Female Sexual Dysfunction Treatment Specialist in Arcadia, CA
Female sexual dysfunction can impact daily comfort, relationships, and overall quality of life, making specialized care essential. At The OB-Gyn & Incontinence Center, Dr. Prema Kothandaraman offers a thoughtful and personalized approach, taking time to understand each woman’s concerns and underlying factors. She provides a supportive environment where patients can discuss their symptoms openly and receive tailored treatment options that promote confidence, comfort, and improved sexual wellness. For more information, contact us or book an appointment online. We are conveniently located at 622 W Duarte Rd Ste 305 Arcadia, CA 91007.


Table of Contents:
Is female sexual dysfunction more common after menopause?
What role do medications play in treating female sexual dysfunction?
How long does it take to see improvement with treatment?
Who should I consult for personalized care for female sexual dysfunction?
Restoring Intimacy with Dr. Kothandaraman’s FSD Expertise in Arcadia, CA
Female sexual dysfunction is a common concern after menopause, and it’s an issue we frequently address at The OB-Gyn & Incontinence Center. Menopause brings significant hormonal changes—particularly a decrease in estrogen—that can affect sexual health in a variety of ways. Lower estrogen levels often result in vaginal dryness, thinning of the vaginal walls, and decreased elasticity. These changes can make sexual intercourse uncomfortable, or even painful, for many women.
In addition to physical changes, menopause may also affect psychological well-being. Mood swings, anxiety, and sleep disturbances are frequent during this stage of life, and all can contribute to reduced sexual desire and satisfaction. Chronic health conditions that become more common with age—such as diabetes and cardiovascular disease—can also play a role in sexual dysfunction.
Research shows that women are more likely to experience issues like decreased sexual desire, arousal difficulties, trouble achieving orgasm, and pain during intercourse after menopause. However, every woman’s experience is unique. Some find their sex lives improve after menopause, due to factors such as reduced risk of pregnancy or greater emotional intimacy.
At The OB-Gyn & Incontinence Center, our team specializes in addressing the full spectrum of women’s health needs, including sexual dysfunction after menopause. We offer a variety of solutions tailored to each patient’s individual situation, including:
● Hormonal therapies, such as vaginal estrogen to improve vaginal health and comfort.
● Non-hormonal options like lubricants and moisturizers to reduce discomfort.
● Evaluation and management of pelvic floor and incontinence issues, which frequently coexist with sexual dysfunction in menopausal women.
● Counseling and support for psychological and relationship concerns that may be impacting sexual well-being.
● Comprehensive management of underlying health conditions that could be contributing to symptoms.
If you are experiencing changes in your sexual health after menopause, you are not alone—and help is available. Our compassionate providers are dedicated to improving your quality of life. We encourage open communication and personalized care to help you find the best solutions for your needs.
We recognize that female sexual dysfunction (FSD) is a complex condition that can significantly impact a woman’s quality of life. FSD may involve difficulties with desire, arousal, orgasm, or pain during intercourse, and can be influenced by a range of physical, emotional, and hormonal factors.
Our approach begins with a thorough assessment to identify all potential contributing factors, including hormonal imbalances, pelvic floor disorders, chronic illnesses, psychological concerns, and the effects of medications. We emphasize non-pharmacological treatments such as counseling, pelvic floor therapy, and lifestyle modifications. However, when appropriate, medication may also play a valuable role—especially if non-medical approaches are not sufficient, or a physiological component is identified.
For women experiencing hypoactive sexual desire disorder (HSDD), we may discuss FDA-approved options. These medications are not suitable for everyone and may have potential side effects, so our providers work closely with each patient to determine if these options are appropriate.
Many women who visit our center experience sexual difficulties related to menopause, such as vaginal dryness or discomfort during intercourse. Local hormonal therapies, like low-dose vaginal estrogen, can improve the health of vaginal tissues and enhance comfort. In specific cases, testosterone therapy may be considered, though its use in women is carefully evaluated given ongoing debates about safety and effectiveness.
Our providers collaborate with each patient to develop a personalized treatment plan. We ensure that any decision to use medication is made through detailed discussion, considering the benefits, potential risks, and each woman’s individual needs and preferences. Our goal is to help women achieve optimal sexual health and overall well-being, using the most effective and evidence-based treatments available.
The timeline for seeing results from treatment can vary based on your specific condition, the type of therapy chosen, and personal factors such as age, overall health, and the severity of your symptoms.
For example, if you are being treated for a common infection with antibiotics, you may start to feel better within a few days. However, for chronic or more complex conditions—such as urinary incontinence, pelvic organ prolapse, endometriosis, or menopausal symptoms—improvement may take several weeks or months, especially when lifestyle changes, physical therapy, or ongoing medications are involved.
Treatment for urinary incontinence or pelvic floor disorders often includes pelvic floor physical therapy, medications, or minimally invasive procedures. With physical therapy, gradual progress is expected, and most patients notice improvement after several sessions, though the timeline can differ for each individual.
For hormonal or gynecologic conditions, such as polycystic ovary syndrome (PCOS) or abnormal bleeding, symptom relief with medications or hormonal treatments may also take several weeks. Ongoing monitoring and follow-up appointments are important to track your progress and make any necessary adjustments to your treatment plan.
Your commitment to following your healthcare provider’s recommendations—including attending follow-up visits, taking medications as prescribed, and participating in recommended therapies—plays an important role in your recovery and symptom management. If you do not see improvement within the expected timeframe, or if your symptoms worsen, please contact us so we can reassess your treatment plan and ensure you receive the best possible care.
If you are experiencing female sexual dysfunction and are seeking personalized care, The OB-Gyn & Incontinence Center is here to help. Our team of experienced gynecologists specialize in women’s reproductive health, sexual wellness, and incontinence issues, allowing us to address a wide range of concerns that may contribute to sexual dysfunction. We understand that sexual health is a sensitive topic, and our compassionate providers are committed to creating a comfortable environment where you can openly discuss your symptoms and concerns.
We begin with a thorough evaluation to assess for underlying medical causes, hormonal imbalances, and gynecological conditions that might impact your sexual well-being. Our expertise also extends to managing urinary incontinence and pelvic floor disorders, which can often be linked to sexual health concerns. If needed, we collaborate closely with other specialists—such as reproductive endocrinologists or mental health professionals with expertise in sexual health—to ensure you receive comprehensive and coordinated care.
Whether your concerns are related to physical, hormonal, or emotional factors, our goal is to guide you through evidence-based treatment options tailored to your unique needs. You can trust that you will receive the support, expertise, and personalized attention necessary to improve your sexual health and overall quality of life.
Rediscover pleasure and confidence with a trusted female sexual dysfunction treatment specialist in Arcadia, CA. Dr. Prema Kothandaraman at The OB-Gyn & Incontinence Center provides comprehensive evaluations and state-of-the-art treatments focused on restoring intimacy and quality of life. Dr. Kothandaraman utilizes a multi-faceted approach, integrating hormonal, procedural, and lifestyle therapies tailored to address the diverse causes of sexual health issues in women. For more information, contact us or book an appointment online. We are conveniently located at 622 W Duarte Rd Ste 305 Arcadia, CA 91007. We serve patients from Arcadia CA, Glendale CA, Monrovia CA, Pasadena CA, Los Angeles CA, Burbank CA and surrounding areas.


Additional Services You May Need
▸ Urogynecology
▸ Minimally Invasive Gynecology
▸ Monalisa & Medical Aesthetics
▸ Bioidentical Hormone Replacement Therapy
▸ Urinary Incontinence
▸ Pelvic Organ Prolapse
▸ Painful Bladder
▸ Urinary Tract Infection
▸ Genitourinary Syndrome of Menopause
▸ Female Sexual Dysfunction
▸ Urinary Retention
▸ Vaginal Laxity & Prolapse
▸ Postpartum Pelvic Floor Problems
▸ PCOD
▸ Bladder Prolapse Repair
▸ Urgent PC
▸ Fibroids
▸ Excessive Bleeding
▸ Pelvic Pain
▸ Birth Control & IUD
▸ Vaginal & Pelvic Infection
▸ Monalisa Touch
▸ STD
▸ TempsureVitalia
▸ Biote Pellet Therapy
▸ Topical BHRT
▸ Flexsure
▸ Rectal Prolapse Repair
▸ Tempsure ENVI
▸ Minimally Invasive Pelvic Surgery for Incontinence


