Compassionate, Expert Care for Women in Midlife and Beyond

It’s Not “Just in Your Head”—And You’re Not Alone

If sex has started to feel like a source of frustration, avoidance, or even grief—you are not alone. Whether you’re struggling with low desire, difficulty with arousal, or painful intercourse, it’s time to stop blaming yourself or brushing it aside as “normal aging.”

Jessica Edwards, M.D. is a gynecologist, board certified by the American College of Obstetricians and Gynecologists, with a specialty in women’s sexual and hormonal health. In her practice, she works with women from their 30s to 70s+ to restore confidence, intimacy, and comfort—by treating the root causes of these deeply personal challenges.

Sexual health is health. And it deserves the same time, attention, and respect as any other part of your well-being.

A Judgment-Free Zone—With Real Answers

Changes in sexual function can feel isolating and even shameful—but they are extremely common, especially during perimenopause and postmenopause. Unfortunately, many women are brushed off and told to simply “relax,” “drink some wine,” or “wait it out.”

Dr. Edwards takes a very different approach: she listens deeply, investigates thoroughly, and partners with you to create a path forward that supports both your physiology and your emotional needs.

Common Concerns We Address

You may be experiencing one or more of the following:

• Loss of desire (low libido) or feeling disconnected from your body
• Difficulty becoming or staying aroused
• Pain with intercourse, including dryness, tightness, burning, or soreness
• Inability to orgasm or decreased sensation
• Emotional strain on your relationship due to changes in sexual function
• Fear of intimacy after childbirth, surgery, or trauma

Whatever you’re feeling—frustrated, confused, or “broken”—you are not. These are medical issues, and there are real, effective ways to address them.

Understanding the Causes

Sexual dysfunction is rarely caused by a single factor. Dr. Edwards takes a holistic, whole-woman approach to uncover the root causes, which may include:

Hormonal Shifts

Midlife declines in estrogen and testosterone can affect libido, blood flow, vaginal tissue health, and emotional wellbeing.

Genitourinary Syndrome of Menopause (GSM)

This common condition includes vaginal dryness, thinning tissue, and urinary discomfort—all of which can make sex painful or unappealing.

Pelvic Floor Issues

Tight or weakened pelvic floor muscles can contribute to discomfort and reduced sensation.

Psychological and Emotional Factors

Stress, anxiety, relationship dynamics, trauma, or negative cultural messaging around sex can all impact arousal and desire.

Medications and Chronic Illness

Certain antidepressants, blood pressure medications, and conditions like diabetes or thyroid disorders may play a role.

Rather than offering a one-size-fits-all solution, Dr. Edwards creates a custom care plan based on your symptoms, history, lifestyle, and goals.

Your Treatment Options

Our goal is to help you enjoy intimacy again—without fear, pressure, or discomfort. Depending on your needs, Dr. Edwards may recommend a combination of:

Bioidentical Hormone Therapy

Restoring optimal hormone balance—including estrogen, progesterone, and testosterone—can dramatically improve arousal, sensitivity, lubrication, and confidence.

Localized Vaginal Estrogen or DHEA

These non-systemic treatments can rejuvenate vaginal tissue, increase lubrication, and reduce pain without affecting the entire body.

Pelvic Floor Physical Therapy

Targeted exercises and guidance can improve blood flow, muscle tone, and comfort during intimacy.

Sexual Health Counseling

We collaborate with trusted therapists and sex counselors as needed to address emotional or relationship-related aspects.

Libido-Specific Medications

For some women, FDA-approved treatments like flibanserin or bremelanotide may be appropriate as part of a larger treatment plan.

Lifestyle, Sleep & Stress Optimization

Because your sexual health is connected to your whole life, we’ll look at sleep, nutrition, stress, and movement as part of your care.

Why Choose Obsidian for Women for Sexual Health?

In a conventional 10-minute medical appointment, there’s rarely time to explore the nuanced, layered experience of sexual dysfunction.

In Dr. Edwards’ concierge practice, you’ll get:

• Time to speak openly—without judgment or rush
• Individualized care—no generic scripts or brush-offs
• Ongoing support—not just a one-time solution
• Total discretion and privacy—from first visit to follow-up

Dr. Edwards is known for creating a space where women feel heard, validated, and hopeful again.

A Word from Dr. Edwards

“So many women come to me thinking they’ve just lost themselves—or that intimacy is simply something they have to give up. That couldn’t be further from the truth. You deserve pleasure, connection, and comfort at every stage of life. It’s never too late to rediscover that.”

Ready to Rediscover Joy and Connection?

If your sexual health has been neglected, dismissed, or left out of the conversation—it’s time for a new approach. At our boutique women’s health practice, we’re rewriting the script on women’s midlife wellness.

Schedule your private consultation with Dr. Jessica Edwards today.

Let’s work together to help you feel more alive, connected, and confident in your body—again.