Where to Start
Your personalized evaluation with Nikki Johnson, PA-C. Together,
you’ll uncover the hormonal, physical, and emotional factors influencing your libido and overall sense of vitality.
When you feel sluggish and fluffy, being intimate can seem like an uninviting task. The Metabalance offers solutions to fatigue and those sneaky mid-life pounds, inspiring more confidence and drive.
A virtual visit that includes recommendations for prescriptions, supplements, and creams designed to enhance desire, confidence, and connection — helping you feel like yourself again, inside and out.
Low Libido
Why It Happens
Hormonal changes can quietly steal your spark. Declining estrogen, progesterone, and testosterone shift how your body and brain experience arousal and pleasure. Stress, fatigue, and vaginal dryness can make intimacy feel like effort instead of connection — and that can affect both confidence and relationships.
What You Can Do
At Viella, we see sexual wellness as an essential part of health, not an afterthought. We address the underlying hormonal shifts while supporting vaginal tissue, circulation, and mood — all of which influence desire.
With thoughtful hormone restoration and targeted therapies, we help you rediscover a sense of vitality, comfort, and connection — both physically and emotionally.

Your spark didn’t disappear — it just needs the right chemistry.