Women’s hormones and sexual health · Peoria, AZ

Women’s Hormone Therapy and Sexual Health in Peoria, AZ

Medically reviewed by Melynda Fenn, FNP-C · Updated October 2026

AZ Vitality and Wellness helps women in Peoria with perimenopause and menopause symptoms, low libido, vaginal dryness, painful sex and bladder leaks. Our nurse practitioners test your hormones with labs drawn right here, then build a plan that may include bioidentical hormone therapy, Addyi, EMFEMME 360 or EMSELLA.

These are some of the most common things women bring to us, and some of the hardest to bring up. Nothing is off-limits or awkward here. We listen first, test when it will help, and explain what your results mean before anyone talks about treatment.

Book a Women’s Hormone Consultation

Free EMSELLA or EMFEMME 360 Consult

Questions first? Call or text 602-540-3547

Not sure it’s hormones? Start with our hormone imbalance guide →

Melynda Fenn, FNP-C, talking with a patient during a women’s hormone consultation at AZ Vitality and Wellness in Peoria

Women’s Hormone and Sexual Health Care at a Glance

Who you’ll see

Melynda Fenn, FNP-C, and Kenra Johnson, FNP-C

What we treat

Perimenopause and menopause symptoms, low libido, dryness, painful sex, bladder leaks

Testing

Hormone labs drawn on-site in Suite 115

Options

Bioidentical hormones, Addyi, EMFEMME 360, EMSELLA

Paying

We don’t bill insurance. HSA and FSA cards welcome.

Part of our hormone care

1Hormone Imbalance

Start here: signs, testing, women and men

2Women’s Hormones and Sexual Health

You’re here: treatment for women

Lab Testing

Drawn here in Peoria

Women’s Wellness

Weight, energy and more

What we help with

Symptoms We Treat in Women, at Every Stage

Your hormones shift across your whole life, so the same symptom can mean something different at 32 than at 52. These are the patterns we see most.

Reproductive years

In Your 20s and 30s

Irregular, heavy or painful cycles
PMS that’s getting worse
PCOS symptoms
Lower desire on hormonal birth control
Changes after pregnancy and breastfeeding

Often in your 40s

Perimenopause

Cycles that change without warning
Poor sleep and night sweats
Mood swings, anxiety or irritability
Brain fog
Lower desire, and weight settling around the middle

12 months without a period

After Menopause

Hot flashes
Vaginal dryness and painful sex
Bladder leaks or urgency
Lower desire
Thinning hair and skin changes

Sexual health concerns we treat at any age

Low or absent desire (including HSDD)
Vaginal dryness or discomfort
Pain with sex
Less sensation or trouble reaching orgasm
Leaking when you cough, laugh or exercise

See every sign of a hormone imbalance, for women and men →

The honest answer

Low Libido, Dryness or Painful Sex: Is It Hormones?

Often, but not always. Estrogen, progesterone and testosterone all affect desire, lubrication, tissue health and sensation. When they shift, as they do in perimenopause, menopause, with PCOS, after pregnancy or under long-term stress, sexual symptoms are often the first thing a woman notices.

But thyroid problems, insulin resistance, some medications (including certain antidepressants and birth control), a weak pelvic floor, poor sleep and relationship stress can cause the same symptoms. That’s why we look at the whole picture before we talk about treatment.

Stress, burnout or brain fog in the mix? See mental wellness care →

When to See Your Gynecologist First

Any bleeding after menopause
New or worsening pelvic pain
Pain with sex along with fever, unusual discharge or sores
A lump or a change in your breasts
You’re due for a Pap test or mammogram

We work alongside your OB/GYN, not instead of them.

Treatment options

Hormonal and Non-Hormonal Treatments for Women

Your plan is built from your symptoms and results, not a package. These are the options we use most, on their own or together.

Hormonal · prescription

Bioidentical Hormone Therapy (BHRT)

When your labs and symptoms point to low or shifting estrogen and progesterone, bioidentical hormones can ease hot flashes, night sweats, sleep and mood changes, dryness and low desire. We start low, recheck your labs and adjust as you go.

How hormone replacement therapy works →

Hormonal · prescription

Testosterone for Women

For some women after menopause whose low desire bothers them, a small dose of testosterone can help. It isn’t FDA-approved for women in the US, so your provider explains the evidence and the trade-offs first, and keeps an eye on your levels with labs.

How we monitor with labs →

Hormonal · used locally

Vaginal Estrogen

A low-dose cream, tablet or ring used in the vagina treats dryness and pain with sex where they start, with very little reaching the rest of your body. It’s often an option even for women who don’t want full hormone therapy.

What helps dryness after menopause →

Addyi box on the front desk at AZ Vitality and Wellness in Peoria

Non-hormonal · prescription

Addyi (Flibanserin) for Low Desire

A once-daily pill taken at bedtime for low desire that causes distress (hypoactive sexual desire disorder). It was approved for premenopausal women in 2015 and for postmenopausal women younger than 65 in December 2025. It works on brain chemistry linked to desire, not on hormones, and has specific alcohol and blood pressure precautions.

Who Addyi is for →

In-office · non-surgical

EMFEMME 360

A radiofrequency treatment that gently warms vaginal tissue in about 8 minutes, with no surgery and no downtime. Women often ask about it for comfort and confidence after childbirth or menopause. Your provider will explain what it can and can’t do, and whether a medical option fits you better.

Learn about EMFEMME 360 →

EMSELLA chair in a private treatment room at AZ Vitality and Wellness in Peoria

In-office · non-surgical

EMSELLA for Bladder Leaks

An FDA-cleared chair for bladder leaks and a weak pelvic floor. You sit fully clothed for about 30 minutes while focused electromagnetic energy works your pelvic floor muscles. A typical course is 6 sessions over a few weeks.

Learn about EMSELLA →

Often part of the plan too: Medical weight loss, when insulin resistance is involved →In-house lab testing →Brain fog and mental wellness →

Side by side

Comparing Your Options, and When You May Notice a Difference

Women’s hormone and sexual health treatment options at AZ Vitality and Wellness compared
Option	Often used for	How it’s given	When you may notice a difference
Bioidentical hormone therapy	Hot flashes, sleep, mood, dryness and low desire in perimenopause and menopause	Prescribed and monitored, in the form that fits you	Sleep, energy and mood often in 2 to 4 weeks; desire and comfort over 6 to 12 weeks
Testosterone for women	Low desire after menopause that bothers you	A small dose, checked with labs	Usually judged after a few months
Vaginal estrogen	Dryness, irritation and pain with sex	Cream, tablet or ring used in the vagina	Often within a few weeks
Addyi	Low desire that causes distress (HSDD)	One pill every night at bedtime	Checked at 8 weeks, and stopped if it isn’t helping
EMFEMME 360	Comfort and confidence concerns	About 8 minutes in the office, no downtime	Your provider goes over what to expect at your free consultation
EMSELLA	Bladder leaks and a weak pelvic floor	About 30 minutes fully clothed, typically 6 sessions	Builds over the course of treatment

Timelines are typical, not promises. Everyone responds differently, and individual results vary.

Your first visit

How Women’s Hormone Care Works at Our Peoria Clinic

Start with a consultation

Your first visit runs about 30 to 40 minutes at our Happy Valley Road clinic. We go over your symptoms, cycles, health history, medications, sleep and stress, and exactly what’s changed. Nothing is off-limits, and nothing is rushed.

Get your labs drawn here

When labs will help, we draw them on-site. We typically check estradiol, progesterone, total and free testosterone, a thyroid panel and metabolic markers such as fasting insulin and A1c. If you still have periods, we time the draw to your cycle. About our lab testing →

Go over your results and your plan

Your provider walks through each result and what it means for how you feel, then builds a plan. It may include hormone therapy, a non-hormonal option like Addyi, EMFEMME 360 or EMSELLA, weight and metabolic support, or a combination. You leave knowing what we’re treating and why.

Follow up and adjust

Hormone care isn’t set-and-forget. We recheck your labs and symptoms at 6 to 8 weeks, then every 3 to 6 months, and adjust as your body responds.

Which Visit Do I Book?

Hormones, low libido or Addyi

Book a women’s hormone consultation ($250). You get a $100 credit toward it if you join a Hormone Optimization Membership the same day.

Book a Hormone Consultation

EMFEMME 360 or EMSELLA

Book a free consultation. There’s no cost and no obligation.

Book a Free Consultation

Not sure? Call or text 602-540-3547 and our front desk will point you to the right visit.

Your providers

Care From Nurse Practitioners Who Listen

Melynda Fenn, FNP-C, and Kenra Johnson, FNP-C, are board-certified family nurse practitioners. Both see women for hormone, menopause and sexual health concerns, and both take the time to explain your options in plain language.

Meet the whole team →

Melynda Fenn

FNP-C · Founder and Medical Director

Kenra Johnson

FNP-C · Nurse Practitioner

Patient reviews

What Our Patients Say

4.9 average from 195+ Google reviews

         Posted on Google  
   
   mila carew-gunderson 
 
 
 
 Trustindex verifies that the original source of the review is Google. brianna and melynda were great
  
 
      Posted on Google  
   
   Amie Hofmann 
 
 
 
 Trustindex verifies that the original source of the review is Google. Run don’t walk. I wasted years going so so many doctors frustrated with my hormones and weight gain.
I dieted and worked out to loos a few pounds.
They all said the same thing work out more eat less.
I finally made an appointment with Melinda and she explained everything to me and made me feel like someone was listening for the first time.
Three months in I am sleeping through the night, no more hot flashes and am losing weight.
Put yourself first, make the call and you will be so happy you did. My only regret was not calling sooner.
  
 
      Posted on Google  
   
   Melissa Serna 
 
 
 
 Trustindex verifies that the original source of the review is Google. Melynda is great, she's the 1st person who has listened to me about what i need. Everyone was professional, kind and so helpful.
  
 
      Posted on Google  
   
   Shonda Dickson 
 
 
 
 Trustindex verifies that the original source of the review is Google. Highly recommend Melynda Fenn, she has been a tremendous help for me.  She is so knowledgeable and truly listens, has made a huge impact for me.
  
 
      Posted on Google  
   
   Hydi Burrows 
 
 
 
 Trustindex verifies that the original source of the review is Google. Amazing experience and amazing individuals working here. I could not have achieved my almost 100lb loss without them!!
  
 
      Posted on Google  
   
   Hydi Burrows 
 
 
 
 Trustindex verifies that the original source of the review is Google. I’ve been coming for a few years and I always have an amazing experience wouldn’t go anywhere else!!! I’m almost down 100lb and wouldn’t have been able to achieve and maintain without AZ Vitality!!
  
 
      Posted on Google  
   
   Brandon 
 
 
 
 Trustindex verifies that the original source of the review is Google. Melynda has been a a huge help. The whole team is very nice and supportive.
  
 
      Posted on Google  
   
   Cuddle Bug 
 
 
 
 Trustindex verifies that the original source of the review is Google. Best place for healing!!!
  
 
      Posted on Google  
   
   Sarah Manzouri 
 
 
 
 Trustindex verifies that the original source of the review is Google. Melynda is amazing! I visited her clinic a few months ago for a gut issue I had been dealing with and wanted to explore different wellness options that could help. I had done some research on peptides and was also interested in learning more about holistic approaches.

Melynda was by far the most knowledgeable person I spoke with. She took the time to explain my options, answer my questions, and help me feel confident about the next steps. I was able to get exactly what I needed and had a great experience overall.

I will definitely be coming back and would highly recommend Melynda for anything wellness-related!
  
 
  
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Read all reviews on Google →

FAQ

Women’s Hormone and Sexual Health FAQs

Is hormone therapy safe for women?

For most healthy women under 60, or within about 10 years of menopause, current evidence supports hormone therapy as safe and effective when a qualified provider prescribes and monitors it. In November 2025, the FDA began removing the boxed warnings about heart disease, breast cancer and dementia from menopausal hormone therapy labels, and the first updated labels were approved in February 2026. Your own history still matters, so we review it carefully before you start.

What is bioidentical hormone therapy?

Bioidentical hormones have the same chemical structure as the estrogen, progesterone and testosterone your body makes. Many are FDA-approved products, and some are compounded by a pharmacy for a specific dose. Your provider will explain which kind fits you and why.

Can hormone therapy help with low libido?

It can, when low or shifting hormones are part of the cause. Treating dryness and pain often helps desire too, and some women benefit from testosterone. If your hormones look normal, a non-hormonal option like Addyi may fit better. We’ll tell you what we think is driving it.

Who is Addyi for, and does it work?

Addyi is for women with hypoactive sexual desire disorder: low desire that causes distress and isn’t explained by another medical condition, a relationship problem or a medication. It’s approved for premenopausal women and, since December 2025, for postmenopausal women younger than 65. In clinical trials it produced a modest but meaningful increase in desire and satisfying sexual events compared with placebo. It’s taken every night at bedtime, not as needed, and if it hasn’t helped by 8 weeks, it’s stopped.

Can I drink alcohol if I take Addyi?

Addyi’s label has specific alcohol instructions, because combining the two can cause very low blood pressure and fainting. Your provider will go over the timing rules before you start, along with any medications that don’t mix with it.

What helps vaginal dryness and painful sex after menopause?

Lower estrogen after menopause thins and dries vaginal tissue, which doctors call genitourinary syndrome of menopause (GSM). Moisturizers and lubricants help some women. Low-dose vaginal estrogen or hormone therapy often helps more, and some women also ask about EMFEMME 360. Your provider will rule out other causes first.

What is EMFEMME 360, and does it hurt?

EMFEMME 360 is a non-surgical radiofrequency treatment that gently warms vaginal tissue in about 8 minutes. Most women describe a warm feeling rather than pain, and there’s no downtime. The consultation is free.

Can bladder leaks be treated without surgery?

Often, yes. EMSELLA is an FDA-cleared, non-invasive option for leaks and a weak pelvic floor. You stay fully clothed and sit for about 30 minutes per session, and a typical course is 6 sessions. If leaks start suddenly, hurt, or come with blood in your urine, see your doctor first.

When should I get my hormones tested if I still have periods?

The phase of your cycle matters. Estrogen and progesterone are usually checked around days 19 to 22 of a 28-day cycle, while other markers can be drawn any day. If your cycles are irregular or you’re past menopause, testing can be done any day. Morning draws are preferred for testosterone, and we schedule your draw around it.

Do I have to stay on hormone therapy forever?

No. Some women use hormone therapy for a set time to get through the transition. Others continue longer because, for them, the benefits outweigh the risks. We reassess with you at every follow-up, and you can taper or stop at any point with our guidance.

How much does a women’s hormone consultation cost?

A women’s hormone consultation is $250, and you get a $100 credit toward it if you join a Hormone Optimization Membership the same day. Consultations for EMFEMME 360 and EMSELLA are free. See membership details on our pricing page.

Do you take insurance?

We don’t bill insurance. Many patients pay with an HSA or FSA card for eligible treatments, and Cherry payment plans are available.

General hormone questions, like what causes an imbalance? See the hormone imbalance FAQs →

This page is for general education and isn’t a substitute for medical advice. Your provider will recommend treatment based on your health and history. Individual results vary.

Talk With Someone Who Takes It Seriously

You don’t have to accept low desire, discomfort or leaking as your new normal. Start with a conversation and, if it will help, a lab draw at 7984 W Happy Valley Rd., Suite 115, Peoria, AZ 85383.

Book a Women’s Hormone Consultation

Call or text 602-540-3547