Two things men and women
put off asking about.

Summit Health Clinic in Springfield, Missouri treats erectile dysfunction and premature ejaculation in men, and low desire, arousal difficulty, and discomfort during intimacy in women. Treatment starts at $50 per month with medication billed separately at cost. Every patient is evaluated with a history, physical, and lab work including a hormone panel before anything is prescribed.

Sexual health and hair restoration both start at $50 per month. Medication costs are not included and vary depending on which medication is used, because we bill medication at cost rather than marking it up. Call or text (417) 232-3000 and we will give you a real number for your situation before you book anything.

Because low testosterone in men and hormonal shifts in women are frequently sitting underneath these symptoms. Treating the symptom while ignoring the cause tends to produce a partial result. Blood pressure, blood sugar, thyroid function, sleep, stress, and the side effects of medications you already take all matter here too.

You get an actual evaluation. A questionnaire cannot check your blood pressure, run a hormone panel, or notice that a medication you are already on is contributing. You also see the same provider each time, and medication is billed at cost instead of marked up inside a subscription.

Both. Sexual health treatment for women includes medicated applications to improve sexual function, and it is frequently coordinated with bioidentical hormone therapy because the two overlap so often. Hair restoration is also for both, since roughly 30 million women in the United States are affected by androgenetic alopecia.

Topical scalp medications, oral medications and supplements, peptide therapy, and red light therapy. Most plans combine more than one. What you are prescribed depends on the pattern of loss, how long it has been going on, and what your lab work shows, including thyroid, iron, and vitamin D.

Hair responds slowly. Meaningful change is generally assessed over months rather than weeks, and results vary considerably between people. Starting earlier gives us more to work with, because treatment preserves and improves existing hair better than it recovers follicles that are long gone.

Yes. One provider handles the visit start to finish, so you explain it once. Follow-ups can be done by telehealth from anywhere in Missouri if you would rather not come into the office.

Oral agents such as tadalafil are usually the first thing tried, but they are not the only option. We also prescribe Trimix, a compounded injection given directly into the erectile tissue that works through a different pathway and is often effective when oral agents are not, and PT-141 (bremelanotide), which acts centrally on desire rather than on blood flow. Where lab work shows the cause is hormonal, testosterone therapy treats the cause instead of working around it. Which of these you end up on depends on your evaluation.

Trimix is a compounded injectable medication combining alprostadil, papaverine, and phentolamine, given into the erectile tissue. It is typically used when oral agents such as tadalafil have not worked well enough, or when they are not an option because of other medications or medical conditions. It works independently of the pathway oral agents use. Dosing is started low and titrated with your provider, and you are taught the injection technique in the office before taking it home. It is a compounded medication rather than an FDA-approved fixed-combination product.

PT-141, or bremelanotide, is a melanocortin receptor agonist given by subcutaneous injection. Unlike tadalafil or Trimix, which work on blood flow, PT-141 acts centrally on sexual desire. It is FDA-approved as Vyleesi for acquired, generalized hypoactive sexual desire disorder in premenopausal women; use in men is off-label, and we say so plainly before prescribing it. Nausea and flushing are the side effects patients most commonly report. It is sometimes used alongside an oral agent rather than instead of one.

It can contribute, and it frequently does, which is why a hormone panel is part of the evaluation rather than an afterthought. Low testosterone is one cause among several: vascular disease, diabetes, medication side effects, sleep apnea, anxiety and depression all show up in this clinic too. Treating testosterone when testosterone is not the problem produces a disappointing result, so we look before we prescribe. Where it is the driver, testosterone therapy is part of the plan.

Sometimes, and it is worth taking seriously. The vessels involved are small, and erectile dysfunction can appear before other cardiovascular symptoms do. It is also associated with diabetes and with untreated sleep apnea. That is a reason to be evaluated rather than a reason to worry, and it is part of why we take blood pressure and run labs instead of just writing a prescription.

Female pattern hair loss is the most common cause, but thinning in women is more often driven by something correctable than it is in men: thyroid disease, iron deficiency, a hormonal shift around perimenopause or after pregnancy, or telogen effluvium following illness, surgery or significant stress. Women also tend to lose density diffusely across the crown rather than at the hairline. The workup is different from a man's, and so is the treatment.

No. Summit Health is direct-pay. We can provide an itemized receipt for HSA or FSA submission, and outside lab work may be billable to your insurance separately.