Why Sexual Health Matters

Sexual health isn’t just about avoiding disease — it’s about living a fulfilling life with the knowledge, tools, and care needed to make informed decisions. Good sexual health involves:

• Preventing sexually transmitted infections (STIs)
• Maintaining reproductive health
• Addressing sexual dysfunctions
• Navigating fertility and contraception
• Supporting mental and emotional well-being tied to sexual experiences

By prioritizing your sexual health, you improve not only your quality of life but also your relationships, confidence, and future health outcomes.

What Are Comprehensive Sexual Health Services?

At Total Family Care Specialists, comprehensive sexual health services mean we provide whole-person care — from diagnosis and prevention to education and long-term support. These services include:

• STD/STI testing and treatment
• Family planning and birth control
• Erectile dysfunction diagnosis and treatment
• Hormonal testing and optimization
• HPV vaccinations
• Fertility assessments
• Sexual wellness counseling
• Pre-exposure prophylaxis (PrEP) for HIV
• Menopause and perimenopause care
• Support for LGBTQ+ individuals and couples

Whether you’re experiencing symptoms or simply want to stay proactive, we offer care that is confidential, respectful, and individualized.

STD & STI Screenings: Know Your Status, Protect Your Health

STIs (sexually transmitted infections) are more common than many people realize. In the U.S. alone, millions of new cases are reported every year — many of which go undiagnosed due to lack of symptoms.

Common STIs We Screen For:

• Chlamydia
• Gonorrhea
• Syphilis
• HIV
• Herpes (HSV-1 & HSV-2)
• Human Papillomavirus (HPV)
• Hepatitis B & C
• Trichomoniasis

Why Testing Matters:

• Many STIs are asymptomatic, meaning you could be infected and not know it.
• Left untreated, they can lead to serious health issues like infertility, chronic pain, organ damage, and even cancer.
• Early detection allows for quick, effective treatment and prevents transmission to partners.

What to Expect:

At TFCS, we offer discreet, judgment-free testing. Screenings may involve:

• Urine sample
• Blood test
• Swab (oral, vaginal, or rectal)
• Physical exam (if symptoms are present)

Your privacy is our priority, and all results are delivered confidentially and quickly.

Family Planning and Birth Control: Take Charge of Your Reproductive Health

Whether you’re looking to prevent pregnancy, plan for a family, or explore your reproductive options, our family planning services are here to support your goals.

Birth Control Options We Offer:

• Oral contraceptives (the pill)
• Birth control patches
• Depo-Provera injections
• Intrauterine Devices (IUDs)
• Implants (Nexplanon)
• Vaginal rings
• Barrier methods (condoms, diaphragms)
• Fertility awareness counseling

Counseling Tailored to You:

Choosing the right birth control depends on your:

• Medical history
• Lifestyle
• Reproductive goals
• Personal preferences

Our providers take time to educate you on the pros and cons of each option so you can make informed, confident choices.

Erectile Dysfunction (ED): Reclaim Your Confidence and Health

Erectile dysfunction is a common condition affecting millions of men, especially over the age of 40. It can result from physical, psychological, or lifestyle factors, including:

• High blood pressure or diabetes
• Stress and anxiety
• Hormonal imbalances
• Cardiovascular issues
• Poor circulation
• Side effects from medication

Our Approach to ED Treatment:

1. Comprehensive evaluation – including bloodwork and lifestyle analysis
2. Medication options – like sildenafil (Viagra) or tadalafil (Cialis)
3. Hormone testing and therapy – to address testosterone deficiencies
4. Lifestyle counseling – improving diet, exercise, and stress management
5. Referrals to specialists – for advanced therapies or psychological support

We understand ED can affect your self-esteem, relationships, and mental health. Our discreet, effective care puts your comfort first.

Sexual Wellness Counseling: Supporting Your Emotional and Relational Health

Sexual health doesn’t exist in a vacuum — it intersects with mental health, relationship dynamics, trauma, identity, and life stages. At TFCS, we offer sexual wellness counseling as part of our whole-person approach.

We Can Help With:

• Low libido (sex drive)
• Painful intercourse
• Communication issues with your partner
• Gender identity or sexual orientation support
• Coping with trauma or abuse
• Relationship stressors
• Navigating changes during pregnancy, postpartum, or menopause

Our team provides a safe, inclusive environment where your concerns are heard without judgment. We may also partner with licensed therapists or sexual health specialists when needed.

Hormone Testing & Optimization: Balance Is Key

Hormones play a significant role in sexual function, mood, and overall health. Hormonal imbalances can affect both men and women and may lead to:

• Erectile dysfunction
• Low libido
• Vaginal dryness
• Fatigue
• Mood swings
• Infertility

At TFCS, we conduct comprehensive hormone panel testing, checking levels of:

• Testosterone
• Estrogen
• Progesterone
• DHEA
• Cortisol
• Thyroid hormones (TSH, T3, T4)

Treatment Options:

• Hormone Replacement Therapy (HRT)
• Bioidentical hormones
• Lifestyle and nutritional recommendations

Our goal is to help you feel like yourself again — physically, emotionally, and sexually.

HPV Vaccination and Cervical Health

The Human Papillomavirus (HPV) is one of the most common STIs in the world, and certain strains are linked to cervical, throat, and anal cancers. We offer:

• Gardasil 9 vaccine for patients aged 9–45
• Regular Pap smears and HPV testing for women
• Counseling on transmission, protection, and prevention

Vaccination and screening are key to reducing the risk of HPV-related complications.

Fertility Support: Your Path to Parenthood

If you’re trying to conceive or facing difficulties with fertility, TFCS offers initial fertility assessments and reproductive support, including:

• Hormone testing
• Ovulation tracking
• Semen analysis (via lab referral)
• Preconception counseling
• Partner testing and evaluations

We also coordinate with fertility specialists and reproductive endocrinologists when advanced treatments like IUI or IVF are needed.

Pre-Exposure Prophylaxis (PrEP): Protecting Against HIV

For individuals at higher risk of HIV, PrEP is a once-daily medication that dramatically reduces the risk of infection. It’s a powerful tool for:

• LGBTQ+ individuals
• Those with HIV-positive partners
• Individuals with multiple sexual partners
• Sex workers

What You Need to Know:

• PrEP is over 99% effective when taken daily
• Regular HIV and STI screenings are required
• Available by prescription through our office

We’re committed to destigmatizing preventive care and providing access to life-changing medication like PrEP.

Menopause and Perimenopause Care: Navigating Change with Support

For women experiencing changes related to perimenopause or menopause, we offer care that supports both sexual and overall health. Symptoms we can help manage include:

• Vaginal dryness
• Low libido
• Hot flashes
• Mood swings
• Sleep disruptions

Treatment may involve hormone therapy, vaginal estrogen creams, counseling, and lifestyle changes. Sexual health doesn’t have to decline with age — we’re here to help you thrive through every life stage.

Inclusive Care for All Genders and Sexual Orientations

We believe everyone deserves high-quality, respectful, and inclusive sexual health care. Whether you’re:

• LGBTQ+
• Cisgender or transgender
• Non-monogamous or monogamous
• Young adult or older adult

We honor your identity, respect your privacy, and adapt our care to your values, goals, and lifestyle. At TFCS, we are proud to be a safe space for all.