For women and men
Sexual wellness and fertility
Libido, cycle health and fertility sit downstream of hormones, thyroid function, metabolic health and stress physiology. Care here works on all of it, and where hormone therapy is part of the plan, fertility is discussed before anything is prescribed rather than after.
Overview
How care works here
Everyone starts the same way: a 99 dollar consult that runs a full 60 minutes, by video, with Brittney Diffiné, PA-C. That visit is history and questions. Testing is ordered afterward so the panel is chosen for your situation rather than run in advance and interpreted later.
From there you get a plan you can read and understand, with the reasoning behind it, and scheduled follow up so it is adjusted on results rather than left running.
Who this is for
This may be a fit if
- Low libido, or a change in desire you cannot account for
- Painful, irregular or absent cycles
- Cycle related mood changes and hormonal acne
- Perimenopause and menopause symptoms, including vaginal dryness
- Men noticing changes in libido or erectile function
- Anyone preparing for conception who wants their hormones and metabolic health looked at first
- Men who want hormone support without giving up fertility
What is included
In your program
A 60 minute first visit
Symptoms, cycle or sexual history, medications, stress, sleep and family plans, with the clinician who will treat you.
Comprehensive hormone testing
Blood work, and dried urine hormone testing where it adds something, chosen from your consult.
Thyroid and metabolic evaluation
Both influence libido, cycles and fertility, and both are commonly missed.
Fertility preserving options first
Where hormone support is appropriate and you want to protect fertility, options that do that are considered before options that do not.
A plan you can act on
Nutrition, supplements, sleep and stress work alongside any prescription, so the plan is not medication alone.
Ongoing review
Follow up labs and visits to see how you are responding and adjust.
What to expect
Common timelines
- 2 to 4 weeks
- Energy, sleep and mood commonly move first.
- 6 to 12 weeks
- Libido and cycle patterns as therapy takes effect.
- 12 weeks and beyond
- Cycle regulation and fertility markers reviewed at follow up.
Individual results vary. These are common patterns, not a promise of outcome.
Questions
Before you book
Can hormone therapy affect my fertility?
Yes, and that is exactly why it is discussed before anything is prescribed. Testosterone therapy in particular can suppress sperm production. If fertility matters to you now or later, there are approaches that support hormone levels while protecting it, and they are considered first.
Is this fertility treatment?
No. This is not a fertility clinic and there is no IVF, IUI or egg retrieval here. What this is: getting hormones, thyroid, metabolic health and nutrient status into good shape before or alongside fertility care, and referring on when that is what you need.
What is the first visit like?
A full hour, by video, with the clinician who will treat you. Most of it is history and questions. Testing is ordered afterward so it is chosen for your situation rather than run in advance.
Do you treat men and women?
Both. The evaluation differs but the approach is the same: work out what is driving the symptom, treat that, and be straightforward about what the evidence supports.
Start with the consult
Sixty minutes with Brittney Diffiné, PA-C, for $99. You leave knowing what to test and what ongoing care would cost.