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Sexual Health & Wellness

Dr. Kishore Lakshman, MD, MPH, is a Board-Certified Endocrinologist and Clinical Andrologist. In addition to serving as the Director of the Center for Sexual Health at Prima-CARE Medical Center, Dr. Lakshman also offers specialized sexual health care through his practice, Revive MD(opens in a new tab). He is committed to creating a warm, welcoming environment that encourages open and stigma-free discussions about sexual health.

At Revive MD, care is always personalized. Dr. Lakshman builds treatment plans around each patient's goals, comfort level, budget, and values. Whether you are dealing with a hormonal imbalance, sexual dysfunction, or something you have never quite felt comfortable bringing up with a doctor, this is a safe place to start that conversation.

He also understands that sexual health concerns often affect both partners. His approach reflects that, and his goal is always to restore confidence, improve quality of life, and support healthier relationships.

Visit Revive MD

Conditions Treated by Dr. Lakshman

Male Sexual Health

  • Low Testosterone (Low T)
  • Low Libido
  • Erectile Dysfunction (ED)
  • Male Infertility
  • Premature Ejaculation
  • Gynecomastia (Excessive breast tissue in men)
  • Scalp Hair Thinning or Loss

Female Sexual Health

  • Peri- and Postmenopausal Hormone Replacement Therapy (HRT)
  • Female Sexual Dysfunction (FSD)
  • Low Testosterone (Low T)
  • Scalp Hair Thinning or Loss
  • Excessive Hair Growth (Hirsutism)

Transgender Health

Dr. Lakshman provides gender-affirming hormone therapy (GAHT) at Revive MD for transgender and nonbinary individuals in a welcoming, affirming environment. Care starts with a thorough consultation covering your medical history, lab work, and transition goals. From there, he builds a personalized treatment plan and monitors your progress over time, with adjustments made as your needs evolve.

He can also refer patients to trusted specialists for gender-affirming surgery.

Additional Services

Wellness & Vitality

True wellness is about more than avoiding illness. When hormones are out of balance, it can show up as fatigue, weight gain, brain fog, low libido, and reduced confidence. Dr. Lakshman takes a proactive, science-backed approach to hormonal health and metabolic optimization, helping patients feel their best at every stage of life.

Hormone Replacement Therapy

Hormones regulate everything from mood and metabolism to energy and sexual health. When levels drop or become unbalanced, the effects can be significant. Dr. Lakshman offers personalized HRT for both men and women, including testosterone replacement therapy for men experiencing symptoms of andropause and menopausal hormone therapy for women navigating perimenopause or menopause. Every plan starts with thorough lab work and a detailed consultation.

Weight Loss

Struggling to lose weight is often about more than diet and exercise. Hormonal imbalances and metabolic factors can work against your efforts, no matter how hard you try. Dr. Lakshman offers medical weight management that combines GLP-1 injectable therapies (like semaglutide and tirzepatide) with personalized nutrition counseling, addressing the root causes of weight gain for results that last.

Hair Loss

Hair thinning often has a hormonal root cause, and Dr. Lakshman investigates those factors before recommending a treatment plan. Options include oral medications, topical agents, and platelet-rich plasma (PRP) therapy, all customized based on what is actually driving your hair loss.

FAQs on Prima-CARE’s Center for Sexual Health

What testosterone replacement therapy options do you offer?

  • Injectable testosterone (e.g., Testosterone Cypionate/Enanthate or Aveed®)
  • Testosterone pellet implants (every 3-4 months)
  • Daily skin application of testosterone gel (AndroGel®, Testim®, Fortesta®, Axiron®)
  • Oral testosterone (e.g., Jatenzo®, Tlando®, Kyzatrex®)

Do you offer therapies to restore natural testosterone production?

Yes, Dr. Lakshman offers therapies such as:

  • Oral natural supplements
  • Oral drug therapies (e.g., Clomiphene, Enclomiphene, Anastrozole)
  • Injectable therapies (e.g., Human Chorionic Gonadotropin, recombinant Follicle Stimulating Hormone)

Can you help with weight loss?

Yes, we offer tailored weight loss management programs for both men and women, including hormonal evaluations, diet recommendations, and medical therapies. Our goal is to help you achieve and maintain a healthy weight through a personalized approach.

What is peri- and postmenopausal hormone replacement therapy (HRT)?

HRT helps women manage symptoms of menopause, such as hot flashes, mood swings, sleep disturbances, urinary and genital symptoms (e.g., vaginal dryness, frequent urination, or urinary tract infections), and sexual dysfunction. We create individualized plans using a combination of hormones like estrogen, progesterone, and testosterone to restore balance and improve quality of life.

How do you treat female sexual dysfunction (FSD)?

Treatment for FSD includes hormone replacement therapy (HRT) utilizing estrogen, progesterone, and testosterone. We offer personalized therapy plans and medications to address issues such as low libido/arousal, pain during intercourse, or difficulty achieving orgasm. Our approach is compassionate, comprehensive, and tailored to each woman's unique needs.

What hair loss treatments do you offer?

We offer a range of treatments for hair thinning and hair loss, including oral and topical medications, as well as platelet-rich plasma (PRP) therapy. Each treatment plan is customized based on the underlying cause of hair loss, whether hormonal or otherwise.

Can you help with infertility in men?

Yes, we evaluate and treat male infertility through hormonal therapies, lifestyle modifications, and medications aimed at improving sperm count and quality. Treatment options may include testosterone restoration and other medical interventions to optimize fertility.

What is regenerative medicine, and how can it help with sexual health?

Regenerative medicine focuses on harnessing the body’s natural ability to heal and regenerate tissues. For sexual health, this can include therapies like penile ShockWave Therapy and PRP penile injection, which are designed to improve blood flow and tissue health without surgery.

What is penile ShockWave Therapy, and how does it help with erectile dysfunction (ED)?

Penile ShockWave Therapy is a non-invasive treatment that uses low-intensity sound waves to improve blood flow to the penis, enhancing erectile function. It is a safe and effective option for men seeking alternatives to surgery or medication for ED.

What is the PRP penile injection, and how does it work?

The PRP penile injection uses platelet-rich plasma (PRP) derived from your own blood to rejuvenate tissue and improve erectile function. The procedure is minimally invasive and can be done in the office. Results vary, but many patients report improved sexual performance and confidence.

Our Care Team

Kishore Lakshman
Locations:
Prima CARE Endocrinology
M
['Endocrinology, Diabetes & Metabolism', "Men's Health"]
['Prima CARE Endocrinology']