James
New York
" I was looking for a way to support my wife during her menopause journey. Dr. Kashyap’s guidance helped both of us understand her needs better. The personalized care and attention she provides is truly remarkable."
-
Is sexual dysfunction common in women?
Yes and far more common than most women are told. Research shows that nearly 40% to 50% of women will experience some form of sexual dysfunction in their lifetime, whether it’s low libido, difficulty with arousal, pain during intimacy, or trouble reaching orgasm. These issues are not rare, and you are not alone. The important thing to know is that they are also highly treatable with the right support and care.
-
Will I need hormone therapy?
Not necessarily. Hormone therapy is just one of many tools we use and it’s never the default. At our clinic, we first take the time to understand what’s driving your symptoms. For some women, gentle, bioidentical hormone support is appropriate and highly effective. But for others, natural supplements, targeted nutrition, vaginal therapies, or lifestyle changes work just as well. Your treatment is based entirely on your lab results, your symptoms, and your comfort level nothing is pushed, and nothing is assumed.
-
What if I feel uncomfortable discussing these issues?
That’s completely okay. Many women have never spoken about these topics before, even with their closest friends or doctors. At our clinic, you’ll be speaking directly with Dr. Deepali Kashyap in a private, respectful, and judgment-free space. You’ll never be rushed or pressured. You can share what you’re comfortable with, at your own pace, and we’ll guide you gently from there.
-
How long does it take to see results?
That depends on what’s causing the symptoms and how your body responds to treatment. Some women begin to notice improvements in vaginal comfort, energy, or desire within a few weeks. Others, especially if hormones or deep stress patterns are involved , may need more time. What matters is that we stay consistent, track your progress, and adjust your care as needed. This isn’t a quick fix , it’s a guided process toward lasting improvement.
-
Is this treatment only for menopause-related issues?
Not at all. While menopause is a common trigger for sexual changes, we also treat younger women dealing with symptoms due to stress, postpartum changes, medication side effects, or conditions like PCOS, thyroid issues, or past trauma. If something doesn’t feel right in your body , at any age , we take it seriously and help you explore what’s behind it.
-
Can medications affect my sexual function?
Yes, they can and often do. Certain antidepressants (SSRIs), anti-anxiety medications, blood pressure drugs, and even birth control can interfere with desire, arousal, and orgasm. We review your medications in detail and help you understand if they may be contributing to your symptoms. Where possible, we explore alternatives, offer supportive supplements, or adjust your plan to counter the side effects , always in coordination with your primary provider if needed.
-
What is pelvic floor therapy, and how can it help?
Pelvic floor therapy focuses on strengthening or relaxing the muscles in your pelvic area , which play a key role in sexual response, bladder control, and overall comfort. If you're experiencing pain during intercourse, pressure, tightness, or pelvic heaviness, pelvic therapy can be life-changing. We may use at-home exercises, lifestyle modifications, or in some cases, in-clinic treatments like radiofrequency or laser therapy to restore tissue health and function.
-
Are there non-hormonal treatments available?
Yes, absolutely. In fact, most of our treatment plans begin with non-hormonal options especially for women who prefer to avoid or are not eligible for hormone therapy. These may include herbal remedies, nutritional support, pelvic therapy, vaginal moisturizers, laser treatments, or certain FDA-approved non-hormonal medications. Your care plan will always reflect your comfort and your choices.
-
How do I know if my symptoms are emotional or physical?
Often, it’s a bit of both and that’s completely normal. Physical symptoms can trigger emotional responses, and emotional stress can create physical tension in the body. That’s why our approach looks at everything: your body, your lab results, your stress levels, your relationship history, and more. We help you untangle it all, step by step, so your care plan addresses every layer , not just one piece of the puzzle.
-
Is sexual dysfunction permanent?
Not at all. With the right care, most women experience significant improvement in symptoms, confidence, and sexual satisfaction. The key is understanding what’s causing the issue, choosing the right treatments, and giving your body time to respond. You do not have to live with discomfort, frustration, or silence. There is always something that can be done , and we’re here to help you find the way forward.