Many people come to us excited about starting GLP-1 therapy. They have heard about the weight loss results and the improvements in energy, confidence, and overall well-being. At the same time, there is a growing fear that GLP-1 medications might interfere with sexual desire or performance. This concern usually comes from online conversations, trending videos, or stories circulating on social media rather than from medical literature.

The truth is far more encouraging. When GLP-1 therapy is supported with proper clinical guidance, most patients do not experience negative changes in sexual function. Many patients actually report improvements once their metabolic health begins to stabilize. There is growing evidence that GLP-1 medications may play a protective role in sexual wellness when used correctly.

A 2024 study published in Frontiers in Endocrinology showed that individuals using GLP-1 receptor agonists had an approximately 50 percent lower risk of erectile dysfunction compared to those not using the medications. The key is responsible and individualized management.

A 2025 survey from the Kinsey Institute offered additional insight into sexual desire patterns among GLP-1 users. Among more than 2,000 surveyed adults using medications in this class, 18 percent reported an increase in sexual desire while 16 percent reported a decrease. Several media outlets covered this topic but only focused on the latter percentage report, leading to a warped perception of the effects of these medications. In reality, the majority of survey participants did not report a negative change, and many saw improvements after the initial adjustment period.

These findings illustrate that experiences vary and that sexual changes are influenced by many factors beyond the medication itself.

Understanding What Actually Influences Sexual Health During GLP-1 Therapy

There are several reasons some people notice temporary shifts early in their weight loss journey. None of these are guaranteed outcomes and none are permanent.

Hydration

GLP-1 medications can decrease appetite and often times lessen thirst awareness. When hydration drops, fatigue and reduced circulation can occur. Both can influence sexual desire. This is why we strongly encourage consistent water intake. Dr. Arbuckle often reminds patients that “dilution is the solution to pollution.” Proper hydration supports better energy, clearer thinking, and healthier blood flow.

Protein Intake and Muscle Preservation

Sexual health is closely linked to strength, hormone balance, and healthy lean body mass. Insufficient protein intake during rapid weight loss may contribute to unwanted muscle loss. Part of our protocol is ensuring all GLP-1 patients have proper protein intake. Along with diet recommendations, our team often recommends high quality protein shakes as a simple and reliable way to support muscle preservation during treatment.

Body Composition Awareness

At Fountain of You MD, we use an InBody scale to track changes in fat mass, muscle mass, body water, visceral fat, and BMI. This allows us to ensure that your progress is not measured by weight alone. When we see that lean muscle is well supported, hormone stability and sexual wellness tend to be stronger as well.

Overall Metabolic Health

Improved blood sugar control, better insulin sensitivity, reduced inflammation, and lower cardiovascular strain can all contribute to healthier sexual function over time. Many patients notice improvements once their metabolic markers begin to stabilize.

How Our Approach Supports Sexual Wellness Throughout Your Journey

Fountain of You MD focuses on individualized care rather than a generic program. Our goal is to support your entire health picture. Sexual well-being is a meaningful part of that.

Our process includes four supportive pillars.

1. A Thorough Medical Assessment

We review your medical history, medications, lifestyle, symptoms, and goals. This helps us identify any pre-existing factors that may influence sexual function before treatment begins.

2. Personalized GLP-1 Dosing

We do not use a “one size fits all” approach. Our providers adjust dosing based on your progress, tolerance, and needs. This reduces the likelihood of unwanted side effects.

3. Ongoing Communication

We encourage you to stay in close contact with us throughout your treatment. If you notice changes in libido, mood, energy, hydration, appetite, or sleep, we want to know. Early communication allows us to make appropriate adjustments.

4. Supportive Lifestyle Guidance

We frequently recommend specific strategies that support sexual wellness. Adequate hydration, sufficient protein intake, regular movement, and improved sleep quality all have meaningful effects. We provide guidance that fits your goals and day-to-day life.

Why Many Patients See Improvements in Their Sexual Health

As weight decreases and metabolic health improves, patients often report positive changes in several areas that directly support better intimacy.

• Better circulation
  • Increased confidence
  • Improved hormonal balance
  • Better sleep and more stable energy
  • Reduced inflammation and improved vascular health
  • Enhanced stamina and emotional connection

These improvements tend to build over time. The Kinsey Institute survey findings reflect this. Many patients who experienced sexual changes early in treatment returned to normal or improved levels after the adjustment period.

A Complete Wellness Clinic, Not Just a Weight Management Provider

Fountain of You MD is more than a destination for GLP-1 therapy. Our practice specializes in comprehensive hormonal health and sexual wellness for both men and women. Weight loss is only one piece of the larger picture. True vitality requires balanced hormones, healthy metabolism, and the confidence that comes from feeling aligned in your body.

Our providers evaluate each patient with this holistic perspective. When concerns extend beyond weight management, we offer a range of medical solutions that can address issues such as erectile dysfunction, low libido, urinary incontinence symptoms, vaginal dryness, and sexual discomfort. These concerns often have underlying hormonal, vascular, or structural components. Addressing them can significantly improve quality of life and relationships.

We approach these sensitive topics with compassion and discretion. Our goal is to help every patient experience better energy, stronger function, improved self-confidence, and a restored sense of intimacy. This whole-body approach is what sets Fountain of You MD apart.

The Bottom Line

Sexual health is not something you should have to sacrifice in your pursuit of better metabolic health. With proper hydration, adequate protein support, body composition monitoring, and thoughtful clinical guidance, GLP-1 therapy can be a positive and empowering experience.