The Villages, Florida
Sexual Dysfunction Treatment
in The Villages, FL
What sexual dysfunction is, what drives it in an older population, and when it is a warning about something else. Examined privately at 929 US-441 #404, Lady Lake, FL 32159. New patients start with the $47 consultation, exam and report of findings.
- Lady Lake office
- Non-surgical, drug free
- 22 years in practice
- $47 new-patient exam
Medically reviewed by Dr. Justin Bergin, DC Updated September 18, 2026
Why does nobody in this community talk about it?
Nobody raises this at the pool. People here will tell a neighbor which surgeon did their knee and which cardiologist they switched to, then say nothing about the thing that has bothered them for two years.
Who is actually asking about this at the Lady Lake office?
The men and women who ask about it here are in their sixties, seventies or eighties. Some have been married four decades. Some are starting again after losing a spouse and did not expect to be thinking about any of this.
They waited longer than they needed to.
Is this about the problem or the treatment?
This page is about the problem rather than the treatment: what sexual dysfunction is, what drives it at this stage of life, and the one thing worth knowing first.
What gets checked before anything else is discussed?
Erection difficulty is frequently the earliest visible sign of a circulation or blood sugar problem, and where the examination points that way you hear it from Dr. Justin Bergin, DC before any program is mentioned.
Sexual dysfunction covers erection difficulty in men and reduced arousal, sensation or comfort in women. In a retirement community it is commonly vascular, involving the small vessels affected by blood pressure, cholesterol and blood sugar. That is why the examination at the Lady Lake office looks at your heart and metabolic picture first, and why a referral back to your own physician is sometimes what a visit produces. First visit is $47.
This page covers The Villages specifically. The neutral sexual dysfunction page covers the clinical picture for both offices.
Symptoms
What The Villages patients describe when they call this office.
- Erections that soften before intimacy is finished
- Needing far more stimulation than you once did
- Morning erections that quietly stopped happening
- Interest that faded across a year or two
- Reduced arousal or sensation in women
- Dryness or discomfort that makes intimacy something to avoid
- Orgasm that takes much longer or does not arrive
- A change that began when a new prescription began
- Avoiding the subject rather than explaining it
Common causes
Small vessels that have narrowed over time
Arousal depends on small arteries opening quickly and holding blood where it is needed. Those vessels stiffen with age, blood pressure and cholesterol, and they are narrow to begin with. This is a common physical mechanism at this stage of life.
Blood sugar that has been high for years
Type 2 diabetes damages small vessels and small nerves together, and sexual tissue depends on both. Numb feet, bladder changes and sexual difficulty in the same person usually share one cause rather than three, which is why blood sugar is asked about early.
Cardiac and blood pressure prescriptions
Several medication classes keeping people in this community well also affect erection and arousal. Beta blockers, some diuretics and several antidepressants are the usual ones. Nobody should stop a prescription over this, though a prescriber can often change one.
Prostate treatment and pelvic surgery
Surgery, radiation and hormone treatment for prostate cancer affect erection and sensation directly, sometimes months afterwards. Pelvic operations do the same for women. The examination works out which part is nerve, which is circulation and which is pelvic floor.
Menopause, tissue change and the pelvic floor
For women the problem is more often comfort and sensation than desire. Thinner, drier tissue makes intimacy something to dread, and a pelvic floor that is either weak or permanently tight makes it worse. Both are assessed rather than assumed.
How we treat it at our Lady Lake office
Treatment at the Lady Lake office is non-surgical, drug-free and self-pay, delivered by the same practice that treats your back. Nothing is prescribed and nothing is injected. The examination settles whether the problem is vascular, pelvic, metabolic or somebody else's to handle, and that decides what happens next.
Acoustic wave therapy, where the driver is blood flow
GAINSWave is the acoustic wave protocol used for men's and women's sexual health at both offices. It works on the tissue rather than producing an effect for one evening, which is why it suits people who cannot take the tablets. Nobody here will promise you a result.
what an acoustic wave session at the Lady Lake office involves
The same acoustic wave platform used on worn joints
Omniwave is the shockwave equipment the practice uses on knees, shoulders and tendons. The physics behind the sexual health application is identical, applied to different tissue, and it has been in joint medicine for years.
Pelvic floor work, after prostate surgery and after menopause
The pelvic floor sits underneath both sexual function and bladder control, and many people in this community are dealing with the two at once. It can be too weak and it can also be too tight, and those require opposite work.
how the pelvic floor is assessed before anything is retrained
Cost, insurance and financing
Sexual health care is self-pay at both offices. What a course costs depends on what the examination finds and on whether pelvic floor work is part of it, and it is set out at the report of findings rather than on the phone.
The one published price
Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47
What affects the cost
- What the examination finds, and whether the driver is vascular, pelvic or metabolic
- Whether pelvic floor work is combined with acoustic wave sessions
- Whether you are also being treated here for something that does bill insurance
What a course includes
- A private consultation with the door closed
- The examination, including the screening that can send you back to your physician
- A report of findings before you commit to anything
- An honest recommendation against treatment where it is unlikely to help
Payment:
Self-pay. Chiropractic care at ChiroMed bills insurance and our team verifies those benefits first. This care does not bill insurance, so no itemized claim for it reaches an insurer. Medicare coverage varies by plan and by service, and the front desk will tell you exactly what applies to you before you commit to anything. Payment plans are available for self-pay care. New patients start with a consultation, exam, X-rays if needed and report of findings for only $47.
Our Lady Lake office
Chiromed Wellness Centers929 US-441 #404
Lady Lake, FL 32159
- Monday8:30am to 1:00pm and 2:30pm to 6:30pm
- TuesdayBy appointment
- Wednesday8:30am to 1:00pm and 2:30pm to 6:30pm
- Thursday8:30am to 1:00pm and 2:30pm to 6:30pm
- FridayBy appointment
- Saturday and SundayClosed
Dr. Justin Bergin, DC performs the examination personally at this office, 22 years into practice. Full office details are on our Lady Lake office page.
What we are near
Where exactly is the office?
The office is at 929 US-441 #404, Lady Lake, FL 32159, on North US-441 a short way above the CR 466 junction.
Suite 404 sits at ground level with parking directly outside it, so there is no garage to circle and no stairs to manage.
Can I come by golf cart?
Many patients arrive by golf cart, and cart routes change often enough that the front desk will talk you through the current one.
Which towns and which square is this office closest to?
People come from across The Villages and from Lady Lake, Summerfield, Wildwood, Oxford, Fruitland Park and Leesburg, over Sumter, Lake and Marion counties.
Spanish Springs Town Square is the closest of the three squares, Lake Sumter Landing a straightforward drive, Brownwood Paddock Square the longest run.
What else sits near this address?
Ocala National Forest lies about fifteen miles north, Leesburg about ten miles south east.
The Lake-Sumter State College campus in Leesburg and UF Health The Villages Hospital are both close by, and we are not affiliated with either one.
Which days is this office open?
Treating days here are Monday, Wednesday and Thursday, 8:30 AM to 1:00 PM and 2:30 PM to 6:30 PM. Tuesday and Friday are by appointment, with the doors closed Saturday and Sunday.
Our Lady Lake office is a short drive from the Lake-Sumter State College campus in Leesburg, and we serve the same tri-county community. We are not affiliated with the college.
ChiroMed is an independent practice. Naming nearby hospitals, colleges or landmarks describes where we are, not who we are affiliated with. There is no affiliation, partnership or endorsement of any kind.
- The Villages
- Lady Lake
- Summerfield
- Wildwood
- Oxford
- Fruitland Park
- Leesburg
Independent background: Erectile Dysfunction, Urology Care Foundation.
Patient experience at our Lady Lake office
Why is there no review about this kind of care?
This is the newer of the two offices and its review file is short.
Almost nobody writes publicly about this kind of care, and no review on the Lady Lake listing speaks to sexual health, so none is offered here as evidence.
What is on the record instead of a review?
What is on the record instead is who examines you, which days he is here, and what he will say if your findings point at your heart.
Sexual Dysfunction in recent research
These sources are independent of this practice and none of them endorses it. They are listed so the reasoning behind the care can be checked rather than taken on trust.
- Erectile Dysfunction (ED)
The federal reference on the vascular, hormonal and medication-related drivers of erectile dysfunction, and on the medical workup it warrants.
- Erectile Dysfunction (ED) Guideline
The urology specialty guideline on evaluation, including the cardiovascular assessment that should follow a new diagnosis.
What to expect
Your first visit, step by step
You know the plan and the cost before anything begins.
Get in touch
Book at our Lady Lake office
Choose The Villages on the form and the Lady Lake desk calls you back during office hours. Leave a message after hours and they call back the next open day.
- 1
Send the form
Two minutes. Tell us what hurts and which office is closer.
- 2
We call you back
A real person, during office hours, to find a time that works.
- 3
Exam and answers
History, orthopedic and neurological testing, imaging on site when it changes the plan.
- $47 consultation, exam, X-rays if needed and report of findings
- Payment plans available on the self-pay programs
- Booking for our Lady Lake office
The Villages questions
Tap a message for the honest answer. Call The Villages (352) 915-7150
Is it worth being examined if I am already on heart medication?
Yes, and that is precisely the group this page is written for. Oral medication for erectile difficulty interacts with nitrates and needs care alongside several blood pressure prescriptions, so a lot of people in this community were told years ago not to take it. Being examined is a separate question from being treated. It tells you whether the cause is vascular, whether one of your prescriptions is contributing, and whether anything offered here is sensible for you. Bring the medication list.
Which days can I be seen at the Lady Lake office for this?
Monday, Wednesday and Thursday, 8:30 AM to 1:00 PM and again from 2:30 PM to 6:30 PM. Tuesday and Friday here are by appointment, and this office is closed Saturday and Sunday. A course of care planned here works around three full treating days. Lakeland keeps a week of its own, published on the page for our office on Florida Ave S. Say so when you book if you spend part of the year elsewhere, and the front desk will fit the visits into the weeks you are actually in Florida.
Will anybody at the front desk know why I am here?
Your appointment is booked as a consultation, the same as a back or a knee, and the reason is taken with the door closed rather than at the desk. In a community this size that matters, and there is one further protection worth knowing about. This care is self-pay, so no itemized claim for it goes to an insurer. The office sits on US-441 rather than inside any village, which is part of why some patients choose it.
Do you treat women for this, or only men?
Women are examined here too. After menopause the change is usually about comfort and sensation rather than desire, and a pelvic floor that has been weakening or tightening for decades is often part of it. Women beginning a new relationship later in life run into this at the worst possible moment and rarely have anywhere to ask. The assessment follows the same order as the men's: history, examination, findings, then an honest answer about whether this is worth treating here.
Does Medicare cover any of this?
Coverage varies by plan and by service, and the honest answer is that sexual health care here is self-pay. Chiropractic care at ChiroMed does bill insurance, and our team verifies those benefits before a first visit, Medicare and Medicare Advantage included. If you are being treated for a back or a knee at the same time, the two are handled separately. Ask the front desk what applies to your plan before you commit to anything.
What should I bring to a first appointment about this?
The medication list first, including anything for blood pressure, cholesterol, the heart, mood or sleep. Recent blood work if you have it, particularly blood sugar and cholesterol. Any prostate or pelvic surgical history, with dates if you can. A rough sense of when the change started and whether it arrived gradually or over a few weeks, since that distinction does more work than anything else in the examination.
Same-week appointments
The Villages care, without the drive.
Call (352) 915-7150 or book online. Dr. Justin Bergin, DC performs the examination personally.
Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47