Oxytocin TherapyOxytocin Therapy
A hormone involved in emotional bonding, physical intimacy, and sexual response.
Sexual Health Treatments
There's More to Sexual Health Than Performance.
Fountain offers discreet, individualized sexual health treatments, including PT-141, oxytocin, and tadalafil, for patients of all genders. These therapies act through different biological pathways and may address specific concerns involving desire, arousal, or sexual function. Our approach considers both the physical and emotional dimensions of intimacy, with clinical guidance tailored to your needs, so you can feel more confident, more connected, and more yourself.
Our Treatments
Sexual performance is health. It deserves real care.
When the mind and body speak in harmony, intimacy follows.
Intimacy isn’t just physical, it’s a return to yourself.
Connection is chemistry, and chemistry can be nurtured.
Confidence can be rebuilt. Desire can return.
Sexual performance is health. It deserves real care.
When the mind and body speak in harmony, intimacy follows.
Intimacy isn’t just physical, it’s a return to yourself.
Connection is chemistry, and chemistry can be nurtured.
Confidence can be rebuilt. Desire can return.
Sexual performance is health. It deserves real care.
When the mind and body speak in harmony, intimacy follows.
Intimacy isn’t just physical, it’s a return to yourself.
Connection is chemistry, and chemistry can be nurtured.
Confidence can be rebuilt. Desire can return.
Our Approach
Your sexual health is persona, and it deserves care that feels that way. At Fountain, we offer a safe, judgment-free space to talk openly about what’s affecting your desire, connection, or performance. Whether you’re navigating stress, changing hormones, or relationship shifts, we work with you to create a plan that fits your body and your life. Our medical team offers targeted treatments, including PT-141 for selected desire-related concerns, tadalafil for erectile function, and oxytocin in appropriate cases, with clear guidance on their benefits and limitations. With thoughtful medical guidance and follow-up, our goal is to help you feel understood, confident, and more connected.
Rediscover Confidence in Your Sexual Health.
Discover personalized therapies designed to address sexual health and function
Explore Our Other Programs
Discover more specialized treatments and services offered at Fountain
Patient Experiences
"Fountain's PT-141 therapy restored intimacy in my relationship when other treatments failed. The medical team was professional and discreet, making what could have been an uncomfortable process completely comfortable."
Daniel M.
Sexual Health Program Patient
"The oxytocin treatment program at Fountain has deepened both the emotional and physical aspects of intimacy for me. The results were natural-feeling and transformative for my relationship."
Michelle L.
Intimacy Enhancement Patient
"After years of frustration with conventional ED treatments, Fountain's customized approach addressed the root causes of my issues. Their comprehensive program restored both function and confidence."
Brian K.
Performance Program Patient
Sexual Health FAQs
Your questions about our Sexual Health Solutions answered.
What sexual health concerns can Fountain help evaluate?
Fountain evaluates concerns such as erectile difficulties, low sexual desire, reduced arousal, changes in sexual responsiveness, and other changes in sexual function. Sexual health is influenced by much more than one hormone or one physical mechanism. Hormones, cardiovascular health, medications, mood, stress, sleep, relationship factors, and other medical conditions can all play a role. Understanding which part of sexual function has changed is the first step toward choosing the right treatment.
How does Fountain decide between treatments such as tadalafil, PT-141, or oxytocin?
These treatments work in different ways and are not interchangeable. For example, tadalafil primarily supports the blood-flow component of erectile function, while PT-141 acts on pathways involved in sexual desire and arousal. Oxytocin may be considered in selected situations involving sexual response or intimacy. Fountain starts by identifying the actual concern and then determines which treatment, if any, best matches it.
Is low libido always a hormone problem?
No. Hormones can have an important effect on sexual desire, but low libido can also be related to medications, stress, depression, anxiety, sleep, relationship factors, pain, cardiovascular health, and other medical conditions. If hormone testing is appropriate, Fountain can incorporate it into the evaluation, but we do not assume that every change in sexual desire is caused by testosterone or estrogen.
Can sexual health treatments help both men and women?
Fountain evaluates sexual-health concerns in both men and women, but the appropriate treatment depends on the individual and the specific issue being addressed. Different medications affect desire, arousal, blood flow, and hormonal pathways in different ways. Your clinician will consider your symptoms, medical history, medications, hormones when relevant, and treatment goals before recommending an option.
What if a sexual health medication does not solve the problem?
That can provide useful information. If erectile function improves but desire remains low, for example, the problem may not have been primarily vascular. Similarly, normal hormone levels do not rule out other causes of low libido or reduced arousal. Rather than simply increasing medication, Fountain reassesses what may be contributing and adjusts the treatment plan accordingly.
Can sexual health change because of medications I am already taking?
Yes. A number of commonly used medications can affect libido, arousal, orgasm, erectile function, or other aspects of sexual health. Your clinician will review your current medications as part of the evaluation. Do not stop a medication on your own because you suspect it is affecting sexual function. In many cases, there may be ways to address the concern while preserving the benefits of the medication you are already taking.
Clinically reviewed by
Last reviewed: October 2026
Dr. Doreen Zarfati is Chief Medical Officer at Fountain Health NYC and a double board-certified psychiatrist. Her work spans mental health, longevity, metabolism and sexual health, with a particular interest in how biological and clinical factors can influence psychiatric symptoms and treatment response. At Fountain, Dr. Zarfati provides clinical oversight of Fountain’s care models, reviewing and approving them for clinical use and guiding how they are applied in patient care. Her work in IV ketamine focuses on neuroplasticity, emotional processing and the thoughtful integration of emerging treatments into structured clinical care. Her approach is individualized, collaborative and grounded in measurable response, with treatment evolving as the patient’s clinical picture changes.
Looking for more answers?
Explore our full FAQ library for common questions about mental health, ketamine, weight management, hormones, sleep, nutrition, billing, and more.
Ready for a chat?
Important Safety Information
Compounded medications are available only to patients who are evaluated by a licensed healthcare provider and receive a prescription when medically appropriate. Prescriptions for compounded medications are filled and dispensed by a licensed compounding pharmacy. Compounded medications are not FDA-approved, and the FDA does not review compounded medications for safety, effectiveness, or quality before they are marketed. Individual results may vary. Product images are for illustrative purposes only and may not reflect the actual medication, packaging, vial, or dosage dispensed.