How to Have More Pleasurable Sex

A Guide to Better Sex

Sexual wellness is a major part of your physical and mental health.

It’s so important to prioritize your sexual wellness and satisfaction, especially if you’re experiencing symptoms that impact your sex life. Conditions that affect your sex life can happen at any age, and it’s crucial to visit a provider who makes you feel comfortable and heard.

The team at Amy Brenner, MD & Associates is devoted to helping our clients feel at ease to provide the best care possible—because everyone deserves to feel good! Learn how to have more pleasurable sex in this online guide including treatment options, resources, and more.

Many conditions can affect sexual pleasure.

And not everyone experiences the same severity or combination of symptoms. Everyone’s body, lifestyle, and genetics are unique, and it’s important to understand how different conditions can affect your sex life.



Low sex drive

Sex drive, also known as libido, is the feeling of sexual desire. This may affect your relationships and of course, it affects your own ability to enjoy sex regularly. It’s normal for this feeling to ebb and flow, but some women may experience extended periods of time feeling little to no desire.


Vaginal dryness

Hormone levels, age, health events, and even medication can all impact vaginal lubrication, making sex uncomfortable. There are many causes of vaginal dryness (also known as vulvar dryness), and women of all ages may experience it.


Vaginal laxity

Pregnancy, giving birth, and general aging can all create laxity in this area. Skin laxity, or stretched skin, is a totally normal condition as your skin works hard to accommodate changes in your body or loses collagen as you age.


Pain during intercourse

Pain during intercourse is a broad condition that is best treated by finding the root cause. Are you experiencing dryness? Having trouble getting and staying aroused? We’ll work with you to help find the source of pain and recommend treatments.


Difficulty reaching orgasm

Both physical and psychological factors can impact your ability to have an orgasm on a regular basis. A qualified medical provider can offer several options to improve blood flow, sensitivity, and more to help you reach that O.


Urinary incontinence

Dealing with bladder control issues can be an annoyance when it comes to sex and other parts of life. Stress incontinence, urge incontinence, and other pelvic floor issues are prevalent in many women, especially those who’ve had children.



Erectile dysfunction

Also known as ED or sexual impotence, erectile dysfunction is the difficulty of obtaining and/or maintaining an erection. This is most common as men age and blood flow decreases, but any man can develop ED and certain health factors may contribute to it.


Peyronie's disease

Peyronie’s disease may sometimes get confused with erectile dysfunction, but this condition primarily affects the penis by causing a bend or curve. Although it is more common in older men, this condition can be found in men as young as their 20s and 30s. 


Low sex drive

A low sex drive can impact relationships and negatively affect your wellbeing. Improving a low libido through treatments can improve your satisfaction.


Difficulty reaching orgasm

For men, ejaculation disorders or difficulty reaching orgasm can inhibit their sex life. Reoccurring premature ejaculation can affect men’s confidence and enjoyment.

Treatment Options

How To Have More Pleasurable Sex

Our Cincinnati practice offers a variety of treatment options to match the needs of our patients.

Bio-identical Hormone Therapy

Hormone imbalance can be the root cause for many symptoms that affect your sex life. By restoring balance, we can improve many sexual and other types of health issues like unexplained weight gain, mood swings, and more.

Curious about your candidacy for hormone therapy? Take the quiz!




For women

We offer estrogen, progesterone, and testosterone hormone balancing treatments for women using structurally and chemically identical (bio-identical) hormones. 

Learn more about HRT for women


For men

For men, we offer testosterone therapy with bio-identical hormones to remediate testosterone deficiencies and improve symptoms of low T.

Learn more about testosterone therapy

Wave Therapy

Wave therapy is a non-surgical alternative to rejuvenate tissue, improve blood flow and more by using low-frequency acoustic wave technology over specific treatment areas.



Femtensity is a non-invasive procedure that repairs blood vessels and improves blood flow to the vagina for rejuvenating benefits.

Learn more



This wave therapy for men uses the same technology to improve blood flow to the penis, breaking down micro-plaque and stimulating new blood vessel growth.

Learn more


PRP is a natural ingredient that stands for Platelet-Rich Plasma. PRP is derived from your very own blood, and we use these injections in a variety of regenerative techniques to naturally restore tissue.



Also known as the Orgasm Shot®, the O-Shot uses PRP to improve sexual pleasure, help vaginal dryness, and other conditions by using your body’s natural resources.

Learn more



The male version of the Orgasm Shot® is the P-Shot. Using the same technique, this injectable uses PRP to rejuvenate male performance and improve symptoms such as Peyronie’s disease.

Learn more

Other Options

Explore other treatments that address intimate concerns to help you achieve more satisfying sex.



Votiva is a versatile vaginal rejuvenation treatment that improves feminine sexual health by combining multiple technologies to treat the vulva both internally and externally.

Learn more



Femilift is a non-surgical laser that encourages the repair of the vaginal or vulva tissue to improve skin laxity, urinary incontinence, and more.

Learn more



Carboxytherapy uses CO2 gas to stimulate blood flow and lymph circulation to improve lubrication, signs of aging in the skin, and vulva appearance through a simple topical treatment that can be used at home or post-treatment in the office.

Learn more

All conditions.


MyIntimacy® is your personalized Amy Brenner MD, & Associates treatment plan to optimize your sexual health and function. 

Learn more

With you through every step of the process.


Before any treatment, we always meet with you for a private, in-depth consultation to discuss ways we can help you have more pleasurable sex. You’ll meet with one of our sexual wellness providers to discuss your symptoms, goals with treatments, and other relevant background information, such as your medical history.

If necessary, your provider may recommend testing to get to the root cause of a symptom. After learning all about you and your desired results, we’ll design a customized treatment plan tailored to you. We never take a one-size-fits-all approach, and this is especially important when it comes to your sexual health and function.


How many treatment sessions you’ll need depends on your specific treatment plan. We’ll map out how far to space out treatments as needed and schedule your appointments to fit your schedule. As always, our team makes the treatment environment and process as comfortable as possible so you’re at ease during every visit.


Some treatments create immediate results for patients, while others are progressive and take time and/or multiple treatment sessions for full results. We’ll check in with you regularly to monitor your progress and ensure the best outcomes possible. Some treatments may require additional maintenance treatments for maximum benefits.

Maintaining sexual pleasure for the long term

Many patients find the best results with long-term maintenance plans, and we always recommend maximizing your dollar through an AB VIP membership! Members save on a wide variety of aesthetic, sexual wellness, and wellness treatments. Learn more about the benefits or use our Design My Membership tool to get your membership match.

Design My Membership

Start the journey to better sex.

Tell us about your needs and we'll design the best treatment plan for you, just for you!

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Additional Resources


Bio-Identical Hormones

"I had my hormone replacement pellet with Amanda and as always had excellent service! She was professional, friendly, quick, and knowledgeable. I would highly recommend!"


Testosterone Optimization

"So happy for this place of healing. My 31 year old son just had his hormones tested and was super low. He is going to get the testosterone pellet on Tuesday. He can’t wait; I can’t either."

-Ann M.


"The P-Shot restored my ability to have and maintain firm erections, delay orgasm as desired, experience more intense orgasms, and recover quickly. I have the experience of a 50 year old who's able to perform like I was 20 again... I would recommend Dr. Brenner for any of your sexual health needs."


Testosterone Optimization

"I have struggled for years with anxiety/nervousness. I started seeing Dr Thieman and I followed what she told me to do and what to take and it has totally changed me! I can’t say enough good things about what they have done not only for me but for my wife also!"

-Dave G

Bio-Identical Hormones

"I've been getting bioidentical hormone pellets here and am so happy with the results. No more hot flashes, low energy, low libido etc. The staff is very polite and knowledgeable. I highly recommend Dr Amy Brenner and associates."

-Sandy W


I am an older (60+) male that is in a relationship w/a mature woman.  It didn't take long into the relationship that I discovered I had ED.
After searching the internet, I came to Dr. Brenner's practice because her website and videos reassured me that I could restore my performance and at a clinic that would respect and me and my condition.
I have not been disappointed.  The staff has been extraordinarily respectful, kind, and caring.  I came to my first Wave treatment with a lot of apprehension and felt very awkward, but the professionals in the room quickly made me feel comfortable, showing tremendous empathy for my condition.  I cannot give them high enough praise.
As for results: it has been as they predicted.  No, I am not able to perform "on command" like I could in my 20's and 30's, but when me and my partner are in those special romantic moods and the occasion and place is right, the results have been all I could have dreamed.  I came to Dr. Brenner to be able to share my love for my partner in the most intimate & special way possible, and now I can.  Thank you - especially to Kimberly.

Bio-Identical Hormones

"I’ve been receiving hormone therapy for over two years and this is the first time I’ve felt heard. Everyone in Dr. Brenner’s office took the time to listen and give recommendations on what I needed and I felt like they had my health and comfort in mind. I would recommend to anyone who is struggling with hormone imbalance."

-Dawn M.