Erectile dysfunction and low sexual response are extremely common for both men and women, especially with age, stress, chronic illness, and hormone changes. They can show up as difficulty getting or maintaining an erection, loss of libido, trouble with arousal, or pain and discomfort that makes intimacy feel stressful instead of enjoyable.
At TuliaMD, we treat ED and sexual dysfunction as a medical condition with physical, hormonal, and emotional roots—not a personal failing. You get a thorough, private evaluation and a personalized plan that supports performance, desire, and overall intimacy wellness.
Men’s sexual health at TuliaMD goes beyond a one-size-fits-all pill. Your provider evaluates medical history, medications, hormone levels, lifestyle, and relationship factors to understand what is actually driving your ED.
Your personalized plan may include:
Targeted ED Medications
Physician-prescribed phosphodiesterase type‑5 (PDE5) inhibitors such as sildenafil help increase blood flow to the penis so you can achieve and maintain a firm erection when you are sexually stimulated. For men who do not respond well to standard doses or have more complex ED, combination oral therapies may be considered under close medical supervision.
Advanced Combination Therapy (Including Apomorphine + Sildenafil Troches)
In select cases, your provider may prescribe a compounded troche that combines sildenafil with apomorphine, used buccally before sexual activity. Sildenafil supports penile blood flow, while apomorphine acts centrally on dopamine pathways linked to sexual arousal and the erectile reflex, which may be helpful in men with psychogenic ED or mixed vascular and neurogenic causes.
Testosterone Optimization
Low testosterone can contribute to low libido, reduced energy, decreased muscle mass, and diminished sexual performance. When appropriate, physician-guided testosterone therapy is used to restore levels to a healthy range, often improving desire, erection quality, mood, and overall vitality.
Lifestyle and Performance Coaching
Your provider may recommend targeted changes in sleep, exercise, weight, alcohol use, and smoking, all of which significantly affect erections and cardiovascular health. When relationship stress, anxiety, or performance pressure are part of the picture, referral for couples or sex therapy can be added to your plan.
All men’s ED care is delivered through discreet visits and telemedicine options, with transparent pricing and easy ongoing follow‑up so you are never left managing this alone.
Women experience sexual dysfunction just as often as men—yet it is talked about far less. Problems with desire, arousal, lubrication, orgasm, or pain can stem from hormone shifts, childbirth, menopause, medications, pelvic floor issues, or chronic stress.
We offer a personalized, whole‑body approach to women’s sexual health that may include:
Physician‑Prescribed Sexual Enhancement Cream
TuliaMD offers a prescription, compounded topical cream designed to support genital sensitivity, blood flow, and overall intimacy wellness. This cream can be used before sexual activity to enhance arousal and pleasure while remaining discreet and easy to apply.
Hormone and Menopause Support
For women experiencing low desire or pain with intercourse around perimenopause or menopause, localized vaginal estrogen, DHEA-based inserts (such as prasterone), or selective estrogen receptor modulators may be considered to relieve dryness, thinning tissue, and discomfort. In some cases, carefully monitored testosterone therapy can help restore libido and energy.
Pelvic Comfort and Pain Solutions
If pain, tightness, or urinary symptoms are contributing to sexual problems, your provider may recommend pelvic floor physical therapy, vaginal estrogen, or other local treatments to support healing and comfort.
Mind‑Body and Relationship Support
When anxiety, trauma, or relationship tension are part of the story, we can coordinate with therapists or sex therapists to address the emotional and relational side of pleasure and intimacy.
Our goal is to normalize women’s pleasure and help you feel at home in your body again—not just “get through” sex.
If you’ve been searching for a trusted provider of Wellness Therapies, made even better with the enhanced care of Concierge Medicine, our Med Spa is ready to serve. Residents of Plano, and clients throughout Texas via Telehealth, can enjoy our collection of innovative therapy options in our clean, welcoming facilities equipped with the latest in wellness support technology, all provided with a friendly smile and expert care courtesy of our team, led by Dr. William Harris.
TuliaMD
9925 Gillespie Drive, Suite 2100, Plano, Texas 75025
Phone: (972)292-9809
Email: contact@tuliamd.com
Business Hours:
TuliaMD is a concierge medicine clinic and medical spa located in Plano, Texas, offering comprehensive healthcare and aesthetic treatments. Led by Dr. William Harris with over a decade of medical experience, TuliaMD provides personalized care with 24/7 access, extended visits, and same-day appointments.
Our collection of medspa services include advanced procedures such as minimally invasive surgical body contouring with IgniteRF, medical weight loss support, Morpheus8 microneedling, IV Therapy, Cosmetic Neurotoxin Injections, Dermal Fillers, Peptide and Vitamin Injections, as well as a signature 12-month body mapping program tailored to individual needs.
TuliaMD provides a wide range of wellness-focused and appearance-enhancing services, including support for sleep, anxiety, hormone balance, weight management, and more.
Your provider will review your health goals, medical history, and lab results to recommend a personalized plan tailored to your needs.
Many of our wellness services include lab testing to ensure accuracy, safety, and proper medical oversight throughout your plan.
Every plan at TuliaMD is customized based on your lifestyle, health markers, and desired outcomes, ensuring you receive care that fits you specifically.
Follow-up schedules vary depending on your service but typically include regular check-ins to monitor progress and make adjustments when needed.
Yes. TuliaMD supports the wellness needs of adults of all genders, offering a variety of solutions for overall health, confidence, and quality of life.
Your first visit usually includes a discussion about your goals, a health review, and lab recommendations to help customize your plan.
Absolutely. TuliaMD offers ongoing management and monitoring for patients who want continued support and consistent improvements over time.
While TuliaMD is based in Plano, we proudly serve patients from surrounding North Texas communities, as well as Telehealth appointments so you can enjoy our unrivaled care wherever you may be.