Respectful · Clinical · Effective
Your sexual wellness deserves the same care as the rest of your health.
Sexual changes in midlife are real, common, and medically significant. At Vyta, we address them with the clinical depth and respect they deserve — not as an afterthought, but as a core part of your wellbeing.
Understanding the Shift
What changes in midlife sexual health
These are biological changes driven by hormonal shifts — not personal failings, aging gracefully, or things to simply accept.
Decreased libido
Declining testosterone and estrogen directly reduce sexual desire — a biological shift, not a personal failing or relationship problem.
Vaginal dryness & atrophy
Genitourinary syndrome of menopause (GSM) affects up to 80% of postmenopausal women — causing dryness, thinning, and discomfort during intimacy.
Painful intercourse
Dyspareunia affects intimacy and often leads women to avoid sex entirely — a cycle that is very treatable with the right approach.
Reduced arousal & sensation
Hormonal changes alter nerve sensitivity and blood flow to sexual tissue — reducing arousal, lubrication, and orgasmic response.
Relationship and confidence impact
Changes in sexual wellness frequently affect intimacy, communication, and self-confidence within relationships — and warrant real clinical attention.
Emotional & relational shifts
Anxiety about intimacy, withdrawal from physical connection, and unspoken grief about these changes are common — and do not have to be permanent.
Why It Goes Unaddressed
Why sexual wellness is too often overlooked
Sexual health in midlife falls into a gap: women feel too embarrassed to bring it up, and many physicians don't ask. The cultural message — that diminished sexuality is simply part of aging — is both wrong and harmful.
Genitourinary syndrome of menopause alone affects up to 80% of postmenopausal women — yet fewer than 25% ever receive treatment, primarily because the condition is not discussed. This is a gap Vyta exists to close.
At Vyta, sexual wellness is a standing part of your health evaluation — not something you have to find the courage to mention. Your physician will ask.
80%
of postmenopausal women experience GSM symptoms
< 25%
ever receive treatment for these symptoms
42%
of women say decreased libido significantly affects their relationship
< 1 min
average time physicians spend discussing sexual health per visit
How We Help
Treatment options for sexual wellness
Hormonal, non-hormonal, and whole-person approaches — personalized to what your body needs and what you're comfortable with.
Low-dose vaginal estrogen
Topical estrogen applied directly to vaginal tissue is highly effective for GSM with minimal systemic absorption — appropriate even for many women with contraindications to systemic HRT.
Testosterone optimization
Low-dose testosterone therapy can meaningfully restore libido, arousal, and sexual satisfaction in women — an underutilized and evidence-backed option.
Ospemifene & prasterone
Non-estrogen prescription options for vaginal atrophy and dyspareunia — effective alternatives for women who cannot use or prefer not to use estrogen.
Pelvic floor rehabilitation
Physical therapy targeting pelvic floor dysfunction — a highly effective, often overlooked treatment for painful intercourse and incontinence.
Intimacy coaching
Guidance on communication, reconnection, and intimacy practices — supporting the relational and emotional dimensions of sexual wellness alongside clinical treatment.
Lubricants & local care
Evidence-based recommendations for lubricants, moisturizers, and local care that work — without marketing fluff.
"Sexual wellness is not vanity — it is health. Intimacy, desire, and physical comfort are meaningful parts of a woman's quality of life at every age. We treat them that way."
— Vyta Clinical Team
How We Measure Progress
Tracked outcomes — not just symptoms
At Vyta, sexual wellness is measured, not guessed. We use validated tools and lab markers to baseline where you are — and objectively track your improvement over time.
FSFI Score
The Female Sexual Function Index — a gold-standard validated tool assessing desire, arousal, lubrication, orgasm, satisfaction, and pain at baseline and at every follow-up.
Libido & desire
Baseline and re-tested at each visit — tracking restoration of sexual interest as hormone levels and overall health respond to treatment.
Vaginal health & comfort
Tissue health, lubrication, and comfort during intimacy tracked through symptom scoring and clinical assessment over time.
Sexual hormone markers
Testosterone (free and total), estradiol, and SHBG — the hormones most directly linked to libido, arousal, and sexual function — retested alongside your standard panel.
Pelvic floor function
Bladder control, pelvic pain, and penetration comfort assessed when relevant — conditions that are both common and highly treatable.
Intimacy & relationship wellbeing
Self-reported quality of intimacy, emotional connection, and confidence — because sexual wellness is more than physiology.
Your Questions
Common questions
You Deserve This Care
You don't have to find the courage. Just show up.
Your Vyta physician will ask the questions you've been afraid to raise. Your sexual wellness is part of your whole health — and it deserves the same careful attention.