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.

Why is sexual wellness part of a longevity program?

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.

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 Deep Dive 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 algorithm-driven 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 as an afterthought. RFC Longevity is the inverse — built outward from a reproductive endocrinology foundation. That means we read hormones, fertility markers, sexual function, microbiome, and metabolic signals as one connected system. Other programs price at $20K–$100K per year. We're priced from $2K to $10K. The depth, especially around female-specific biology, is what's different.

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.

Therapies · Pillar Two

Physician-led longevity therapies.

Six therapy categories. Twenty-five+ protocols. Every one prescribed only when your labs justify it — physician-led regenerative care, not a wellness menu.

Explore therapies

The Atlas

Six therapy categories.One philosophy.

Every therapy at RFC starts with your labs and ends with your follow-up. Nothing is prescribed off a menu. Nothing is sold à la carte.

IV & Injectable Protocols

What standard medicine can't deliver — at therapeutic concentration, into your bloodstream.

IV nutrients reach concentrations oral supplements simply can't. NAD+ replenishes the coenzyme that drops 50% between your 20s and 60s. Glutathione — your body's master antioxidant — restores oxidative balance. Vitamin C at pharmacologic doses supports immune and collagen pathways. Each protocol is dosed to your labs, administered in-clinic, and monitored throughout.

Protocols we offer

NAD+ (IV / IM / SQ)
— Cellular energy, mitochondrial function, cognitive clarity
Glutathione (IV / IM)
— Master antioxidant, liver detox support
Vitamin C (high-dose IV)
— Pharmacologic-dose immune and antioxidant support
NAC (N-Acetyl Cysteine) IV
— Glutathione precursor, respiratory and liver protection
L-Carnitine (IV / IM)
— Mitochondrial fatty acid transport, reproductive cellular support
B12 (methylcobalamin) + Folate
— Methylation, energy, preconception support
AminoMultiPlex IV
— Tissue repair, recovery, libido support via NO pathways
Magnesium chloride IV
— Sleep, stress resilience, muscle recovery
Myer's Cocktail (modified)
— Updated classic for energy and immune support

Peptides

The next frontier of regenerative medicine — short biological signals, prescribed with discipline.

Peptides are short chains of amino acids that act as precise biological messengers. They tell your body to repair tissue, modulate inflammation, support growth hormone pathways, or heal damaged tissue. We prescribe peptides case-by-case based on your labs and goals. We follow current FDA and state board guidance. Conservative when the evidence is thin, confident when it's strong.

Protocols we offer

BPC-157
— Tissue repair, gut lining, musculoskeletal healing
TB-500 (Thymosin β-4)
— Tissue regeneration, often paired with BPC-157
GHK-Cu (Copper Peptide)
— Skin, hair, connective tissue, wound healing
Ipamorelin / CJC-1295
— Growth hormone axis support, lean mass, recovery
Epithalon
— Telomere and pineal support, longevity-focused
MOTS-c
— Mitochondrial function, metabolic health (emerging)

Peptide protocols are prescribed case-by-case following labs and medical evaluation

PRP (Platelet-Rich Plasma)

Your own platelets, concentrated and re-injected — Dr. Merhi's published clinical territory.

PRP isolates the regenerative growth factors from your own blood and returns them where tissue repair is needed. Dr. Merhi pioneered ovarian PRP rejuvenation in the United States — his published protocols are now used worldwide. RFC offers PRP for ovarian rejuvenation, uterine support, and vaginal wellness, each with its own clinical protocol and indication.

Protocols we offer

Ovarian PRP
— Dr. Merhi's pioneered protocol for ovarian rejuvenation. For diminished ovarian reserve, advanced reproductive age.
Adipose-PRP
— Enhanced ovarian rejuvenation combining PRP with adipose-derived stem cells
Uterine PRP
— Endometrial support for thin lining, recurrent implantation failure
Vaginal PRP
— Tissue regeneration, genitourinary comfort, post-menopausal support

Vaginal PRP — see PMID 40731770

Ozone Therapy

Medical-grade oxygen with documented antimicrobial and anti-inflammatory effects.

Medical ozone (O₃) is a regulated therapeutic agent with decades of clinical use in Europe and Latin America. RFC offers ozone in two forms: systemic ozone sauna for whole-body oxidative balance, and vaginal ozone insufflation for local tissue support — particularly post-childbirth, post-menopause, or after other treatments. Both protocols are administered in-clinic by trained clinicians.

Protocols we offer

Ozone Sauna (systemic)
— Whole-body oxidative balance, immune support, antimicrobial
Vaginal Ozone Insufflation
— Local antimicrobial and anti-inflammatory, tissue healing

See PMID 39941909

LLLT (Low-Level Laser Therapy / Photobiomodulation)

Red and near-infrared light that stimulates mitochondrial activity at the cellular level.

Photobiomodulation uses specific wavelengths of red and near-infrared light to stimulate cellular activity — boosting mitochondrial ATP production, supporting tissue repair, and increasing collagen synthesis. RFC's LLLT protocols are delivered in-clinic, calibrated to clinical-grade dosing, and used most often for pelvic and vaginal tissue support where systemic therapies don't reach effectively.

Protocols we offer

Pelvic LLLT
— Pelvic tissue health, blood flow, collagen support
Vaginal LLLT
— Vaginal tissue regeneration, post-menopausal support
Systemic LLLT
— Targeted joint and tissue treatment

See PMID 40486198

Vaginal Wellness

A four-step clinical approach to symptoms most clinics ignore.

Vaginal dryness, discomfort, and diminished sensation aren't 'just part of aging.' They're treatable — with discretion, dignity, and real clinical options. RFC's Vaginal Wellness protocol combines diagnosis, Vaginal PRP, ozone insufflation, and pelvic LLLT in a coordinated four-step approach. Detailed below.

The four-step protocol

01 · Personalized Diagnosis
— Hormone status, microbiome, history
02 · Vaginal PRP
— Tissue regeneration from your own platelets
03 · Vaginal Ozone Insufflation
— Local antimicrobial + anti-inflammatory
04 · Pelvic LLLT
— Red/near-infrared light, collagen + blood flow

PMID 40731770 PMID 39941909 PMID 40486198

Read the full protocol ↓

The Signature Protocol

Vaginal health —real options, real comfort.

Vaginal dryness, discomfort, and diminished sensation aren’t “just part of aging.” They’re treatable — with discretion, dignity, and real clinical options. RFC’s protocol is a coordinated four-step approach.

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

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.

Always included

The foundation —before any therapy.

Every RFC Longevity member gets these four pillars regardless of which therapies are added. The boring fundamentals outperform every protocol when you actually do them.

01
Lifestyle protocol
Sleep architecture, nutritional density, movement physiology, stress regulation. The unsexy pillars that move biomarkers more reliably than any IV.
02
Targeted supplements
Specific nutrients matched to what your labs show is actually low. Not a generic multivitamin. Forms and doses calibrated to your absorption.
03
Physician-led medications
Hormone therapy, metformin, low-dose naltrexone, or other prescriptions when clinically appropriate. Overseen and adjusted by Dr. Merhi.
04
Coordinated care
We talk to your PCP, OB/GYN, cardiologist. You shouldn't have to be the messenger between your own providers.

The next step

Action without follow-throughis just another doctor visit.

RFC connects testing to therapy to tracking — the full loop. Apply for the program and Dr. Merhi reviews every application personally.

Apply for RFC Longevity See how we test

Physician-led longevity therapies.

Six therapy categories.One philosophy.

IV & Injectable Protocols

Peptides

PRP (Platelet-Rich Plasma)

Ozone Therapy

LLLT (Low-Level Laser Therapy / Photobiomodulation)

Vaginal Wellness

Vaginal health —real options, real comfort.

Personalized diagnosis & treatment plan

Vaginal PRP injection

Vaginal ozone insufflation

Pelvic low-level laser therapy

The foundation —before any therapy.

Lifestyle protocol

Targeted supplements

Physician-led medications

Coordinated care

Action without follow-throughis just another doctor visit.