What sexual health concerns does RFC Longevity treat?

Low libido. Vaginal dryness and atrophy. Painful intercourse (dyspareunia). Loss of arousal. Difficulty with orgasm. Post-childbirth tissue changes. Post-menopausal sexual function decline. Reduced sensation. We address these through hormone optimization, regenerative therapies (Vaginal PRP, low-level laser therapy, ozone), microbiome restoration, and individualized clinical protocols. Sexual wellness isn't a bolt-on aesthetic service at RFC — it's measured and treated as a core longevity outcome. Dr. Merhi is one of the few reproductive endocrinologists in the U.S. integrating these therapies into a longevity framework.

Is Vaginal PRP safe? What does the procedure involve?

Vaginal PRP uses a small sample of your own blood, processed to concentrate the growth factors and platelets, then injected into vaginal and surrounding tissue to stimulate regeneration. Because the material is your own blood, there's no risk of allergic reaction or rejection. The procedure takes under an hour, is performed in-office with local anesthetic, and most patients return to normal activity within 24–48 hours. It's part of the same regenerative platform RFC pioneered for ovarian rejuvenation.

Is RFC Longevity covered by insurance?

No. RFC Longevity is a private, application-based program. Insurance does not cover preventive longevity care, advanced biomarker panels, or regenerative therapies in the United States. Some specific lab work and prescriptions ordered through the program may be reimbursable through your existing insurance — we provide superbills you can submit. But the program fees themselves are paid out of pocket, like any concierge medical program.

Do I need to live in NYC or Connecticut?

Most patients travel in for the testing visit and physician review, then continue on telehealth from anywhere in the U.S. We have five physical locations across Manhattan, Brooklyn, Westchester, Long Island, and Westport, CT — plus an option for in-person treatment retreats in the Bahamas for select patients in our Elite pathway. Roughly half of our patients fly in once a year for testing and stay local; the other half live in the tri-state area.

How is RFC Longevity different from Function Health?

Function Health is an automated biomarker dashboard with optional generalist physician review. RFC Longevity is a physician-built clinical program where Dr. Merhi — a reproductive endocrinologist with 110+ peer-reviewed publications — personally reviews every panel and builds every protocol. Function Health is a self-serve tool. RFC Longevity is medicine. The other major difference: Function Health doesn't address sexual wellness, regenerative therapies, or reproductive health at any meaningful clinical level. We do.

How is RFC Longevity different from Atria, Fountain Life, or other concierge longevity clinics?

Most concierge longevity programs were designed by general internists who added hormone testing afterward. RFC Longevity is the inverse — built outward from reproductive endocrinology. We read hormones, sexual function, microbiome, and metabolic signals as one connected system. The clearer difference is what's actually in the program. No other longevity clinic in the country offers vaginal PRP, vaginal ozone, pelvic photobiomodulation, endometrial microbiome treatment, and physician-administered stem cell protocols inside a single membership. Ours run $10,000 to $50,000 a year depending on which therapies your labs justify — comparable to Atria or Fountain Life, for medicine they don't offer.

Does RFC Longevity treat men?

Not currently. RFC Longevity is designed specifically around female reproductive, sexual, and hormonal biology — and the medicine, biomarkers, and therapies are calibrated for women. The longevity industry already has many programs built around male physiology; we built this one for the half of the population that's been treated as a footnote.

What does “personalized protocol” actually mean? Is this just a generic supplement stack?

No. After your testing and physician review, Dr. Merhi builds a written, individualized plan that connects every finding in your panel to a specific therapy or intervention. That can include prescription hormone optimization, IV nutrient protocols, regenerative procedures (where appropriate), microbiome restoration, targeted supplementation, and lifestyle adjustments. The protocol is calibrated to your biomarker pattern. There is no template. Two women in the same age bracket with the same symptoms will often leave with different protocols because their underlying drivers are different.

I'm already in perimenopause or menopause. Is it too late?

It's not too late. Perimenopause and menopause are exactly the windows where most women in the U.S. fall through the cracks of standard care — and where the right interventions create the most measurable change. Hormone optimization, sexual wellness restoration (including Vaginal PRP and LLLT for vaginal tissue regeneration), bone health monitoring, and metabolic intervention are most impactful when started in the 40s and 50s. RFC Longevity treats women across the full reproductive arc — fertility through post-menopause — because aging is a continuum, not a stage.

The signature protocol

Painful sex, dryness, and lost desireare treatable. Not inevitable.

A four-step clinical protocol — diagnosis, vaginal PRP, medical ozone, and pelvic photobiomodulation — for the symptoms most physicians hand you a lubricant for. Administered in-clinic by a board-certified reproductive endocrinologist.

Apply See the four steps

More than half of post-menopausal women experience genitourinary symptoms — dryness, pain with intercourse, reduced sensation, urinary urgency. Most are told it's a normal part of aging and offered nothing beyond a moisturizer. It is common. That is not the same as untreatable.

RFC treats these symptoms the way we treat any other measurable decline: find the driver, apply the therapy, track the response. Hormone status, vaginal microbiome, tissue health, and inflammatory burden are all measurable. All four are addressable.

What we treat

Painful sex (dyspareunia)
Vaginal dryness and atrophy
Genitourinary syndrome of menopause (GSM)
Low libido
Loss of arousal
Difficulty reaching orgasm
Reduced sensation
Recurrent UTIs and urinary urgency
Post-childbirth tissue changes
Post-surgical and post-cancer-treatment changes

Why this is a longevity problem, not a cosmetic one

Because sexual function is one of the most reliable indicators of how a woman's body is aging — and most longevity programs ignore it entirely. Libido depends on testosterone, estradiol, DHEA, and dopamine signaling. Vaginal tissue health reflects estrogen status, microbiome integrity, and inflammatory burden. Orgasmic function tracks pelvic blood flow and nerve health. We measure all of it because it tells us things blood pressure and ApoB don't. Sexual wellness isn't separate from longevity — it's longevity, in one of its most measurable forms.

The four-step protocol

Personalized diagnosis & treatment plan

We start by understanding what's actually driving symptoms — not guessing. Hormone status, vaginal microbiome, medical history, and life context all inform the protocol. No two patients receive identical care.

Vaginal PRP injection

Your own platelet-rich plasma, prepared from a small blood draw and injected into vaginal tissue to stimulate cellular regeneration. Published research supports improvements in tissue health, lubrication, and genitourinary comfort. Typically 1–3 sessions over 6 months.

PMID 40731770

Vaginal ozone insufflation

Medical-grade ozone delivered locally for its documented antimicrobial and anti-inflammatory effects. Particularly useful post-childbirth, post-menopause, or following other treatments. Each session is 15–20 minutes, administered in-clinic.

PMID 39941909

Pelvic low-level laser therapy

Red and near-infrared light delivered to pelvic and vaginal tissue at clinical dosing. Stimulates collagen synthesis, blood flow, and tissue healing. Pairs well with PRP and ozone — often used as a finishing protocol to consolidate gains.

PMID 40486198

Common causes we address

Hormonal changes
Perimenopause, postpartum, post-cancer therapy
Age-related tissue changes
Thinner, less vascular vaginal tissue over time
Medical treatments
Antidepressants, anti-estrogens, chemotherapy
Stress and arousal disorders
Reduced sexual arousal, anxiety, life pressure
Childbirth-related changes
Tissue stretching, scarring, elasticity loss
Post-hysterectomy
Tissue and hormonal changes following uterine surgery
Post-oophorectomy
Surgical menopause after ovarian removal
Aromatase inhibitors and anti-estrogen therapy
Prolonged estrogen suppression, often after breast cancer
After fertility treatment
Repeated stimulation cycles, instrumentation, and antibiotics

What treatment actually looks like

Vaginal PRP: Performed in-office with local anesthetic. The procedure takes under an hour, and most patients return to normal activity within 24–48 hours. Typically 1–3 sessions over 6 months.
Vaginal ozone insufflation: Each session is 15–20 minutes, administered in-clinic.
Pelvic LLLT: Delivered in-clinic, calibrated to clinical-grade dosing, and used where systemic therapies don't reach effectively.

Session counts and timelines are individualized. Dr. Merhi confirms the plan for your case before anything is scheduled.

Discretion

Dr. Merhi conducts these consultations personally — you explain your symptoms once, to the physician who builds the protocol. The concerns described on this page are ones most women have been dismissed about at least once; here they are treated as clinical findings, not as something to apologize for. Your history, results, and treatment plan are held in your medical record under the same confidentiality standards as every other part of your care.

This is not emergency care

If you experience severe pelvic pain, heavy bleeding, fever, or new lesions — please seek urgent evaluation. RFC Longevity does not replace emergency or urgent care.

The next step

You have been told this is normal.It is common. That is not the same thing.

Apply for RFC Longevity and Dr. Merhi reviews every application personally. If accepted, you'll have a free 30-minute intro call before anything else begins.

Apply for RFC Longevity See how we test