Private Sexual Wellness Care
Your sexual health is part of your health. Changes in desire, arousal, comfort, erections, orgasm, or performance can affect far more than the bedroom. They can affect confidence, connection, and how you feel in your own body.
A Private Space for an Honest Conversation
These conversations are handled with discretion, time, and respect. There is no standard you need to meet for desire, frequency, or performance. What matters is whether a change is affecting your comfort, confidence, connection, or quality of life.
Your concerns are discussed respectfully and without assumptions. You decide what you are comfortable sharing, and your goals guide the conversation.
Concerns We Can Evaluate
Some of the change can be:
- Sexual desire
- Difficulty with arousal or orgasm
- Vaginal dryness or discomfort
- Pain during sexual activity
- Changes in erections or performance
- Hormone-related changes
- Medication side effects
- Factors involving stress, sleep, mood, health, or relationships.
Sexual Health Is Connected to Overall Health
Sexual function can be affected by hormones, cardiovascular health, blood sugar, medications, sleep, stress, mood, pelvic symptoms, pain, and relationship context. A useful evaluation looks for patterns instead of assuming one cause.
What Your Visit May Include
A private discussion of the change you have noticed.
- Review of medical history
- Medications
- Hormone symptoms
- Appropriate laboratory testing when it will guide care
- Discussion of treatment options
- Risks and alternatives
- Referral for pelvic floor care
- Counseling, urology, gynecology, or another specialist when appropriate
Treatment Is Personal
Care may include education, medication review, hormone treatment when clinically appropriate, care for vaginal symptoms, treatment for erectile concerns, or referral to another clinician. A consultation does not guarantee a prescription.
Partners may be included in a conversation when you choose, but each patient’s medical information and treatment remain private.
Provider Identity
Melissa Markel, FNP-C, ABAAHP, FAAMFM
Florida license: APRN11019655
Melissa is a board certified functional medicine nurse practitioner. She specializes in male and female hormone replacement, medical weight optimization, and longevity medicine.
Telehealth Designed Around Your Life in Miami, Florida
Umber Health was designed for adults who value discretion, time, and close attention. Private virtual visits bring that experience to eligible adults in Miami and throughout Florida. Umber Health does not operate a walk-in or patient-facing physical clinic.
Frequently asked questions
Are sexual concerns always caused by hormones?
No. Hormones are one possible factor among medications, health conditions, sleep, stress, mood, pain, and relationship context.
Can sexual wellness be discussed by telehealth?
Yes. Many concerns can begin with a confidential virtual evaluation. Some symptoms require an in-person examination or referral.
Can my partner join the visit?
Your partner may join part of a visit with your permission. Your medical information and treatment decisions remain private.
Will I receive a medication?
Not necessarily. Treatment depends on the evaluation, potential benefits and risks, your goals, and whether another approach is more appropriate.
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Start With a Private Conversation
You do not need to know the cause before booking. Tell us what has changed and how it affects you. We will help determine the next step.