Sexual health & pelvic wellness
Sexual health and pelvic wellness in Sarasota
You remember when intimacy felt easy. Desire came without effort, your body responded the way you expected, and you did not worry about leaking when you laughed or ran. Lately it is different. Low libido, discomfort, urgency or pelvic heaviness have started to shape your day.
At Lesh Lifestyle in Sarasota, sexual health and pelvic wellness are woven into your whole‑body plan. Dr. Sarah Secor-Jones, DO, FACEP looks at hormones, pelvic floor function, medications, mood and relationship context to understand what changed, then builds a clear plan to help you feel like yourself again.
Why things changed in the first place
Desire, arousal and pelvic support depend on many moving parts. Hormones shift with age, stress and birth control. Muscle tone in the pelvic floor can weaken after childbirth, surgery or years of sitting. Medications for mood or blood pressure can blunt libido. Sleep and chronic stress drain energy and interest.
You may have been told “everything is normal” because your basic labs were in range. That does not mean your system is working well. At Lesh Lifestyle, sexual wellness starts with a deeper look at the root causes behind your symptoms, so treatment matches what your body actually needs.
How our approach supports sexual and pelvic wellness
A traditional sexual health clinic often focuses on one piece: a prescription, a device or a quick procedure. Here, sexual and pelvic wellness sit inside a bigger picture of hormones, metabolism, mental health and daily stress.
Depending on what Dr. Sarah finds in your history, exam and labs, your plan may include:
- Hormone optimization for libido and arousal
Changes in estrogen, progesterone, testosterone, thyroid and cortisol can flatten desire, reduce natural lubrication and affect orgasm. Through bioidentical hormone therapy and targeted supplements, Dr. Sarah works to restore balance so your brain and body receive the right signals again.
- Pelvic floor strengthening with EMSELLA
If you leak with coughing, sneezing or exercise, or feel pelvic heaviness, the deep muscles that support your bladder and sexual organs may be weak. EMSELLA uses high‑intensity focused electromagnetic energy to trigger thousands of Kegel‑like contractions in each session, helping rebuild pelvic floor strength without undressing or internal devices.
- Nervous system and mood support
Anxiety, depression and chronic stress change how the brain processes desire and sensation. Serotonin, dopamine and other neurotransmitters matter for libido. Dr. Sarah reviews your mental wellness, current medications and sleep patterns, then adjusts your care so sexual health has the support it needs.
- Metabolic and body composition support
Weight gain, fatigue and body image can lower interest in sex and create discomfort with intimacy. Medical weight loss, body optimization and strength‑building tools like EMSCULPT NEO can be part of a broader plan, so you feel stronger, more stable and more at home in your body.
- Education and honest conversation
Many patients have never had a frank, shame‑free talk about sex with a physician. Dr. Sarah makes space for questions about desire, pain, orgasm and pelvic symptoms, and explains in clear language what is happening and what can change.
Every plan is different, because the reasons behind “low libido” or “pelvic issues” are different for each person.
What sexual health and pelvic wellness can help with
You may be a good fit for this program if you are dealing with:
- Low libido or loss of spontaneous desire
- Difficulty with arousal or orgasm
- Vaginal dryness or pain with penetration
- Leaking urine with coughing, sneezing or exercise
- Urgency or frequent trips to the bathroom
- Pelvic heaviness or pressure
- Postpartum pelvic changes that never fully settled
- Changes in intimacy around perimenopause or menopause
- Erectile or arousal changes linked to hormones or metabolic health
You do not have to be “sure” what is wrong before you come in. That is Dr. Sarah’s job.
Sexual health, telehealth and where we see patients
In‑person sexual health and pelvic wellness care is available at our Sarasota clinic, a short drive from Lakewood Ranch and Bradenton. Many patients also come from Venice and the nearby barrier islands.
Telehealth visits for appropriate parts of your plan are available to patients in AL, FL, GA, MD, MI, MO, NY, PA, TN and TX. Physical treatments like EMSELLA must be done on‑site, but hormone management, lab review and many follow‑ups can be done by secure video.
If you have been wondering “where is the sexual health clinic that will really listen,” this is where to start.
The process
What to expect at Lesh Lifestyle
- Every new sexual wellness patient starts with a discovery call. You speak directly with Dr. Sarah. In that time you can describe what you are noticing, how long it has been going on and what you have already tried. She listens, asks focused questions and explains whether Lesh Lifestyle is the right fit. If you both decide to move forward, you will schedule a longer initial visit, in person at the Sarasota clinic or by telehealth when appropriate. The call is unhurried. You are not rushed off the line.
- Menstrual, pregnancy and menopause history
- Medications, including birth control and antidepressants
- Pelvic surgeries or injuries
- Once results return, you meet again with Dr. Sarah to review what they show in plain language. Together you go through how hormone shifts, pelvic muscle tone, medications or other factors are likely contributing to your symptoms. Your plan may include hormone therapy, EMSELLA pelvic floor sessions, mental wellness support, nutritional changes, strength training or other tools available at the clinic. Follow‑up visits track your progress and adjust as your body responds. The goal is steady improvement that feels realistic in your busy life.
Why Lesh Lifestyle
Why patients choose Lesh Lifestyle as their sexual wellness clinic
Lesh Lifestyle is a physician‑led sexual health clinic where sexual wellness is treated with the same seriousness as any other medical concern.
Dr. Sarah Secor-Jones, DO, FACEP is a board‑certified emergency physician with 12 years in practice and over 2,000 patients cared for at Lesh Lifestyle since 2022. Her background in acute medicine, combined with advanced training in menopause and integrative care, means she is skilled at finding connections others miss.
Because the practice is family‑operated, you see the same small team each time. Device‑based treatments like EMSELLA run inside one plan, and Dr. Sarah leads that medical plan from start to finish. Every recommendation is grounded in safety, evidence and what is realistic for you.
For patients in Sarasota and across the region who are searching “sexual health clinic near me” or support for erectile dysfunction Sarasota wide, this is where the whole picture is considered.
Start with a conversation.
Dr. Sarah Secor-Jones, DO, FACEP personally takes every discovery call. Share what has been going on and hear how she would investigate it, with no pressure to decide on the spot.
FAQ
Sexual health and pelvic wellness FAQs
Yes. Lesh Lifestyle functions as a physician‑led sexual health clinic and pelvic wellness center in Sarasota, focused on root‑cause evaluation rather than quick fixes. Dr. Sarah addresses libido, pelvic floor issues, hormones and mental health together so your plan reflects the whole picture.
Pelvic wellness refers to the health of the muscles, nerves and organs in your pelvis, including bladder, bowel and sexual function. It matters for people who leak urine, feel pelvic pressure, have pain with sex or notice postpartum or menopausal changes. At Lesh Lifestyle, pelvic wellness is central to many sexual health plans.
Yes, birth control can contribute to low libido in some people. Hormonal methods can change levels of free testosterone and other hormones involved in desire. Dr. Sarah reviews your specific contraceptive, symptoms and labs, then discusses options, which may include adjusting your method, timing or adding hormone support within a broader sexual wellness plan.
Yes, higher serotonin levels from some antidepressants can blunt libido and delay orgasm. That does not mean you need to stop your medication. At Lesh Lifestyle in Sarasota, Dr. Sarah looks at your mental wellness, current prescriptions and sexual symptoms, then coordinates with you and, when needed, your prescribing provider to adjust care safely.
Many sexual health clinics can order blood tests for infections like HIV, syphilis and herpes. At Lesh Lifestyle, Dr. Sarah can order appropriate testing when your history suggests a need, explain what each test means and guide next steps. For urgent public health screening, she may also direct you to local Sarasota or county resources.
If you are in Sarasota, Lakewood Ranch, Bradenton or nearby areas, Lesh Lifestyle is a local option for sexual health and pelvic wellness care. The clinic is located at 1800 2nd St #819 in downtown Sarasota. Telehealth options extend parts of this care to several other states when appropriate.
Many sexual wellness clinics focus on single treatments or devices. Lesh Lifestyle combines hormone optimization, pelvic floor therapy, mental wellness and metabolic support under one physician. Dr. Sarah leads your care, reads your labs herself and explains how each piece connects, so you are not left to coordinate between multiple offices.
For pelvic floor strengthening, Lesh Lifestyle uses EMSELLA, a non‑invasive chair‑based technology that delivers rapid pelvic muscle contractions while you sit fully clothed. Sessions take place in the Sarasota clinic, and Dr. Sarah integrates results with your broader sexual health and hormone plan.
Some patients notice early changes in pelvic control or comfort within a few EMSELLA sessions, while hormone‑related improvements in libido can take several weeks to months. Dr. Sarah sets clear expectations at the start, then reviews progress at each follow‑up, adjusting your plan so gains are steady and sustainable.
Yes, men are welcome. Concerns like low libido, erectile changes, erectile dysfunction in Sarasota, pelvic pain and urinary symptoms are evaluated through the same root‑cause lens. Hormones, cardiovascular health, pelvic floor function and mental wellness are all considered. A discovery call with Dr. Sarah is the best first step to see if the clinic is the right fit. Your sexual health and pelvic wellness are central to how you feel in your life. When you are ready to look at the whole picture with a physician who listens, Lesh Lifestyle is here.