Changes in hormones, sexual health, energy, sleep, weight, mood, and desire are common after 40—but that doesn't mean you should simply accept them.

Intimate MD provides confidential, physician-led care designed to understand what has changed, why it may be happening, and what you can do about it.

Your consultation is the first step toward a personalized plan built around you—not a one-size-fits-all protocol.

Private • Physician-led • Personalized

Your Health Is More Connected Than You Think

Low desire isn't always just about hormones.

Fatigue isn't always just about getting older.

Changes in erections, orgasm, sleep, weight, mood, or energy can have multiple overlapping causes.

At Intimate MD, we look at the complete picture—including:

Hormones & menopause
Testosterone and estrogen changes, menopause symptoms, hot flashes, sleep disruption and other midlife hormonal concerns.

Sexual health
Low desire, erectile difficulties, changes in orgasm, vaginal discomfort and other concerns that can be difficult to discuss elsewhere.

Energy, mood & sleep
Understanding how hormonal, metabolic, medication and lifestyle factors may interact.

Weight & metabolic health
Evaluating the relationship between weight, metabolism, cardiovascular health and overall well-being.

Preventive & longevity health
Identifying modifiable health risks and helping you make informed decisions about your long-term health.

What Happens Next?

1. Tell Us What's Changed

Before your consultation, you'll provide information about your symptoms, health history, medications, goals and concerns.

2. Meet With a Physician

You'll have a confidential consultation focused on understanding your individual situation—not rushing you through a standardized treatment protocol.

3. Determine What Testing Makes Sense

When appropriate, your physician may recommend laboratory testing or additional evaluation based on your symptoms and medical history.

4. Receive a Personalized Plan

Your recommendations may include medical treatment, lifestyle changes, further testing, medication review or referral for additional care when appropriate.

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Care Designed for Life After 40

Your health at 45, 55 or 65 isn't the same as it was at 25.

Hormonal changes can interact with cardiovascular health, metabolism, medications, relationships, stress, sleep and psychological well-being.

That's why Intimate MD doesn't treat a laboratory number.

We treat the person.

Our goal is to help you understand what's happening in your body and make thoughtful, evidence-informed decisions about what comes next.

Meet Stephen B. Lewis, MD

Decades of experience in endocrinology and metabolic medicine.

Dr. Stephen B. Lewis has spent his career studying and treating conditions involving hormones, metabolism and endocrine health.

His medical background includes training at Washington University School of Medicine and postgraduate research in physiology and hormone signaling.

At Intimate MD, that experience informs a broader approach to midlife health—one that considers hormones in the context of the whole patient rather than treating an isolated number.

[Learn More About Dr. Lewis]