A Private, Respectful Conversation
Talk openly about desire, arousal, comfort and relationships with a physician who treats these concerns as a valid part of your health.
Treatments at Transformity Health
Libido & Intimacy
The Part Nobody Talks About Deserves Real Care.
Private, judgment-free support for low desire, changes in arousal and pain with sex, with a plan based on your health, not assumptions.
Women’s Sexual Health
What Is Libido & Intimacy Care?
Changes in desire, arousal, comfort and satisfaction are common, and they deserve a thoughtful medical conversation. Hormones, perimenopause or menopause, postpartum changes, medications, thyroid health, sleep, stress, pelvic floor function and relationship dynamics can all play a part, often at the same time.
Pain with sex is not something you have to push through. Vaginal dryness, tissue changes, pelvic floor tension, infections, skin conditions and other medical issues may contribute. New, severe or persistent pain, or bleeding after sex, needs an appropriate medical evaluation rather than assumptions about hormones or aging.
At Transformity Health, your visit begins with a private conversation about your symptoms, health history, medications and priorities. Testing is used when it adds useful information. Your plan may include hormonal or nonhormonal options, local treatments, pelvic floor care, sleep and metabolic support, or coordination with your gynecologist or another specialist.
Personalized Care
Benefits of Libido & Intimacy Care
A careful evaluation connects your concerns with possible causes and appropriate options, without judgment or a one-size-fits-all plan.
Understand Changes in Desire
Consider hormones, sleep, stress, medications, thyroid and metabolic health, along with the emotional and relationship factors that can affect desire.
Address Pain and Discomfort
Look at dryness, tissue changes, pelvic floor tension and other possible contributors so pain is evaluated rather than dismissed.
Use Testing When It Helps
Review appropriate hormone, thyroid or metabolic testing when your history suggests it could clarify the picture, rather than relying on a single lab number.
Build a Plan Around You
Discuss hormonal and nonhormonal options, local treatments, pelvic floor care and lifestyle support based on your symptoms, suitability and preferences.
Coordinate Ongoing Care
Continue routine gynecology care and involve other specialists when needed, with progress reviewed and your plan adjusted over time.
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Harvard trained
Nearly two decades in medicine
Root-cause approach
A Note From Dr. Liv
It Is Not All in Your Head. And It Is Not Your Fault.
When desire fades or sex becomes uncomfortable, many women blame themselves or worry that their partner will blame them too. These changes are often your body asking for a closer look, not a reflection of your relationship or your worth.
There is rarely one universal explanation. Hormones may be part of the picture, but pain, pelvic floor tension, medications, sleep, stress, thyroid and metabolic health can matter just as much. That is why we start by listening and then test thoughtfully, instead of assuming every symptom needs the same treatment.
You deserve privacy, clear options and care that respects your comfort level. Whether your plan involves local treatment, pelvic floor support, hormone or nonhormonal care, or coordination with another specialist, we decide it together and adjust as your needs change.
Dr. Liv Uslar, MD/PhD
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Frequently Asked Questions