Treatment of decreased libido

One of the most overlooked or under discussed topics is that of sexual health. It comprises a special part of our most intimate relationships and if that is not functioning as it should, that relationship can surely suffer. Inadequate sexual satisfaction, arousal and desire are the most common issues that we encounter when discussing intimacy with patients. There are good, effective treatments now that we can offer patients to help get them back to a healthy sex life. As an OBGYN clinic we understand the sensitive nature of intimate issues and procedures and always strive to ensure our patients are comfortable with all aspects of each procedure or treatment.


Fem shot

This is a specialized injection that is used to revive your libido and achieve more pleasurable orgasms in as little as one session. We use plasma growth factors, from your own body, to help revitalize the vagina and restore sensation to the most intimate areas. It targets the areas of the clitoris, labia and vagina (G-Spot area) for increased sexual satisfaction and arousal. Use of plasma growth factors cause increased blood flow and new collagen support to acheive the benefits listed below.

Patient observed benefits:

  • Increased sensation

  • Greater arousal from clitoral stimulation

  • The ability to have an orgasm from penetrative sex when previously unable

  • Younger and smoother skin of the vulva

  • Stronger and more frequent orgasms

  • Improvement in urinary incontinence

  • Decreased pain for those experiencing painful sex

  • Increased natural lubrication

  • Increased ability to have a vaginal orgasm

Does it hurt and how long does the procedure take?

We use numbing cream to ensure a pain free treatment with the Fem-Shot. Although every patient’s experience is different, most experience only minor discomfort. The injection feels like a slight pinch or warm sensation. There is no recovery time with this non-surgical procedure. It is quick and generally takes about 30 minutes to complete, including the numbing process.

How long does the effect last?

The Fem-Shot lasts up to 12-18 months depending on age and any health changes. Most often we recommend repeating the procedure in 18 months in order to maintain O-ptimal results. 

Why the Fem-Shot?

This injection is a low risk, non-hormonal, non-surgical way to acheive an improved sex life or vaginal health in general. Risks are slight since we are using cells from your own body and 


This is a specialized injection that is self injected into the abdomen or thigh 45 minutes before anticipated sexual activity. Vyleesi is approved to treat low sexual desire in premenopausal women. A lack of desire can cause distress or interpersonal relationship difficulty. While there are many factors that can contribute to sexual desire, including relationship issues, or physical, hormonal, and psychological changes - Vyleesi was developed to help women have a more natural arousal response to sexual activitiy. The FDA recommends patients not to take more than one dose within 24 hours or more than eight doses per month.

*** Vyleesi is not compromised by alcohol intake or have the other side effects that were prominent with the drug ADDYI- although it can have some common side effects:

  • temporary increase in blood pressure and decreased heart rate

  • darkening of skin on certain parts of the body (face, gums, and breast) in people with skin type IV-VI

  • nausea

Hormone replacement

Sometimes the hormones that help with libido (testosterone) and vaginal health (estrogen) are out of balance and need to be augmented. We use a variety of methods to increase these naturally occurring hormones. Sometimes it is a topical cream or patch. Other times it is a pellet. More info is available here.

Please call Dr Bertoldo's office to schedule a free consultation to see if you are a good candidate for these procedures.