Sexual Medicine

Expert, non-judgmental care to address comfort, desire and sexual wellbeing

Sexual issues can stem from hormones, musculoskeletal causes, skin conditions, childbirth, cancer treatment, or other causes. Many people see multiple providers before getting answers as sexual concerns are often misdiagnosed or not well understood.

Both Emily and Rachel work with people with sexual issues and can help you identify and address causes, including how your hormones and life stage may be contributing.

Emily-Harris-Deutch-Garnet-Wellness

Emily Harris-Deutch,

FNP, MSCP, CSC
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Rachel-Etter-Query-Garnet-Wellness

Rachel Etter Query,

DNP, MSCP, MPH
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Common Symptoms

  • Low sexual desire
  • Vaginismus
  • Pain with sex
  • Postpartum sexual health concerns
  • Vulvar skin conditions
  • Lack of sexual arousal
  • Orgasm problems
  • Vulvodynia
You deserve comfort, confidence, and pleasure at every stage of life.

How We Help

Comprehensive, diagnosis-driven care

We evaluate the medical, hormonal, neurological, and relational contributors to sexual concerns rather than treating symptoms in isolation.

Integrated medical and counseling approach

Treatment may include medications, hormone optimization, sexual counseling, and education, because effective sexual care often requires both medical and psychological support.

Targeted therapies and compounded treatments

When appropriate, we use evidence-based medications and customized compounded therapies to address arousal, pain, lubrication, and desire.

Collaborative, referral-based care

We work closely with and refer to pelvic floor physical therapists, urology, gynecology, dermatology and mental health specialists to ensure comprehensive, coordinated treatment.

Inclusive, trauma-informed, and time-rich visits

Care is delivered in a respectful, non-rushed environment that centers consent, safety, and individualized goals across the lifespan.

A safe, expert space to reconnect with your body.

FAQ

Common — yes. Normal — no.
Pain is a sign something needs attention, whether hormonal, muscular, or related to lubrication or arousal.

Yes. Low desire is extremely common and often has hormonal, physical, emotional, or relational roots.
We explore all of it gently.

A comfortable, honest conversation where we talk about your symptoms, your goals, and any contributing factors and come up with a plan together.

Not always. Exams are only done when necessary for your treatment plan, and always discussed ahead of time.

Absolutely. Hormone changes can impact desire, comfort, and arousal. There are many effective treatments.

Yes. When pelvic floor tension or pain is suspected, we refer to trusted pelvic floor specialists.

Not sure what’s causing the changes in comfort or desire?

A simple, judgement-free conversation can bring clarity – and open the door to real improvement.
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Related Services

Hormonal and sexual wellness often overlap. You may also find support through our other specialized services.
Menopause

Personalized relief of symptoms while protecting your brain, heart and bones for long-term wellbeing.

Learn More
Perimenopause

Understand your symptoms and smooth the chaos of hormone fluctuations.

Learn More
Sexual Counseling

A supportive, affirming space to explore intimacy and sexual wellbeing.

Learn More