Reduced sensation and difficulty with arousal have many causes — hormonal, vascular, medication-related and psychological. The workup matters more than the injection.
Reduced sexual sensation, difficulty with arousal, and difficulty reaching orgasm are common and have multiple contributors. Identifying yours is the useful work — and it is frequently skipped in favour of a procedure.
The medication point deserves emphasis. If your symptoms began after starting an antidepressant, that is very likely the explanation. This is often adjustable in discussion with your prescriber — and no injection will overcome an ongoing pharmacological effect.
Platelet-rich plasma injection for female sexual function is widely marketed, sometimes under a branded name, and we want to describe its status accurately.
The evidence is limited. Published studies are small, frequently lack control groups, and follow-up is short. Placebo response in sexual function research is known to be substantial, which makes uncontrolled studies particularly difficult to interpret. There is no large, well-controlled trial establishing efficacy.
That does not mean it never helps. The proposed mechanism — growth factors improving local tissue quality and blood flow — is plausible, and some women report improvement. But it should be understood as investigational rather than established, and any clinic presenting it as proven is overstating what is known.
We offer it, and we insist on the workup first. If your symptoms are driven by an SSRI, by low estrogen, by pelvic floor dysfunction, or by pain, those are the things to address — and addressing them frequently produces more improvement than any injection would.
If those have been considered and you understand the evidence status, PRP is a reasonable thing to try. It uses your own blood, so the safety profile is favourable, and the main risks are those of any injection.
Dr. Daniel Moghadam sees you personally and performs any treatment himself. Sexual health complaints are frequently rushed or brushed aside, and they deserve the same clinical attention as any other symptom.
Sexual symptoms are often the first visible sign of something systemic — cardiovascular disease, diabetes, hormonal deficiency, medication effects, or depression. A clinic that treats the symptom without looking for the cause can miss something that genuinely matters. We take a proper history and test where testing is warranted.
This is an area with a great deal of marketing and considerably less high-quality data. Where the evidence for a treatment is limited, you will be told that plainly, so you can decide with accurate information rather than a sales pitch.
Appointments are one-to-one. Nothing is discussed with anyone else, and consultations are complimentary with no obligation to proceed.
Several approaches have better support than injectable treatment, and we would be doing you a disservice not to mention them.
Reviewing medications. Where an antidepressant is responsible, options exist — dose adjustment, timing, switching to an agent with a lower incidence of sexual side effects, or adding something that counteracts it. This is a conversation with your prescriber, and it is often the highest-value step.
Treating genitourinary syndrome of menopause. Local vaginal estrogen improves tissue quality, blood flow and comfort, which frequently improves sensation as a consequence. See vaginal revitalization.
Pelvic floor physical therapy. Good evidence for both overactive and underactive pelvic floor patterns, both of which affect sensation and orgasm.
Addressing pain first. Arousal is inhibited when intercourse hurts. Where pain is present, treating it usually needs to come before anything aimed at sensation.
Psychological and relational support. Sexual function is not purely mechanical, and for many women this is the most effective avenue. Recommending it is not a dismissal — it reflects what the evidence supports.
The evidence is limited. Studies are small, frequently uncontrolled, and short in follow-up, and placebo response in sexual function research is known to be substantial — which makes uncontrolled studies hard to interpret. Some women report improvement and the mechanism is plausible, but it should be understood as investigational rather than established.
Very possibly, and this is one of the most common causes we see. SSRIs and SNRIs frequently reduce genital sensation and delay or prevent orgasm, and it is often not mentioned when they are prescribed. If your symptoms began after starting one, that is likely the explanation — and it is often adjustable in discussion with your prescriber. No injection will overcome an ongoing medication effect.
Reviewing medications if you take an antidepressant, treating genitourinary symptoms of menopause with local estrogen if those are present, pelvic floor physical therapy, and addressing any pain with intercourse. These have better evidence than injectable treatment and frequently produce more improvement.
Topical numbing is applied beforehand and most patients find it manageable. There is a brief stinging sensation during injection. Mild swelling and tenderness for a day or two afterward are normal.
PRP uses your own blood, so there is no risk of allergy or rejection, and the safety profile is favourable. The main risks are those of any injection — discomfort, bruising, swelling, and a small infection risk minimised by sterile technique. It is avoided with platelet disorders, active infection, or anticoagulation that cannot be paused.
Where women do report benefit, it typically develops over several weeks rather than immediately, and duration is variable. Because the evidence base is limited, we cannot give you reliable figures — and we would rather say that than invent them.
They are a common contributor. Declining estrogen reduces genital blood flow and tissue sensitivity, and testosterone contributes to libido in women as well as men. Hormonal assessment is part of a proper evaluation, and treating a genuine deficiency often helps more than a local procedure.
Yes. Appointments are one-to-one with Dr. Moghadam, the consultation is complimentary, and there is no obligation to proceed. These concerns are common and are treated as ordinary clinical matters.
Women come to our Beverly Hills office for this consultation from across Los Angeles:
Our Beverly Hills office sits on Wilshire Blvd near the Beverly Hills–Los Angeles border, with on-site, valet, and street parking.
8907 Wilshire Blvd, Suite 270
Beverly Hills, CA 90211
Mon–Thu 10am–5pm
Fri 9am–5pm
Sat & Sun Closed
Reduced sensation usually has an identifiable contributor, and finding it matters more than any procedure. Consultations are complimentary.