Discreet, evidence-based sexual-wellness care for California women — without the multi-month wait at Kaiser, Sutter, or UC menopause clinics.
Women's sexual health is one of the most under-served categories in mainstream California medicine. OB/GYN appointments often run 10–15 minutes and prioritize obstetric and oncologic concerns; libido, HSDD, perimenopause symptoms, painful sex, and hormone-related changes regularly get crowded out. Telehealth has opened a real path to dedicated, evidence-based care — covering libido, HSDD, perimenopause and menopause symptom management, vaginal/vulvar health, and the broader hormonal picture.
We treat the full spectrum of women's sexual-wellness concerns: low libido and HSDD (with options including flibanserin, bremelanotide, and addressing underlying hormonal contributors), perimenopause and menopause symptoms (vasomotor symptoms, sleep disruption, mood, libido), genitourinary syndrome of menopause (vaginal dryness, painful sex, recurrent UTIs), and the broader hormonal picture — estradiol, progesterone, testosterone (yes, women produce and need testosterone), DHEA, thyroid, and cortisol patterns.
Even at Kaiser, Sutter, and UC Health, dedicated menopause and sexual-wellness clinics are rare and waitlisted. Outside the metros, they barely exist at all. Telehealth removes the geographic and scheduling barriers and provides longer visit times — typically 30–45 minutes for an initial consult.
An initial consult covers symptom history, gynecologic and obstetric history, current medications, mental health history, relationship factors, and goals. Lab work is ordered through Quest or LabCorp anywhere in California — typically a hormone panel (estradiol, progesterone, total and free testosterone, SHBG, FSH, LH, DHEA-S), thyroid panel, fasting glucose and A1c, lipid panel, and CBC. Once labs are reviewed, your California-licensed provider develops a treatment plan.
Standard FDA-approved options include transdermal estradiol patches and gels, oral micronized progesterone, vaginal estradiol (cream, tablets, ring) for genitourinary symptoms, and the Mirena IUD for endometrial protection in some cases. Compounded options — including bioidentical estradiol, progesterone, and small-dose testosterone for women — ship from licensed California compounding pharmacies. Each plan is individualized.
Anthem Blue Cross, Blue Shield of California, Kaiser, UnitedHealthcare, Cigna, Aetna, and many other California plans cover hormone therapy when prescribed for menopause symptoms. Cash-pay through OmniRx Health is competitive, especially when the alternative is a months-long wait.
Major California metros have full Quest and LabCorp coverage. Compounded hormone therapy ships within 2–4 business days statewide. North Coast, Eastern Sierra, and Far North patients use the nearest draw site and receive shipments directly to their home; audio-only visits are available where broadband is limited.