Treatments · Hormones & Wellness
Sexual Wellness for Men & Women in San Antonio
Physician-led care for erectile dysfunction, low libido and female sexual health, including Alma Duo low-intensity shockwave therapy.
Medically reviewed by Francisco Cardona, MD, board-certified physician
Session time
About 20 minutes
Downtime
None
Typical series
6 sessions
For
Men & women
Overview
What is sexual wellness care?
Sexual health is tied to circulation, hormones, stress and overall health. Changes in erections, arousal or desire are common with age, and they are medical issues worth treating, not something to put up with.
At Vita Nova, Dr. Cardona looks at the full picture, from hormone levels to blood flow, and builds a plan that may combine Alma Duo shockwave therapy, hormone optimization and other medical treatment.
What it treats
- Erectile dysfunction (ED)
- Weaker or less reliable erections
- Female orgasmic disorder
- Reduced sensitivity and arousal
- Low libido related to hormones
Who it’s for
- Men who want a non-drug option for ED
- Women with reduced arousal or difficulty reaching orgasm
- Patients who prefer a non-invasive treatment
- Adults who also want their hormones checked
What to Expect
Your treatment, step by step
01
Your Evaluation
A private, respectful conversation about symptoms and history, with labs when hormones may play a role.
02
Your Treatment
Alma Duo sessions are quick and non-invasive, and can be combined with hormone therapy when appropriate.
03
Results & Follow-Up
Many patients notice changes over the course of the series; we review progress and adjust your plan.
The Technology
Alma Duo
Low-intensity shockwave therapy that delivers gentle acoustic waves to support blood flow and tissue response. Used for erectile dysfunction in men and for female sexual wellness, including female orgasmic disorder.
Is Alma Duo painful?
Most patients describe it as a light tapping sensation. No anesthesia or needles are needed.
Is there downtime?
No. You can return to normal activity right after your session.
How many sessions will I need?
A typical series is about six sessions, but your plan is set at your evaluation based on your goals.
Is Alma Duo only for men?
No. Alma Duo is also used for women, including those with female orgasmic disorder or reduced sensitivity.
Is this private?
Yes. Evaluations are one-on-one and confidential.
How does Alma Duo work for erectile dysfunction?
Low-intensity shockwaves are designed to stimulate blood vessel growth and improve blood flow, which may support stronger, more reliable erections.
How does Alma Duo help women?
For women it is used to improve sensitivity and blood flow, and it may help with arousal and orgasm, including in female orgasmic disorder.
How soon will I notice results?
Some patients notice changes partway through the series, with further improvement in the weeks after completing it.
Can I keep taking ED medication?
Yes. Alma Duo can be used alongside other treatments, and some patients find they rely on medication less afterward.
Could low hormones be part of the problem?
Yes. Low testosterone or other hormone changes can affect libido and sexual function, so we often check labs as part of your evaluation.
Related Treatments
You may also consider
Peptide Therapy
Physician-prescribed peptides for recovery, body composition and healthy aging.
Begin Here
Your plan starts with an evaluation
Talk privately with our team about your goals and whether Alma Duo or hormone care is right for you.
Individual results vary. Results are not guaranteed. This page is for general education and is not medical advice.