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Sexual Health

Sexual Health services offered in San Antonio, TX

Sexual Health

Rediscover Intimacy and Connection with HOOT HRT

Sexual health is a cornerstone of overall well-being, yet challenges like erectile dysfunction (ED) in men and female hypoactive sexual desire disorder (HSDD) can deeply impact confidence, intimacy, and relationships. The good news is that these conditions are treatable, and you don’t have to face them alone.

Erectile Dysfunction in Men
An estimated 30 million men in the United States struggle with ED. This isn’t just a natural side effect of aging—it’s often a sign of an underlying issue. ED can rob you of your confidence and strain your relationships, but it doesn’t have to define your life.

At HOOT HRT, John Cash, MD, and Joe Hamm, PA-C, provide advanced, evidence-based solutions to address the root causes of ED and restore your sexual health. Our approach includes:

  • Diagnostic Evaluations: Comprehensive testing to identify the underlying causes of ED and guide treatment.
  • Phosphodiesterase (PDE) inhibitors
  • Hormone Replacement Therapy (HRT): Optimizing testosterone and other key hormones to improve erection quality and boost libido.

Female Hypoactive Sexual Desire Disorder (HSDD)
For women, a decline in sexual desire or arousal can feel isolating and frustrating. HSDD often arises from hormonal imbalances, stress, or physical changes, but there’s hope. At HOOT HRT, we specialize in innovative treatments designed to help women reignite their passion and restore intimacy.

Our personalized solutions for HSDD include:

  • Oral Oxytocin: A powerful treatment to enhance bonding, arousal, and sexual satisfaction.
  • Vasodilatory Medications: Improving blood flow to enhance physical responsiveness.
  • Topical Creams: Addressing localized symptoms to improve sensation and arousal.
  • Hormone Optimization: Optimizing testosterone and other key hormones to improve erection quality and boost libido.

Our compassionate team takes the time to understand your unique needs, providing discreet and supportive care to help you regain confidence and satisfaction in your intimate life.

Take the First Step Today
Don’t let ED or HSDD create barriers in your relationships or your confidence. 

Call, email or book directly here on our website today to schedule your consultation, or book your appointment online.

Rediscover the connection, passion, and vitality you deserve.

Understanding and Treating Sexual Health Challenges at HOOT HRT

What causes erectile dysfunction (ED)?

Erectile dysfunction (ED) is more than a physical condition—it’s a deeply personal challenge that can impact your confidence, relationships, and quality of life. ED occurs when a man is unable to achieve or maintain an erection firm enough for sexual activity.

In some cases, ED may be temporary, linked to stress or relationship difficulties. However, persistent ED is often a sign of an underlying medical issue, such as:

  • Obesity
  • Diabetes
  • Sleep disorders
  • Enlarged prostate
  • Heart disease
  • Metabolic disorders
  • High blood pressure (hypertension)
  • Depression
  • Anxiety

Hormonal imbalances, particularly low testosterone levels, also play a significant role in ED. Testosterone is essential for male sexual health, and when levels are too low, it can interfere with erection quality, libido, and overall sexual function.


What causes female hypoactive sexual desire disorder (HSDD)?

For women, hypoactive sexual desire disorder (HSDD)—a persistent lack of sexual interest or arousal—can be equally distressing and isolating. HSDD is influenced by a complex interplay of physical, emotional, and hormonal factors, including:

  • Hormonal Imbalances: Declining levels of estrogen, progesterone, and testosterone during perimenopause, menopause, or due to other conditions can disrupt libido and arousal.
  • Emotional Factors: Stress, anxiety, depression, or relationship issues can reduce sexual desire.
  • Medical Conditions: Chronic pain, diabetes, thyroid disorders, and autoimmune conditions can negatively impact sexual function.
  • Medications: Certain antidepressants, birth control, and other drugs can suppress libido.

These factors often overlap, making a comprehensive evaluation essential for effective treatment.


When should I seek medical care for sexual dysfunction?

For men, schedule a diagnostic evaluation at HOOT HRT if you struggle to achieve or maintain an erection or notice a significant decrease in your sex drive. For women, seek care if you experience persistent low sexual desire, difficulty with arousal, or other changes in your sexual health.

During your evaluation, the HOOT HRT team performs a thorough physical exam, orders lab tests to assess hormone levels, and explores potential medical or psychological contributors to your symptoms. This detailed approach ensures a personalized treatment plan tailored to your needs.


How are sexual dysfunction conditions treated?

At HOOT HRT, we believe in addressing the root causes of sexual dysfunction to restore your confidence and vitality. Our treatments include:

Hormone Replacement Therapy (HRT)

  • For Men: Testosterone therapy balances your hormone levels to improve erection quality, libido, and overall sexual function. Delivery options include injections, creams, oral medications, and pellets.
  • For Women: Personalized HRT plans optimize estrogen, progesterone, and testosterone levels to improve desire, arousal, and overall sexual wellness.

Targeted Treatments for HSDD

  • Oxytocin: Enhances emotional bonding and sexual desire.
  • Vasodilatory Medications: Improve blood flow to enhance arousal and sensation.
  • Topical Creams: Address localized symptoms to improve responsiveness and satisfaction.

Medically Supervised Weight Loss

Obesity can negatively impact sexual health for both men and women. Our team designs personalized weight loss plans to help you shed excess weight and maintain results, improving your physical and psychological well-being.

Medications

For men, phosphodiesterase (PDE) inhibitors may be prescribed to improve blood flow and support erection quality.

Lifestyle Adjustments

We recommend sustainable lifestyle changes, including exercise, stress management, and dietary improvements, to optimize your overall sexual health.


Take the First Step Toward a Healthier, More Confident You

Don’t let ED or HSDD define your relationships or your life. At HOOT HRT, we provide compassionate, evidence-based care to help you overcome these challenges and rediscover intimacy, passion, and self-assurance.

Call our San Antonio, Texas, office today to schedule your diagnostic evaluation, or book your confidential consultation online. Your journey to renewed vitality starts here.