiol, prolactin, thyroid panel, lipid panel, and metabolic markers. For women, the panel includes estradiol, progesterone, total and free testosterone, SHBG, FSH, LH, prolactin, and thyroid markers. Additional cardiovascular evaluation may be appropriate depending on the clinical picture.
What is PT-141 and how is it different from Viagra or Cialis?
PT-141, also called bremelanotide, works through a fundamentally different mechanism than PDE5 inhibitors such as sildenafil and tadalafil. PT-141 acts centrally, on melanocortin receptors in the brain, to enhance libido and sexual response. PDE5 inhibitors act vascularly, supporting blood flow. Some patients respond better to one approach, some to the other, and some benefit from combined protocols. The right answer depends on the underlying driver of the concern.
Can my antidepressant be affecting my sexual function?
Yes, and this is one of the most undertreated issues in sexual health medicine. SSRIs and SNRIs commonly cause reduced libido, delayed orgasm, anorgasmia, and erectile dysfunction. Sherry Kelishadi, Pharm.D. reviews all prescription medications during your sexual health consultation to identify drug-induced contributors. Sometimes the most effective intervention is adjusting an existing medication rather than adding a new one, in coordination with your prescribing physician.
Is sexual health treatment confidential?
Yes. Sexual health concerns are handled with the same discretion and clinical seriousness as any other medical issue. Your consultation, lab work, and protocol design are private clinical matters. SSK Longevity is structured for direct, confidential physician relationships, not algorithmic care or insurance-driven documentation.
How does sexual health treatment integrate with TRT or HRT?
For most patients, sexual health treatment is part of a broader hormone optimization protocol rather than a standalone intervention. Optimizing testosterone, estradiol, and thyroid function often resolves the majority of sexual health concerns on its own. When concerns persist, targeted adjuncts such as PT-141 or PDE5 inhibitors are added. The integration of sexual health with TRT, HRT, and longevity care under one clinical team is the SSK Longevity model.
Are these treatments safe with cardiovascular medications?
Some sexual health medications, particularly PDE5 inhibitors such as tadalafil, have significant interactions with nitrate medications and other cardiovascular drugs. This is why pharmacist review by Sherry, Pharm.D. is built into every sexual health protocol at SSK Longevity. Cardiovascular history, current medications, and any contraindications are reviewed in detail before any protocol is dispensed.
Where is SSK Longevity located in Newport Beach?
SSK Longevity is located at 500 Superior Ave, Suite 340, Newport Beach, CA 92663. We serve patients from Newport Beach, Irvine, Costa Mesa, Laguna Beach, Huntington Beach, Corona del Mar, and the broader Orange County area. To schedule a confidential sexual health consultation, contact us directly or use the consultation form on this site.
The information on this page is for educational purposes only and does not constitute medical advice. Sexual health treatments referenced on this page are prescription therapies and require physician evaluation, including comprehensive laboratory testing, before any protocol is initiated. Some therapies referenced are used in compounded form under physician supervision and are not FDA-approved for the indications described. Individual results are not guaranteed and may vary from person to person. SSK Longevity operates as a direct-pay practice and does not bill insurance. All treatments are administered under the supervision of a licensed physician. These statements have not been evaluated by the Food and Drug Administration.