Sexual Health is a state of physical, emotional, mental, and social well-being in relation to sexuality.
In my patients who are concerned about their sexual health, most are concerned about their sex life. Perhaps they’re not having regular sex, or intercourse is painful. They may have noticed a lower sex drive, or have difficulty achieving orgasm.
Oftentimes their hormones are not in harmony.
Low sex hormones can cause low libido, contribute to difficulties with orgasms, impotency and pain with intercourse. If you’re not thinking about sex, dreaming about sex, no longer find your partner sexually attractive, your hormones may be out of balance.
I counsel all my patients regarding safe sex, not just the prevention of STDs and unwanted pregnancies, but feeling emotionally and socially safe in their sexuality. I also do a full endocrine panel when evaluating a patient whose sexual health is not optimal to rule out hormonal imbalances including thyroid, adrenals, and pituitary.
The mechanics of sex.
If we do not find anything biochemically or physically out of balance, then we discuss the mechanics of sex. One of the biggest things that I find, especially in women, is they don’t know their body very well. If you’re unfamiliar with your own body, then it’s very difficult for you to know what you need in order to have a satisfying sex life. What you need to have an orgasm may require self exploration or masturbation.
It’s important that you know your body in order for you to communicate with your partner, which is another aspect of good sexual health. Without good communication with your partner, either male or female, it’s going to be very difficult for you to have a satisfying sex life. Knowing your body so you can communicate with your partner what you need, and hopefully they know their body well and can communicate back with you what they will help tremendously in your sexual health.
Trauma can interfere with your sexual health.
If you’ve had any trauma in the past – sexual abuse or rape – it’s definitely going to interfere with your sexual health. Because one of the biggest organs for sexual health is your brain. If you’re holding trauma, it’ll be difficult for you to respond sexually or even want to have sex.
Once I’ve ruled out that hormones are not an issue, that mechanically the patient knows their body well enough, and that they have fairly good communication with their partner, if it appears to be a history of sexual abuse, then it’s very important that that the patient gets therapy. A licensed therapist experienced in helping patients through their sexual abuse history is key. Therapy begins individually and it may morph into couples therapy.
I find that when my patients and customers start balancing their hypothalamus with Genesis Gold®, which is the orchestrator of sexual desire, mood, and sex hormones, they find that they have an increase in libido, increase sexual energy and any past trauma or sexual issues come up to their awareness for them to heal. That’s because your hypothalamus is the gatekeeper for your subconscious. I once had a patient call Genesis Gold® “therapy in a bottle”. It’s really important that your hypothalamus gets the support it needs in order for you to have good sexual health.
If you have any questions, please join me in our Hormone Support Group. You get access to it through my free Hormone Reboot Training. I’ll see you in my next video.
Frequently Asked Questions:
Can your hypothalamus cause weight gain?
Yes. The hypothalamus is the master regulator of metabolism, controlling how your body stores and burns energy through its signaling to the thyroid, adrenals, and pancreas. When the hypothalamus becomes dysregulated by chronic stress, poor sleep, inflammation, or blood sugar instability, it defends a higher weight "set point" — causing the body to hold onto fat regardless of diet or exercise. This makes hypothalamic dysfunction an upstream root cause of stubborn weight gain.
What is a weight set point and why won't mine move?
A weight set point is the body weight your hypothalamus works to defend, calibrated over time by stress, sleep, hormones, and inflammation. When you diet, the hypothalamus perceives scarcity and responds by slowing metabolism, increasing hunger hormones, and suppressing satiety signals to return you to that set point. This is why most people regain lost weight within two to five years of conventional dieting — the set point itself was never recalibrated, only temporarily overridden.
Why do I gain weight under stress even when I'm not eating more?
Chronic stress raises cortisol, which disrupts blood sugar regulation, promotes abdominal fat storage, and signals the hypothalamus that the body is under threat. In survival mode, the hypothalamus defends fat stores and slows metabolism — so weight can increase even without any change in calorie intake. The stress chemistry, not the food, is driving the weight gain, which is why stress reduction is essential to any lasting metabolic reset.
Why do I regain weight after stopping GLP-1 medications?
GLP-1 medications work peripherally on appetite and gastric signaling, but they do not address the underlying hypothalamic dysregulation that sets your defended weight. Because the hypothalamic set point is never recalibrated, the body resumes defending its original weight once the medication stops — leading to significant regain. Long-term success requires restoring hypothalamic regulation so the set point itself lowers, rather than relying on appetite suppression alone.
How long does it take to reset your metabolism?
Genuine metabolic recalibration takes a minimum of 90 days, because the hypothalamus needs consistent signals of safety and sufficiency before it will lower its defended set point. This differs from a diet, which produces temporary suppression the body quickly corrects. A 90-day reset typically moves through three phases: stabilizing stress chemistry (days 1–30), rebuilding metabolic efficiency (days 31–60), and lowering the weight set point (days 61–90).
Why does my thyroid feel slow even though my labs are "normal"?
Under chronic stress, the body converts thyroid hormone into reverse T3, which blocks active thyroid receptors and slows metabolism at the cellular level — even when standard lab values appear normal. This means you can experience genuine symptoms of slow metabolism, such as fatigue, cold intolerance, and brain fog, while your thyroid panel looks unremarkable. Addressing the upstream hypothalamic and stress signaling often improves thyroid conversion and symptoms.
Is stubborn weight gain a willpower problem?
No. Stubborn weight gain is a signaling problem, not a willpower problem. The hypothalamus governs weight through survival mechanisms that operate below conscious control — defending its set point by slowing metabolism and increasing hunger when it perceives threat. No amount of discipline can override this system; lasting change comes from restoring hypothalamic regulation through reduced stress, balanced blood sugar, restorative sleep, and targeted nutritional support.
Known as the Hormone Queen®️, I’ve made it my mission to help everyone - no matter their age - balance their hormones, and live the energy and joy their DNA and true destiny desires. See more about me my story here...
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