Low libido isn't “just in your head.” It's treatable.
I hear women say, “I used to care about sex and now I just do it for him.” This is distressing to them and they want their mojo back. Dryness, low desire, sex that's started to hurt — none of this is “just part of aging.” There are solutions, and you don't have to live with it.
In person in Weston, WI · Telehealth across WisconsinI understand — and I've been there myself.
If you've been told these changes are “normal,” I understand how alone that can make you feel. As a board-certified OB/GYN with advanced training in sexual medicine through ISSWSH — and as a midlife woman and breast cancer survivor myself — I know what you're experiencing is real, and I know it can respond to treatment. Bring me your concerns. I will listen.
This is real. And I can help you.Real, common, and treatable.
Care organized the way sexual medicine specialists think about it — desire, arousal, orgasm, pain, and the hormonal shifts underneath.
Low desire / low libido
When your sex drive has dropped and it bothers you — that distress is exactly what makes it a treatable medical condition, not a willpower problem. I look at hormones and your whole health picture — not blame.
Vaginal dryness & discomfort
Dryness, burning, irritation, thinning tissue. This is Genitourinary Syndrome of Menopause — a real, treatable medical syndrome, not “just a little dryness.” It's also common for women on some medications and those who are breastfeeding.
Painful intimacy
Sex that hurts is a signal with a physical cause — not something to push through, and not “in your head.” You don't “need a glass of wine and to just relax.” You need a doctor who understands and who will listen.
Changes in how your body responds
Trouble getting or staying aroused, or reaching orgasm the way you used to.
The hormonal shifts behind it
When perimenopause or menopause is quietly driving the changes.
Not sure it fits a box?
If what you're feeling isn't on this list, book the call anyway — we'll figure it out together.
Real options — matched to the cause, not a one-size protocol.
There's no single fix, because there's no single cause. I start by understanding why this is happening — hormones, tissue health, medications, stress — then match the treatment to you.
- Local vaginal estrogen or DHEAFirst-line for dryness, discomfort, and GSM; very little is absorbed into the bloodstream.
- Physician-supervised testosterone therapyFor postmenopausal low desire, carefully dosed — supported as evidence-based by ISSWSH and The Menopause Society. Not FDA-approved for women in the U.S.; prescribed off-label, and we'll discuss whether it's right for you.
- FDA-approved desire medicationsSuch as Addyi (flibanserin) and Vyleesi (bremelanotide) — approved for premenopausal women with acquired HSDD, and sometimes used off-label after menopause — may be an option.
- Pelvic floor physical therapyWhen muscle tension or dysfunction is part of the picture.
- Moisturizers, lubricants & lifestyle supportOften alongside the above.
We'll talk through the options together — and you decide what fits.
Individual results vary. Treatments are prescribed only after evaluation and are not guaranteed. Some medications are used off-label; this is discussed during care.
Care from a physician who actually specializes in this.
I'm Dr. Anita Bublik-Anderson — a board-certified OB/GYN and integrative medicine physician with 25+ years of experience, a breast cancer survivor, and a midlife woman myself. I founded Pause Medicine to give Wisconsin women the kind of unhurried, root-cause care that's hard to find in a standard 15-minute appointment. I listen, I investigate, and I build a plan with you — in person at my Weston office or by telehealth anywhere in Wisconsin. When you come to Pause, you see me — the physician — start to finish.
Ready to feel like yourself again?
A healthy, comfortable intimate life is possible at every stage. It starts with one free, private 15-minute call with me — no commitment, just a starting point.
Book a Free 15-Minute Discovery CallThis page is for general education and is not medical advice. Treatments are individualized and prescribed only after evaluation; results vary and are not guaranteed. Some medications discussed are used off-label and are not FDA-approved for this use. Testosterone is not FDA-approved for women in the U.S.
Frequently Asked Questions
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No, we don't accept insurance — by design. Our cash-based model allows us to stay focused on you, not on paperwork or approval codes. This means more time for personalized care, deeper conversations, and a treatment plan built around your needs — not insurance limitations.
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I work with many individuals from a variety of financial backgrounds, including those who are on fixed incomes — such as single parents and retirees. If you can make $100–$200 a month work for you, then these programs are manageable within your budget. Financing options are available for those who qualify.
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We support women experiencing concerns around desire, arousal, orgasm, vaginal dryness, or discomfort during intimacy. If it affects your confidence or sense of connection, it's worth talking about — and we're here to listen without judgment. If needed, we connect patients with a trusted network of pelvic floor physical therapists and sexual health specialists to ensure comprehensive treatment of sexual health concerns.
Low libido isn't "just in your head." It's treatable.
I hear women say, "I used to care about sex and now I just do it for him." This is distressing to them and they want their mojo back. Dryness, low desire, sex that's started to hurt — none of this is "just part of aging." There are solutions, and you don't have to live with it.
I HEAR YOU
I understand — and I've been there myself.
If you've been told these changes are "normal," I understand how alone that can make you feel. As a board-certified OB/GYN with advanced training in sexual medicine through ISSWSH — and as a midlife woman and breast cancer survivor myself — I know what you're experiencing is real, and I know it can respond to treatment. Bring me your concerns. I will listen.
This is real. And I can help you.
WHAT WE ACTUALLY TREAT
Real, common, and treatable.
Low desire / low libido (HSDD)
When your sex drive has dropped and it bothers you — that distress is exactly what makes it a treatable medical condition, not a willpower problem. I look at hormones and your whole health picture — not blame.
Vaginal dryness & discomfort (GSM)
Dryness, burning, irritation, and thinning tissue. This is Genitourinary Syndrome of Menopause — a real, treatable medical syndrome, not "just a little dryness." It's also common for women on some medications and those who are breastfeeding.
Painful intimacy (dyspareunia)
Sex that hurts is a signal with a physical cause — not something to push through, and not "in your head." You don't "need a glass of wine and to just relax." You need a doctor who understands and who will listen.
Arousal & orgasm changes
Trouble getting or staying aroused, or reaching orgasm the way you used to.
The hormonal shifts behind it (peri/menopause)
When perimenopause or menopause is quietly driving the changes.
If what you're feeling isn't on this list, book the call anyway — we'll figure it out together.
WHAT TREATMENT CAN LOOK LIKE
Real options — matched to the cause, not a one-size protocol.
There's no single fix, because there's no single cause. I start by understanding why this is happening — hormones, tissue health, medications, stress, and more — then match the treatment to you. Options can include:
Local vaginal estrogen or DHEA — first-line for dryness, discomfort, and GSM; very little is absorbed into the bloodstream.
Physician-supervised testosterone therapy — for postmenopausal low desire (HSDD), carefully dosed. Supported as an evidence-based option by ISSWSH and The Menopause Society. Note: testosterone is not FDA-approved for women in the U.S. and is prescribed off-label; we'll discuss whether it's right for you.
FDA-approved desire medications — such as Addyi (flibanserin) and Vyleesi (bremelanotide) — approved for premenopausal women with acquired HSDD, and sometimes used off-label after menopause — may be an option.
Pelvic floor physical therapy — when muscle tension or dysfunction is part of the picture.
Moisturizers, lubricants & lifestyle support — often alongside the above.
We'll talk through the options together — and you decide what fits.
Individual results vary. Treatments are prescribed only after evaluation and are not guaranteed. Some medications are used off-label; this is discussed during care.
MEET DR. ANITA
Care from a physician who actually specializes in this.
I'm Dr. Anita Bublik-Anderson — a board-certified OB/GYN and integrative medicine physician with 25+ years of experience, a breast cancer survivor, and a midlife woman myself. I founded Pause Medicine to give Wisconsin women the kind of unhurried, root-cause care that's hard to find in a standard 15-minute appointment. I listen, I investigate, and I build a plan with you — in person at my Weston office or by telehealth anywhere in Wisconsin.
My approach follows the published consensus guidance of ISSWSH and The Menopause Society on GSM and testosterone therapy for low desire — so your care reflects the current standard, not guesswork.
✅ Board-certified OB/GYN ✅ Integrative medicine physician ✅ 25+ years of experience
✅ Wisconsin-licensed · hormone-focused practice ✅ Breast cancer survivor & women's-health advocate ✅ Advanced sexual-medicine training (ISSWSH)
IN THEIR WORDS
Women who stopped just living with it.
[Section dropped at launch per Anita 2026-07-04 — delete this whole section in the editor.]
Ready to feel like yourself again?
A healthy, comfortable intimate life is possible at every stage. It starts with one free, private 15-minute call with me — no commitment, just a starting point.