Comprehensive sexual health support at home

Expert sexual health care from home to treat ED, low libido, and performance issues—discreet, effective support to restore confidence and intimacy.

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All-in-one virtual urology care

At home blood analysis test kit

Dedicated care coordinator

Consult with a urologist and a nurse practitioner

Comprehensive assessment report

If needed get prescriptions & start your treatment plan

What is sexual health and why is it important?

Sexual health is a vital part of a man's overall well-being, influencing physical health, emotional connection, confidence, and quality of life. Sexual health involves more than just performance—it includes healthy libido, reproductive function, sexual satisfaction, and intimate relationships.

When sexual health is disrupted, it can cause issues like erectile dysfunction (ED), low libido, premature ejaculation, and emotional distress. About 40% of men at age 40 and 70% of men by age 70 experience some form of ED. Rates of sexual dysfunction are also rising among younger men, driven by factors such as stress, obesity, and underlying health conditions.

Chronic illnesses such as diabetes and heart disease can significantly increase the risk of sexual dysfunction, while mental health issues like depression and anxiety are closely linked to sexual performance and satisfaction. Lifestyle factors—such as smoking, heavy alcohol use, poor diet, and inactivity—can also play a major role.

At Bastion Health, we help men take charge of their sexual health with discreet at-home testing, virtual evaluations, and personalized treatment plans from board-certified specialists. Whether you're experiencing symptoms or looking to optimize your sexual wellness proactively, our expert-guided programs provide clear answers and effective solutions—all from the privacy and comfort of your home.

Symptoms of Sexual Health Issues

Sexual health challenges can impact physical, emotional, and relationship well-being. Recognizing early symptoms is key to maintaining confidence and overall health.
- Erectile dysfunction (ED): difficulty achieving or maintaining an erection.
- Low libido: decreased interest in sexual activity.
- Premature ejaculation (PE): ejaculation that occurs sooner than desired.
- Delayed ejaculation: difficulty reaching orgasm despite adequate stimulation.
- Psychological factors: stress, anxiety, and mental health can play a significant role in sexual performance.
Bastion Health provides discreet, at-home evaluation and support from men’s health specialists to help you regain control of your sexual wellness.
- Age: natural changes with age can affect sexual performance and desire.
- Cardiovascular health: conditions like high blood pressure, high cholesterol, and poor circulation can reduce blood flow, leading to erectile issues.
- Chronic conditions: diabetes, heart disease, and other long-term illnesses can interfere with sexual function.
- Lifestyle choices: smoking, heavy alcohol use, lack of exercise, and poor diet can significantly impact sexual health.
- Obesity: excess weight often contributes to hormonal imbalances and reduced sexual performance.
- Mental health: stress, anxiety, and depression are closely tied to libido and performance challenges.
- Medications: certain prescriptions—including antidepressants, blood pressure drugs, and opioids—may affect sexual function.
Bastion Health helps men identify the root causes of sexual health concerns and provides expert, judgment-free care from the comfort of home.
Untreated sexual health issues can lead to strained relationships, decreased self-esteem, infertility, mental health disorders, and even cardiovascular disease. Early evaluation and management through Bastion Health’s virtual care model lead to better outcomes and restored confidence.

Sexual Health Screening and Diagnosis

Early detection of sexual health issues is crucial to prevent emotional distress, relationship difficulties, and worsening chronic conditions. Addressing symptoms promptly leads to more effective treatment and better long-term results.
- 1 in 4 men under 40 report erectile dysfunction symptoms, often linked to lifestyle, stress, and health conditions.
- Chronic conditions like diabetes, heart disease and low testosterone are closely connected to sexual dysfunction.
- Low testosterone is an often overlooked factor in sexual health challenges.
Bastion Health provides discreet, virtual sexual health evaluations with personalized care plans designed to boost confidence, improve function, and support overall well-being—all from the comfort and privacy of your home.
Our at-home, discreet screening includes:
- Blood tests: to assess testosterone, thyroid hormones, and other relevant markers.
- Symptom assessments: comprehensive virtual evaluations by licensed providers.
- Telehealth consultations: personalized care plans based on lab results and history.
Skip uncomfortable office visits—get expert sexual health support from home.
If deeper evaluation is necessary, Bastion Health coordinates:
- Hormone panels: expanded testing for testosterone, prolactin, and thyroid function.
- Cardiovascular screening: evaluation of blood flow and circulation.
- Psychological assessments: to explore underlying mental health contributors.
- Specialized tests: such as nocturnal penile tumescence (NPT) testing if indicated.
Your Bastion provider will guide you through each step with a tailored and discreet approach.

What parameters are tested?

Testosterone (total and free)

Testosterone is the main male hormone. When testosterone levels fall below what is considered normal, male fertility may be impacted.
Thyroxine

T4 helps regulate metabolism and energy. Testing it can reveal thyroid issues that may affect overall hormonal balance.
Follicle stimulating hormone

FSH works with LH to help ensure that the testicles are producing sufficient amounts of sperm and testosterone. It also helps to ensure that the produced sperm are properly maintained until they are released.
Luteinizing hormone

LH stimulates the production of testosterone in the Leydig cells. Abnormalities in the function of LH may affect the process of spermatogenesis and thus result in infertility.
Prolactin

High levels of prolactin can cause a decrease in FSH, LH, and testosterone that are key to healthy sperm production.
Thyroid stimulating hormone

Low thyroid hormone levels in men can cause poor semen quality, low sperm count, reduced testicular function, erectile dysfunction, and a drop in libido.
Sex hormone-binding globulin

SHBG controls how much testosterone is available for your body to use. Testing it helps assess hormone balance, which plays a key role in sperm production and male fertility.
Estrogen

Estrogen plays a role in sperm production and hormone balance. Testing helps identify levels that are too high or too low, which can impact fertility and overall reproductive health.

Treatment Options for Sexual Health

- Erectile dysfunction (ED)
- Low libido
- Premature ejaculation
- Delayed ejaculation
- Stress-related sexual dysfunction
Bastion Health delivers comprehensive virtual-first sexual health care:
- Medications: including phosphodiesterase inhibitors (e.g., Viagra, Cialis) and SSRIs for premature ejaculation.
- Testosterone optimization: testosterone replacement therapy (TRT) when indicated, with caution for fertility considerations.
- Lifestyle and nutrition programs: exercise, weight management, and sexual wellness-focused dietary plans.
Treatment plans are customized to your unique biology, goals, and lifestyle—all managed virtually.
If in-person procedures are necessary, Bastion Health will coordinate with trusted specialists for:
- Penile doppler ultrasounds
- Pelvic floor consultations
- Surgical evaluations and penile implant referrals for severe cases of erectile dysfunction
We ensure seamless access to in-person care when needed, with your Bastion team supporting every step.

Whole-person care for Sexual Health

Sexual health issues often overlap with:
- Cardiovascular disease
- Depression and anxiety
- Type 2 diabetes
- Hormonal imbalances (e.g., low testosterone)
- Addressing sexual health holistically reduces the risk of these conditions.
While Bastion doesn’t provide therapy, we educate and refer for:
- Cognitive behavioral therapy (CBT)
- Mindfulness-based stress reduction (MBSR)
- Behavioral health coaching: to improve confidence, intimacy, and stress resilience.
Because mental health and sexual wellness are deeply interconnected, Bastion addresses both.
Depending on your needs, Bastion Health may recommend:
- Nutritional counseling: diets that support vascular health, hormone balance, and fertility.
- Stress reduction programs: Including meditation, breathing exercises, and yoga.

Developed by top physicians

"Sexual health is deeply personal, but it's also a vital part of overall health. At Bastion, we approach it without judgment—just honest conversations, expert care, and a plan that helps you feel like yourself again."

Justin Houman, MD

Bastion Health Urology Medical Director, Board-certified Urologist, and Men’s Sexual and Reproductive Health Specialist

Comprehensive men’s health

At Bastion Health, no two treatment plans are the same.

Our team of board-certified urologists and dedicated care coordinators work together to create a personalized plan tailored to your unique needs. Through our virtual platform, you’ll get expert guidance, at-home testing, and ongoing support—designed to help you take control of your health, your way.

Join Bastion Today ➔

Prostate Health

Hormonal Health

Urinary Tract Infection

Reproductive Health

Colon Cancer Screening

Digital At-Home Health Support

STD/STI Screening

Sexual Health

FAQs

Men’s sexual health encompasses a range of physical, emotional, and hormonal factors that influence sexual function, libido, fertility, and overall well-being. It includes the ability to achieve and maintain erections, maintain a healthy sex drive, and produce healthy sperm for reproduction.
Some of the most common concerns include:
- Erectile Dysfunction (ED) – Difficulty achieving or maintaining an erection.
- Low Libido – Decreased interest in sexual activity.
- Premature Ejaculation (PE) – Ejaculation occurring sooner than desired.
- Infertility – Difficulty conceiving due to sperm or hormonal issues.
- Delayed Ejaculation – Difficulty reaching orgasm despite stimulation.
Sexual dysfunction can be caused by a combination of physical, hormonal, psychological, and lifestyle factors, such as:
- Low testosterone or thyroid disorders
- Cardiovascular disease
- Diabetes and obesity
- Stress, anxiety, or depression
- Side effects of medications
- Smoking, excessive alcohol use, or poor sleep habits
Erectile dysfunction affects about 40% of men at age 40 and 70% of men by age 70. Additionally, 1 in 4 men under 40 report some degree of ED, often linked to lifestyle factors, stress, or hormonal imbalances.