Sexual Dysfunction Treatment in Los Gatos

There was a time intimacy felt effortless. Now libido has gone quiet, erections have changed, or dryness has made sex uncomfortable. Your partner notices. And a doctor shrugs it off as stress or “just getting older.”

You deserve a better answer.

YNC evaluates and treats sexual dysfunction in men and women in Los Gatos. We test hormones, blood flow, metabolism, stress signaling, and pelvic floor strength, then treat what the results show.

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The Main Four Types of Sexual Dysfunction We Treat

Hypoactive Sexual Desire Disorder (HSDD)

HSDD is a persistent loss of sexual thoughts, interest, or receptiveness that causes real distress. Dopamine and testosterone drive desire; serotonin, prolactin, and cortisol suppress it. We test the suppressors alongside the sex hormones.

Erectile Dysfunction (ED)

ED is repeatedly having difficulty getting or keeping an erection firm enough for sex. An erection is a blood flow event: nitric oxide opens the vessels, and testosterone supports the nerve signal that starts it. Low free testosterone, high SHBG, insulin resistance, stress, or a weak pelvic floor can each break that chain.

Vaginal and Clitoral Atrophy

Hormonal changes during perimenopause and menopause may contribute to vaginal dryness, discomfort, and other genitourinary symptoms. A provider can evaluate these symptoms and discuss appropriate FDA-approved and other legally available treatment options.

Low Libido

Low libido is reduced interest without the distress that defines HSDD. It tracks the body’s energy budget: low thyroid output, high cortisol, poor sleep, medication side effects. When the body runs on empty, desire is the first expense it cuts.

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Happy couple enjoying time together

How We Test for the Cause

Depending on your symptoms, testing covers:

Sex hormones: total and free testosterone (by equilibrium dialysis, the accurate method at low levels), sensitive estradiol (LC/MS-MS, since both high and low levels impair desire and tissue health), progesterone, DHEA-S, and SHBG
Brain signals: FSH, LH, and prolactin, which locate the problem: pituitary or gonads
Thyroid: TSH, Free T3, and Free T4
Metabolic: fasting glucose/insulin, HbA1c, lipids, and a comprehensive metabolic panel (liver/kidney function for hormone clearance)
Vascular: ADMA, an early marker of the nitric oxide pathway behind erections and arousal

For a deeper view, we add urinary hormone metabolites, a four-point salivary cortisol curve, and urinary markers of dopamine and serotonin turnover.

Learn about our Advanced Diagnostics

Treatment for Sexual Dysfunction

No single therapy fits every form of sexual dysfunction. This is how the options map.

Treatment	Consider it when	What it involves
Bioidentical Hormone replacement therapy	Low testosterone, estrogen, or DHEA sits behind low desire, ED, or dryness	Pellecome pellets (3 to 6 months), creams, patches, injections, or vaginal preparations; retested every 3 to 6 months
BTL Emsella	Pelvic floor weakness affects rigidity, sensation, or bladder control	FDA-cleared HIFEM chair; about 11,000 contractions in a 28-minute session; six sessions over three weeks
Hyperbaric oxygen therapy	Circulation and tissue recovery are part of the picture	60 to 90 minute sessions, two chambers on site; meaningful change typically takes 20 to 40 sessions, and we say so up front
IV nutrient therapy	Labs show a nutrient deficiency adding to fatigue	Doctor-prescribed formulas, prepared and supervised on site
VO2 max testing	Vascular fitness needs a baseline and a plan	PNOE aerobic capacity assessment, with exercise targets from your results

Plans pair therapy with nutrition, sleep, and stress work, and change as your labs respond.

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Why YNC for Sexual Dysfunction

Sexual dysfunction crosses systems, and most care treats them in silos. Mail-order platforms skip the evaluation entirely: a pill after an online form, whether or not a pill is the answer.

YNC is built differently. Hormone testing, BTL Emsella, hyperbaric chambers, IV therapy, and VO2 max testing sit under one roof in Los Gatos. We have been doctor-owned and operated since 2004, with one doctor leading your care throughout. Hormones are Dr. Young’s specialty: about 25 years treating hormonal decline in men and women across the South Bay.

“I was tired of getting only minutes of my doctor’s time and then being told everything I was experiencing was just ‘normal for your age’… Each time I see the doctor, it is for a real amount of time and they really listen and then work to problem solve what is going on. I still have challenges, but I am a full 180 from where I was.”
Google Review, 2026

FAQs

Is Sexual Dysfunction Treatment at YNC Safe?

Every therapy here is prescribed and supervised by licensed Naturopathic Doctors, and nothing is scheduled until we have reviewed your history and medications. A heart condition, active infection, pelvic inflammation, or blood thinners may mean adjusting the plan.

Is My Evaluation Private?

Yes. Every conversation, test, and treatment happens in a confidential medical setting with our licensed doctors.

Does Treatment Require a Consultation First?

Yes. Care starts with a consultation to decide which tests, if any, you need. Some therapies, such as Emsella, do not require labs; hormone therapy is guided by comprehensive lab work.

What if My Labs Came Back Normal?

Standard blood tests for sexual dysfunction evaluate hormone levels, metabolic health, and systemic function in both men and women. Normal on a basic panel does not rule out a hormonal or vascular cause.