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Personal hormone care. Throughout Colombia. English & Spanish
TRT Optima

Care that starts with your experience.

Discuss changes in your symptoms, cycle, or sexual wellbeing with a physician. Understand your options, with a dedicated team helping coordinate care in English and Spanish.

Chat with us on WhatsApp →

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Everything we publish is written to be useful whether or not you become a patient.

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Women’s sexual health

Sexual health care for women in Colombia.

Your comfort. Your desire. Your wellbeing.

Changes in sexual desire or comfort can be difficult to bring up. A physician can help you understand what may be contributing, explain your options, and decide on an appropriate next step.

TRT Optima helps coordinate your care, with support in English and Spanish.

You can start by simply asking about an appointment.

A woman outdoors in warm afternoon light, smiling

Space for your concerns

You deserve to feel comfortable asking.

You may have noticed less interest in sex, dryness or discomfort, or a change in how intimacy feels. You do not need to know the cause before seeking help.

Your assessment starts with what matters to you and what you would like support with.

Changes in desire

Discuss reduced interest in sex and changes that concern you.

Explore low libido →

Dryness and discomfort

Discuss symptoms affecting your comfort, during intimacy or in everyday life.

Explore vaginal dryness & discomfort →
A physician in conversation with a woman during a consultation

A conversation about you

Time to explain what has changed.

Your physician considers your symptoms alongside your health history, medications, menstrual or menopause history, and any treatments you already use.

Sleep, stress, emotional wellbeing, and relationship circumstances may also be relevant. You can discuss what feels important to your experience.

You do not need the perfect words to start the conversation.

Examination and testing when relevant

Your physician explains whether bloodwork, an examination, or another assessment would help answer a specific question. The next step depends on your symptoms and history.

Your preferences shape the plan

Discuss what you want help with, your questions about treatment, and any pregnancy or breastfeeding considerations. Your physician explains suitable options and what follow-up may involve.

NHS — Understanding changes in sex drive

Understanding your options

Treatment starts with understanding the cause.

Sexual health concerns can have overlapping contributors. Your physician explains which approaches fit your situation, their potential benefits and risks, and how progress will be reviewed.

Where does testosterone fit?

Testosterone may be considered for selected postmenopausal women with persistent low sexual desire that causes personal distress, following a full assessment.

A low testosterone result alone does not establish the diagnosis or mean treatment will help.

Treatment requires monitoring for benefit and side effects, including acne or increased facial hair. Long-term safety evidence remains limited.

Endocrine Society — Testosterone therapy in women

Comfort and vaginal health

Lower estrogen around menopause can make vaginal tissues thinner and drier, contributing to discomfort during sex. Lubricants, vaginal moisturizers, or local vaginal estrogen may help, depending on the cause and your medical history.

Persistent discomfort deserves assessment so other causes can be considered.

NHS — Vaginal dryness and treatment

Desire and the wider picture

Treatment may involve reviewing a medication, addressing a health condition, or considering support for stress or relationship concerns. Your physician may recommend another professional when that would help.

NHS — Low sex drive

If menopause symptoms are also affecting your wellbeing, your physician can consider these alongside your sexual health concerns.

Explore perimenopause, menopause & HRT care →

People to turn to

Medical guidance.Help with the practical details.

Your physician

Explains the findings, recommends appropriate care, and reviews your response if treatment begins. Follow-up gives you an opportunity to discuss benefits, side effects, and any concerns.

Your dedicated WhatsApp team

Helps coordinate appointments, relevant bloodwork, and follow-up in English or Spanish. Medical questions are brought to your physician.

Virtual consultations are available across Colombia. Your physician will advise when an in-person assessment is needed.

See how care works at TRT Optima →

Questions about women’s sexual health care.

Do I need to be going through menopause to seek help?

No. Changes in desire or comfort can occur at different stages of life. Your physician considers your symptoms, medications, health history, and circumstances to determine the appropriate next step.

Does low desire always mean a hormone problem?

No. Hormones can contribute, but medications, stress, health conditions, and relationship circumstances can also affect desire. Assessment helps identify what is relevant to you.

Will I automatically need hormone treatment?

No. Treatment follows the assessment. Your physician may discuss hormonal or nonhormonal options, changes to existing care, or further evaluation.

What if I am already using HRT or another hormone treatment?

Share the treatment name, how you use it, and any available records. Your physician can consider your current treatment alongside your symptoms and explain whether further review is needed. Explore menopause care →

Do I have to describe everything on WhatsApp?

You can begin with a general request for an appointment and your preferred language. Detailed clinical concerns can be discussed directly with your physician.

Can the entire assessment happen online?

An initial conversation may happen virtually. Some symptoms require an examination or other in-person assessment. Your physician explains what is appropriate.

What if sex is uncomfortable or I notice bleeding?

Persistent discomfort deserves medical assessment. Bleeding after sex, between periods, or after menopause should also be checked rather than assumed to be dryness. NHS — when to seek care for vaginal symptoms

How much does care cost?

Contact our team for current consultation and testing prices. We explain the proposed services and costs before you decide.

Browse all frequently asked questions →

Your next step

Start with a conversation you feel ready to have.

Ask about arranging a physician assessment for changes in desire, comfort, or sexual wellbeing. Our team can explain the next steps in English or Spanish.

English and Spanish support across Colombia.

Chat with us on WhatsApp