Sexual Wellness Treatment in Utah
Sexual health is influenced by hormonal balance, neurological signaling, vascular health, and emotional connection. When any of these systems become dysregulated, individuals may experience changes in libido, sexual performance, or intimacy. Our sexual wellness program evaluates these systems together to develop individualized treatment plans.
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​Many individuals experiencing low libido, erectile dysfunction, or changes in sexual function are dealing with underlying physiological or psychological contributors.
Our sexual wellness program evaluates these systems together to develop individualized treatment plans.
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Sexual wellness services are available for both men and women experiencing changes in libido, performance, or intimacy.
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Treatment recommendations are individualized based on laboratory findings, symptom patterns, and clinical presentation.
Where to Start
Medical sexual-wellness evaluation
For medical questions about changes in sexual function, ask about a Comprehensive Wellness Evaluation. Laboratory testing is completed before the physician visit so treatment planning can begin at that appointment. The $600 initial evaluation includes the initial labs and one visit with Hannah, our wellness coach. Future labs, medications and follow-up visits with Hannah are billed separately. You do not need to choose a medication or treatment in advance.
A separate ongoing-care package includes four 30-minute clinical wellness follow-up visits for $600, shared across weight management, hormones, peptides and other medical wellness concerns. These concerns can be addressed together. Two sessions may be combined into one 60-minute appointment, using two of the four sessions.
Read the current evaluation details, then contact our team with questions or to arrange an appointment.
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Sex therapy and relationship support
For psychotherapy focused on desire, sexual anxiety, shame, emotional connection or intimacy, you can request sex therapy with Dottie Pratt directly. Dottie is accepting new patients for individual and couples work in Lehi, South Jordan and through Utah telehealth when clinically appropriate. A medical wellness evaluation is a separate service and is not a prerequisite for requesting sex therapy.
Broader relationship concerns can be explored through couples and family therapy. If unwanted pornography use is the main concern, learn about therapy with Daniel Jones.
Why Sexual Health Is Complex
Sexual function involves multiple systems working together.
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These include:
• hormonal regulation
• neurological signaling
• vascular health
• emotional and relational dynamics
• stress physiology
When any of these systems becomes dysregulated, sexual health may be affected.
Our approach evaluates the full biological and psychological picture rather than focusing on a single symptom.
​A medical evaluation can help assess possible physical contributors, while therapy can address emotional and relationship concerns. Some people may benefit from coordinated care. The starting point depends on your concerns and the type of help you are seeking.
Conditions We Treat
Sexual wellness treatment may address:
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• low libido
• erectile dysfunction
• difficulty achieving orgasm
• hormonal contributors to sexual dysfunction
• sexual performance anxiety
• relationship intimacy challenges
• compulsive sexual behavior
• Unwanted Pornography Use & Relationship Damage
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Treatment recommendations depend on individual physiology and clinical evaluation.
Medical Treatment Options
Medical treatments may include:
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• PDE5 medications for erectile dysfunction
• hormone optimization when hormonal imbalance is present
• Compounded PT-141 peptide for selected desire, arousal and erectile concerns
• metabolic health optimization
Treatment is individualized based on medical evaluation and patient goals.
PT-141 for Sexual Desire and Arousal
We prescribe compounded PT-141 (bremelanotide) for selected women and men with desire, arousal or erectile concerns after individualized medical evaluation. In our clinical experience, we have seen improvements in sexual desire, particularly in women.
Treatment decisions consider your symptoms, health history, medications and potential risks.
Compounded PT-141 is not FDA-approved, and individual responses vary.
TMS for Low Libido and Compulsive Sexual Behavior
We offer individualized TMS treatment for low libido and compulsive sexual behavior, using distinct protocols for each concern. Early research has shown changes in sexual-reward responses and arousal, and a published clinical case described improvement in difficult-to-treat compulsive sexual symptoms.
These are off-label uses informed by emerging research. Evidence for lasting symptom improvement remains limited. We discuss potential benefits, risks and alternatives before treatment.
Psychological & Relationship Factors
Sexual wellness often involves emotional and relational components.
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Therapeutic support may help address:
• relationship communication patterns
• intimacy challenges
• trauma-related sexual difficulties
• stress or anxiety affecting sexual performance
Dynamic Psychiatry therapists are trained in advanced relationship and trauma-informed therapy approaches.
Hormones and Sexual Health
Hormonal balance plays a significant role in libido and sexual function.
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Hormone optimization may involve evaluation of:
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• testosterone
• estrogen
• progesterone
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Learn more about Hormone Optimization.
Why Sexual Wellness Requires an Integrated Approach
Many clinics treat sexual dysfunction as a single medical issue.
However, sexual health is influenced by multiple systems including hormonal signaling, neurological function, emotional connection, and overall metabolic health.
Dynamic Psychiatry integrates medical evaluation, hormone optimization, neuromodulation, and relationship-focused therapy when appropriate. This allows treatment to address underlying contributors rather than focusing on symptoms alone.
Location and Scheduling
All wellness services are available via telehealth throughout Utah. Medical sexual-wellness care is also available in person at our Lehi, Utah location. InBody scans require an in-person visit. Sex therapy with Dottie is available in Lehi, South Jordan and through Utah telehealth when clinically appropriate. TMS and ketamine treatments take place in Lehi.
Ask our team about the service you are considering, current availability and appointment costs. If you are unsure where to begin, our team can help you understand the options. You can also read our frequently asked questions.
Frequently Asked Questions
What causes low libido?
Low libido may be influenced by hormonal changes, neurological signaling, stress, relationship dynamics, or underlying health conditions.
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How is erectile dysfunction treated?
Treatment may include medications, hormone optimization, compounded PT-141 in selected cases, or addressing psychological and relationship contributors.
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Can hormones affect sexual health?
Yes. Hormones such as thyroid, testosterone, estrogen, and progesterone play important roles in libido and sexual function.
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Are consultations confidential?
Yes. Sexual wellness consultations are private and conducted in a medical setting.