Rediscover desire, on your terms.
A licensed clinician listens, then builds a personalized plan for desire, arousal, and comfort, compounded for you when appropriate. Reviewed online, shipped discreetly to your door.
Start my assessment
When desire and comfort change.
Changes in desire, arousal, 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.
Harder to feel aroused
Wanting to feel present and responsive, but finding it takes more than it once did.
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, arousal, 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.
Compounding 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 PT-141 act on pathways involved in sexual desire, used when a licensed clinician determines they're appropriate for you.
Support arousal and comfort
Compounded topical options can support local sensation and comfort, and vaginal DHEA or estrogen may help tissue health, especially around menopause. Your provider chooses what fits your case.
Look at hormones when they're the driver
Sometimes low desire traces back to hormones. A clinician may review testosterone, estrogen, thyroid, and related markers, and address the root rather than only the symptom.
Options a provider may consider for you.
PT-141 (Bremelanotide)
Acts on brain pathways involved in sexual desire, used when a clinician determines it's appropriate.
Oxytocin
A compounded option some providers use to support connection and arousal as part of a plan.
Arousal cream
A compounded topical blend, which may include low-dose sildenafil or testosterone, to support local sensation.
Vaginal DHEA
Supports comfort and tissue health, often helpful around the menopause transition.
Testosterone for low desire
Low-dose testosterone a clinician may consider for persistent low desire when labs and symptoms support it.
Vaginal estradiol
Localized estrogen for comfort and tissue health around menopause, when a provider determines it's appropriate.
Which approach is appropriate, and at what strength, is a clinical decision your provider makes from your history and symptoms. Some products are compounded, are not FDA-approved, and require a prescription. 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.
Compounded for you
If appropriate, your plan is compounded by a licensed pharmacy to the ingredients and strengths that fit your case.
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.
Some women notice changes early, especially with on-demand options. Your provider checks in and answers questions as you begin.
Many approaches work best with a little time and adjustment. Your provider fine-tunes your plan based on how you feel.
Desire and comfort can keep improving with a plan that's 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
Kiana Golfeiz
Aesthetics · Longevity · Regenerative
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, arousal, 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 can help with low desire, arousal, or comfort?
Depending on your case, a licensed clinician may consider options like PT-141 for desire, compounded topical support for arousal and comfort, vaginal DHEA or estrogen for tissue health, or low-dose testosterone when labs and symptoms support it. These tend to work best as part of a personalized plan reviewed over time. No approach works for everyone, which is why a clinician reviews whether it's right for you first.
Is PT-141 safe, and what are the side effects?
A licensed clinician reviews your health history before prescribing PT-141 and declines or adjusts it if it isn't appropriate for you. Like any medication it can have side effects, such as nausea or flushing, which your provider reviews with you. You can message your care team any time with questions. Individual results and risks vary.
Are compounded treatments safe?
Compounded medications are prepared by licensed pharmacies to a clinician's specifications. They are not FDA-approved and require a prescription. A licensed clinician reviews your history, chooses what's appropriate, and monitors you over time. Your provider walks you through the benefits and risks before anything is prescribed.
Will hormones help, and do I need bloodwork?
Sometimes low desire or discomfort traces back to hormones. A licensed clinician decides whether labs will help in your case and may review testosterone, estrogen, thyroid, and related markers before recommending a hormone-based approach. Not everyone needs bloodwork, and your provider will tell you what's right for you.
Can this help 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 a safe 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 approach. On-demand options can work the same day, while hormone-based and compounded plans often build over several weeks with adjustment. 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.