Reclaim your most intimate moments
Vaginal dryness, painful sex & low libido don’t have to be the new normal. Get care that helps you feel confident & connected again.

Over 85% of women notice changes in sexual and urinary health in midlife

Declining estrogen can cause vaginal dryness, discomfort during sex, and reduced arousal. Hormonal shifts also affect urinary health, leading to increased UTIs, sensitivity, and changes in orgasm. You don’t have to accept it — treatment can help.
"It’s crazy how quickly this has helped with the vaginal symptoms I had been having for months. I feel better and sex feels so much better"

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Sexual Health FAQ
Sexual and vaginal health issues during menopause are common and may include vaginal dryness, discomfort or pain during sex, reduced libido, and difficulty with arousal. Many women also experience increased frequency of urinary tract infections (UTIs) and other symptoms of genitourinary syndrome of menopause (GSM), such as itching, burning, and urinary urgency. These issues are often linked to declining estrogen levels, which affect vaginal tissue health and lubrication.
Declining estrogen levels during menopause can lead to genitourinary syndrome of menopause (GSM) — a group of symptoms affecting vaginal and urinary health. As estrogen levels drop, the vaginal walls become thinner, drier, and less elastic, causing discomfort and pain during sex. Reduced estrogen also lowers natural lubrication and raises vaginal pH, making the vagina more prone to irritation and increasing the risk of UTIs and other infections. Lower estrogen levels can also reduce blood flow to the vaginal and clitoral tissues, decreasing sensitivity and arousal.
Evernow provides comprehensive care for GSM with both systemic hormone replacement therapy (HRT) and vaginal estrogen to restore moisture, improve tissue health, and relieve discomfort. Our menopause-trained providers can also recommend non-hormonal treatments and lifestyle adjustments, such as lubricants and vaginal moisturizers, to enhance comfort and intimacy. Plus, multi-month Evernow members receive free vaginal estrogen as part of their care plan to support long-term vaginal health.
At Evernow, we offer systemic hormone replacement therapy (HRT) to balance hormone levels and improve overall sexual health, along with vaginal estrogen to relieve dryness and discomfort directly. We also provide non-hormonal treatments and lifestyle guidance, including the use of lubricants, pelvic floor exercises, and mindfulness techniques to support arousal and comfort during intimacy. Multi-month Evernow members receive free vaginal estrogen to help improve long-term vaginal health.
Vaginal estrogen works by replenishing estrogen levels in the vaginal tissues, which helps improve natural lubrication, restore tissue thickness, and increase elasticity. This can relieve discomfort and pain during sex, reduce itching and irritation, and help prevent UTIs by lowering vaginal pH and improving the vaginal microbiome.
Most Evernow members report relief from vaginal dryness, discomfort, and pain during sex within 2 to 4 weeks of starting vaginal estrogen. Full benefits, including improved tissue health and increased comfort during intimacy, can take up to 12 weeks with consistent use.
Evernow offers two flexible options for care. Video visits with an Evernow provider are covered by most United Healthcare, Aetna, Anthem, and Blue Cross Blue Shield plans (you are responsible for co-pay and deductible). If you prefer not to use insurance, video visits are available for $150 self-pay. We also offer memberships for personalized care starting at $35/month. The cost of any medications you are prescribed at Evernow are not included but may be covered by insurance when filled through your local pharmacy.
Yes, Evernow accepts most major commercial insurance plans for video visits, including United Healthcare, Aetna, Anthem, and Blue Cross Blue Shield. Medications prescribed through Evernow may also be covered by insurance when filled through your local pharmacy.
Yes, most Evernow expenses, including membership fees and video visits, are eligible for reimbursement through FSA or HSA funds. Medications prescribed through Evernow may also be eligible if they are fulfilled through your local pharmacy.