Rediscover desire, on your terms.
A licensed clinician listens, then builds a personalized plan for desire and comfort, with FDA-approved medication when appropriate. Reviewed online, shipped discreetly to your door.
Start my assessment
When desire and comfort change.
Changes in desire and comfort are common and shaped by hormones, life stage, stress, sleep, and relationships. They're rarely all in your head. A licensed clinician can help you understand what's driving yours, then build a plan around it.
Lower desire
Interest that feels further away than it used to, whether gradual or sudden, and not quite like you.
Vaginal dryness
Dryness or tissue changes around menopause that can make intimacy less comfortable.
Discomfort during intimacy
When sex feels less comfortable than it should, there are real reasons and real options.
Changes around menopause
Shifting hormones can change desire and comfort. Your care can shift with you.
After having a baby
Postpartum bodies and hormones change. Reconnecting takes time, and sometimes support.
Stress, sleep, and energy
Desire is tied to the rest of your life. A provider looks at the whole picture, not one symptom.
A licensed clinician listens first, reviews your history, and recommends labs when they'll help. If something else is driving how you feel, they'll tell you and help you find the right path.
Four steps from curious to optimized.
Take the assessment
2 minutes. Goals, symptoms, medical history.
Clinical-grade intake reviewed by a provider, not a template.
Comprehensive labs
50+ markers. At-home kit or Quest / Labcorp.
Hormones, thyroid, metabolic, inflammation, micronutrients. HSA/FSA eligible.
Consult with your provider
HIPAA video call. AI-transcribed. Recapped.
Licensed clinician reviews your labs, builds your protocol, answers questions.
Delivered in 48 hours
Discreet packaging. Refills ship automatically.
Licensed pharmacy partner. Free 2-day shipping. Cancel anytime.
Care built around what's driving it.
Start with the desire pathway
Desire is shaped in the brain as much as the body. Medications like bremelanotide (Vyleesi) act on pathways involved in sexual desire, used when a licensed clinician determines they're appropriate for you.
Address menopause-related comfort
Vaginal estradiol (cream or insert) and prasterone (Intrarosa) vaginal insert are FDA-approved for menopause-related vaginal dryness or painful intercourse. Your provider chooses what fits your case.
Look at the whole picture
Desire and comfort are tied to health history, medications, life stage, and more. A clinician reviews the full picture before recommending any medication.
Options a provider may consider for you.
Bremelanotide (Vyleesi)
An FDA-approved treatment for low sexual desire in premenopausal women, used when a clinician determines it's appropriate.
Prasterone (Intrarosa)
An FDA-approved vaginal insert for menopause-related painful intercourse, used when a clinician determines it's appropriate.
Vaginal estradiol
An FDA-approved cream or insert for menopause-related vaginal dryness and painful intercourse, when a provider determines it's appropriate.
Which medication is appropriate is a clinical decision your provider makes from your history and symptoms. All options are FDA-approved and require a prescription. Tell your provider if you have or have had breast cancer or abnormal vaginal bleeding; estrogen products carry a boxed warning. Individual results vary.
Care that takes you seriously.
A clinician who listens
You talk with a licensed clinician who takes your concerns seriously. Not a chatbot, not a rushed five-minute appointment.
FDA-approved medications only
If appropriate, your provider prescribes an FDA-approved medication, filled by a licensed pharmacy.
Discreet by design
Your assessment is confidential, care happens online, and anything prescribed ships free in plain, unmarked packaging.
Judgment-free, always
These are health concerns, full stop. Your care team is here to help without awkwardness or shame.
Transparent pricing
You pay for care. If a treatment is prescribed, the pharmacy bills medication separately at cost, with no KAYU markup.
We say no when it's right
A clinician declines or adjusts treatment when it isn't the right answer, and tells you what would be instead.
A realistic timeline.
Your provider checks in and answers questions as you begin, including how and when to use your medication.
Your provider reviews how you're doing and adjusts your plan based on how you feel.
Your plan is reviewed and adjusted alongside the rest of your health.
Timelines are general and not a promise of results. Individual results vary, and your provider monitors your progress and adjusts your plan along the way.
Real clinicians, not a call center.
Your protocol is built and monitored by a licensed clinician, the same people who designed KAYU's care model. Named, credentialed, and accountable for your results.
Narine Chilyan
Clinical Director · Functional & Preventive Medicine
Dr. Aram Mkhitarian
Medical Director · Integrative Medicine
How KAYU compares.
A general comparison of care models. Specific offerings vary by provider.
Pay for care, not markups.
You pay for your provider and care. If a treatment is prescribed, the pharmacy bills it separately at cost, with no KAYU markup. No insurance required.
Consult
Pay for your visit, no membership.
- Licensed clinician video consultation
- Personalized plan if appropriate
- Prescription sent to a licensed pharmacy
- Medication billed separately at cost
Root
Ongoing care and monitoring, 10% off care.
- Everything in Consult
- Ongoing provider oversight and adjustments
- Follow-up review built in
- Unlimited secure messaging with your care team
Branch
Full hormone optimization with bloodwork included.
- Everything in Root
- Comprehensive hormone panel included
- Broader hormone optimization when appropriate
- Priority scheduling with your provider
Women's sexual wellness FAQ.
Is what I'm feeling normal?
Yes. Changes in desire and comfort are common and a real part of health, shaped by hormones, stress, sleep, relationships, and life stage. You're far from alone, and it's exactly what a licensed clinician is here to talk through without judgment.
What options are available for low desire or comfort?
Depending on your case, a licensed clinician may consider bremelanotide (Vyleesi) for low sexual desire in premenopausal women, or vaginal estradiol (cream or insert) or prasterone (Intrarosa) for menopause-related vaginal dryness or painful intercourse. No medication is right for everyone, which is why a clinician reviews whether it's right for you first.
What are the side effects of bremelanotide (Vyleesi)?
A licensed clinician reviews your health history before prescribing bremelanotide (Vyleesi) and declines or adjusts it if it isn't appropriate for you. Side effects can include nausea, flushing, headache, and a temporary increase in blood pressure, which your provider reviews with you. It is not for women with uncontrolled high blood pressure or cardiovascular disease, and should not be used more than once in 24 hours or more than 8 times per month. You can message your care team any time with questions. Individual results and risks vary.
Are these medications FDA-approved?
Yes. Every option KAYU clinicians offer for sexual wellness is FDA-approved and requires a prescription. A licensed clinician reviews your history before prescribing, chooses what's appropriate, and monitors you over time. Your provider walks you through the benefits and risks before anything is prescribed.
Do I need bloodwork?
Usually not for these medications. A licensed clinician decides whether labs will help in your case based on your history and symptoms. Not everyone needs bloodwork, and your provider will tell you what's right for you.
Is this an option after menopause or postpartum?
Many women come to KAYU during exactly these transitions. A clinician reviews where you are and offers options appropriate for you. If you are pregnant, may become pregnant, or are breastfeeding, your provider will choose an appropriate path or recommend waiting.
Is it private and discreet?
Your assessment is confidential, your care happens entirely online, and anything prescribed ships free in plain, unmarked packaging. Privacy is built into every step.
How quickly will I notice a difference?
It depends on the medication. Bremelanotide is used as needed before sexual activity, while vaginal estradiol and prasterone are used on an ongoing schedule. Your provider sets expectations for your specific plan and fine-tunes it based on how you feel. Individual results vary.
How does billing work, can I use HSA or FSA, and can I cancel anytime?
You pay for your provider review and care. If a treatment is prescribed, the pharmacy bills medication separately, at cost, with no KAYU markup. No insurance is required, and many patients use HSA or FSA funds toward eligible care. There's no long-term commitment, and you can cancel anytime.
Ready to feel rooted?
Two minutes to the assessment. One week to your first consult. A protocol built on your bloodwork from a provider who knows your name.