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​Center for Sexual Health

Dr. Kishore Lakshman, MD, MPH, is a Board-Certified Endocrinologist and Clinical Andrologist, and serves as the Director of the Center for Sexual Health at Prima-CARE Medical Center. He is committed to creating a warm, welcoming environment that encourages open and stigma-free discussions about sexual health.

Dr. Lakshman's practice is rooted in the belief that sexual health is a key component of overall well-being. He recognizes sexual dysfunction as a shared concern that affects both partners equally. At the Center, treatment plans are carefully personalized to align with each patient’s preferences, comfort levels, budget, and values. These therapies are designed to restore confidence, enhance self-image, and strengthen relationships.

Conditions Treated at the Center:

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
  • Weight Loss Management

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)
  • Weight Loss Management

    Transgender Health: Dr. Lakshman provides gender-affirming hormone therapy and works in collaboration with regional organizations to offer comprehensive care. He coordinates with resources for psychological counseling, top/bottom surgery, and facial feminization or masculinization surgery.


    Regenerative Medicine and Erectile Dysfunction

    Dr. Lakshman offers innovative regenerative therapies for erectile dysfunction, including:

    • Penile ShockWave Therapy: A non-surgical procedure that uses low-intensity sound waves to improve blood flow to the penis.
    • PRP penile injection: A treatment that utilizes platelet-rich plasma (PRP) to enhance erectile function. PRP is harvested directly from the patient in the office.

    Hair Loss Treatments

    Customized treatment plans for scalp hair loss in both men and women are created after investigating hormonal causes. Treatment options include:

    • Oral agents
    • Topical agents
    • Platelet-rich plasma (PRP) therapy

    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 regeneratetissues. 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.

    For more information, please call our office at 508-235-0481 and book a consultation. Our team will gladly discuss all your options.

    Our Care Team

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