Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47

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The ChiroMed sexual wellness consultation room

Condition

Sexual Dysfunction treatment
in Lakeland and The Villages, FL

Drug-free, non-surgical and handled discreetly, for men and for women. A real examination first, because sexual symptoms are often the first sign of something else.

  • 22 years in practice
  • Discreet and confidential
  • $47 new patient consultation
  • 22 years in practice
  • $47 new-patient exam

Medically reviewed by Dr. Justin Bergin, DC Updated September 14, 2026

Quick summary

Sexual dysfunction covers erection difficulty, low desire, arousal and sensitivity changes and discomfort, in men and in women. At both offices the approach is non-surgical and drug-free: an honest assessment, then acoustic wave therapy using GAINSWave and Omniwave, and pelvic floor work where it applies. Nothing is prescribed or injected here, and the consultation is private.

Understanding sexual dysfunction

Sexual dysfunction means a persistent difficulty with desire, arousal, erection, sensitivity, comfort or satisfaction that bothers you. In men it most often appears as erection difficulty. In women it more often appears as reduced arousal, reduced sensitivity or discomfort. Both are common and both deserve examination.

The mechanics are largely vascular and neurological in both sexes. Arousal depends on blood arriving where it is needed, on the vessels being able to widen, and on the nerves carrying the signal to do it. Anything that narrows small blood vessels or damages small nerves will eventually show up here, which is why erection difficulty in particular is treated by physicians as a possible early marker of cardiovascular and metabolic disease. There is a psychological layer too, and it is genuine rather than dismissive: performance anxiety is self-reinforcing, and a few bad experiences build a pattern that outlasts whatever started it. Medication, alcohol, poor sleep and long-term stress all contribute. The reason to examine rather than assume is simple: the underlying pattern decides whether anything offered here is likely to help you at all.

This is not a comfortable thing to search for, and it is less comfortable to raise at a rushed appointment. Most people who come here have already waited far longer than they needed to. Some have a prescription that works some of the time and does not feel like an answer. Some cannot take one. Some have been told it is age and left with that. Very few have had anybody sit down and actually examine why it is happening. That is the part worth changing, because sexual symptoms frequently arrive before the condition that is causing them announces itself anywhere else. Dr. Justin Bergin has been in practice for 22 years and treats this as a clinical problem, not a marketing category. Consultations are private, unhurried and available at the Lakeland office on South Florida Avenue and at the Lady Lake office serving The Villages. What you will not get is a promise, because nobody honest makes one here.

Independent background: Erectile Dysfunction, Urology Care Foundation.

Symptoms

Most people recognise their own version somewhere in this list. Each one maps to a specific finding the examination checks for.

  • Difficulty getting or keeping an erection
  • Erections that are less firm than they were
  • Reduced desire or interest
  • Reduced arousal or sensitivity
  • Discomfort or dryness during intimacy
  • Difficulty reaching orgasm
  • Symptoms that began gradually over months
  • Loss of confidence about intimacy
  • Changes that started alongside a health diagnosis

Common causes

Reduced blood flow in small vessels

Narrowed or stiffened small arteries limit how much blood arrives and how quickly. This is the most common physical mechanism behind erection difficulty, and it is what acoustic wave therapy is aimed at.

Diabetes and blood sugar damage

Sustained high blood glucose damages both small blood vessels and small nerves. Sexual and bladder symptoms are recognised consequences, which is why blood sugar belongs in this conversation.

Cardiovascular and metabolic disease

High blood pressure, high cholesterol and carrying extra weight all affect the same vessels. Symptoms here often precede a cardiac diagnosis by years, which is a reason to get examined.

Pelvic floor weakness or overactivity

The pelvic floor participates in arousal, continence and sensation in both sexes. It can be too weak and it can also be too tight, and those require different work, so it is assessed rather than assumed.

Hormonal change, medication and lifestyle

Hormonal change affects desire, arousal and comfort, particularly after menopause. Several medication classes, heavy alcohol use, poor sleep and stress contribute. Hormone testing and treatment are not offered here.

How we treat sexual dysfunction in Lakeland and The Villages

Care is non-surgical and drug-free. Acoustic wave therapy is the core of it, delivered with GAINSWave for sexual wellness and with the Omniwave platform that also serves the joint and tendon side of the practice. Pelvic floor work is added where the assessment points there. Nothing is prescribed and nothing is injected.

Acoustic wave therapy with GAINSWave

GAINSWave is the acoustic wave protocol used for men's and women's sexual wellness. Low-intensity sound waves are applied to the treatment area to support blood flow in the small vessels. It is drug-free, there is no needle and no downtime, and ChiroMed is an approved GAINSWave provider. No outcome is guaranteed and candidacy is assessed first.

The Omniwave platform behind the protocol

Omniwave is the same acoustic wave technology the practice uses on tendons, knees and shoulders, applied here to a different target. It is worth knowing that the physics is identical and long established in musculoskeletal medicine, which is not something most clinics offering this can say.

Pelvic floor recovery where the floor is involved

For men after prostate surgery and for women managing post-menopausal change, pelvic floor function often sits underneath both the sexual and the bladder symptoms. Assessment decides whether the floor needs strengthening, releasing or retraining, because those are not the same task.

What recovery usually looks like

Private consultation and assessment Your first visit

A full history covering health conditions, medication, sleep, activity and how the symptoms developed, in a private room with the door shut. You are told honestly whether this is likely to be something acoustic wave therapy can help.

Through the protocol Across the course

Sessions are delivered in the office, you stay dressed apart from the treatment area, and there is no recovery time. Change tends to be gradual rather than sudden, and where nothing is changing we say so rather than extending the course.

Maintenance and the wider picture Longer term

Where the underlying cause is metabolic or vascular, treating the symptom without addressing that is a short-term arrangement. Any ongoing plan is discussed openly, including the option of stopping.

When to seek care sooner

What to try at home first: address sleep, alcohol and activity before anything else, since all three affect circulation directly. Ask your physician or pharmacist whether any of your current medications are known to affect sexual function, because several common ones are and a change is sometimes possible. If you smoke, nothing else you do here will matter as much as stopping. Get your blood pressure, cholesterol and blood sugar checked if you have not recently. See a physician promptly rather than starting here if there is pain during erection or intimacy, if you notice a new curvature or lump, if there is blood in the urine or semen, if symptoms began suddenly rather than gradually, if you have chest pain or breathlessness on exertion, or if you have a known cardiac condition and have not discussed sexual activity with your cardiologist. Sudden onset in particular deserves medical assessment first.

Red-flag findings belong with a physician, promptly, and not with conservative care alone.

Cost, insurance and financing

The cost of a course depends on the assessment, on how many sessions the protocol calls for and on whether pelvic floor work forms part of it. We set it out at the consultation.

The one published price

Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47

What moves the cost

  • What the assessment finds and how long symptoms have been present
  • How many sessions the protocol involves
  • Whether pelvic floor work is combined with it

What a course includes

  • A private consultation and assessment
  • A clear explanation of what is proposed and what it does not promise
  • An honest recommendation against treatment where it is unlikely to help

Payment: This is a cash-pay line and we say so before anything begins rather than at the desk afterwards. Insurance does not generally cover sexual wellness treatment, and Medicare coverage varies by plan and by service, so our front desk will tell you exactly what applies 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.

Blood Sugar, Circulation and Why This Is Often the Same Problem

A large share of the men who come in here for erection difficulty have been told they are prediabetic or are already managing type 2 diabetes. That is not a coincidence, and it is the most useful thing on this page.

Sustained high blood glucose damages small blood vessels and small nerves. Those are exactly the structures arousal depends on. The same damage produces peripheral neuropathy in the feet and bladder symptoms in the pelvis, and all three often turn up in the same person because they share one mechanism. It runs the other way too: because these vessels are small they are affected early, so symptoms here can be the first visible sign of a vascular or metabolic problem. The Urology Care Foundation is direct that erectile dysfunction can be a warning sign of cardiovascular disease, and any honest clinic should say the same.

Age, Honestly

Nobody in this market answers the question people are actually typing, so here it is plainly. Erections change with age. They take longer to arrive, they may need direct stimulation, they can be less firm, and the recovery time between them lengthens. All of that is ordinary and none of it means intimacy is finished.

What is not simply age is a steady loss to the point where an erection cannot be achieved at all, or a sudden change. That pattern is usually vascular and it is worth examining, whatever decade you are in. Men in their seventies and eighties are assessed here routinely, and the conversation is the same one we have with a fifty year old: what is the mechanism, what is modifiable, and what is realistic. Desire and comfort change with age for women too, and the same principle applies.

Dr. Justin Bergin, DC conducts these consultations personally and privately. If bladder leakage is also part of it, start from the wider set of conditions handled in Lakeland and Lady Lake.

Who you would be seeing

Dr. Justin Bergin, DC is 22 years into practice and treats this line the way he treats a knee or a disc: examine, explain, and be honest about what is likely. He will tell you when the pattern points to something that needs a physician or a urologist instead, and he will tell you when acoustic wave therapy is unlikely to be worth your money. Consultations are conducted privately and nothing is discussed at a front desk. Medically reviewed by Dr. Justin Bergin, DC.

Dr. Justin Bergin, DC, 22 years in practice, performs the examination personally and explains the findings before any program starts. Lakeland: 6595 Florida Ave S, Suite 13, Lakeland. The Villages market office: 929 US-441 #404, Lady Lake. Both offices run the same program.

Getting to us

Discretion is easier at some addresses than others. The Lakeland office at 6595 Florida Ave S, Suite 13 sits in a quiet professional suite in South Lakeland, off the S. Florida Avenue corridor and simple to reach from Highland City, Grasslands, Christina and the Polk Parkway. The Lady Lake office at 929 US-441 #404 is just north of CR 466, a short drive from Spanish Springs Town Square, Brownwood Paddock Square, Summerfield and Fruitland Park, and far enough from the square that a Tuesday morning appointment is nobody else's business.

Browse every condition on the conditions we treat index.

Options compared, honestly

This is treated very differently depending on who you walk in to see. Here is the full set, including the options this practice does not provide.

Criteria Our approachOffered at ChiroMed? OptionWhat it isTypically considered whenInvasive?
GAINSWave acoustic wave therapy Low-intensity sound waves applied to support small-vessel blood flowYou want a drug-free option, or medication is unsuitable or disappointingNo
Pelvic floor recovery Assessment and retraining of the pelvic floor musclesSymptoms follow prostate surgery, childbirth or menopauseNo
Metabolic and vascular assessment Looking at blood sugar, weight and circulation as contributing factorsSymptoms began gradually and other risk factors are presentNo
Oral PDE5 inhibitors Prescription tablets taken before intimacy to support an erectionA physician has assessed you and considers medication appropriateNo
Penile injection therapy Medication injected directly before intimacy, prescribed and taught by a physicianOral options have failed or cannot be usedMinimally
Penile implant surgery A surgically placed device inside the penisNothing else has worked and the problem is severe and permanentYes
Urology referral Specialist medical assessment of the urinary and reproductive systemThere is pain, curvature, blood, prostate history or a suspected hormonal causeVaries

Several of the options above work, and several of them are reasonable things to do. The distinction that matters is that medication manages an episode while the vascular approach here is aimed at the tissue itself. Many people end up using more than one. Nobody should be told there is a single correct answer.

What to expect

From evaluation to a plan for your sexual dysfunction

A course, not a single visit. The examination decides the length and the cost, and both are written down first.

  1. A clinician examining a patient at the ChiroMed treatment table
    01

    Evaluation

    Orthopedic and neurological testing, with imaging on site where it changes the plan.

  2. Anatomical illustration used to explain the examination findings
    02

    Findings, in plain language

    What the examination actually found, and honestly whether this is a case conservative care can help at all.

  3. A clinician setting out a care plan at the consulting desk
    03

    A written program

    Which disciplines, how many visits, over what period, and what it costs. Decided before anything begins.

  4. Patients walking comfortably outdoors after a course of care
    04

    Reassessment as it runs

    Function is re-measured through the course. If the response says the plan should change, it changes.

  5. Find out what is actually driving it before choosing a program.

    Dr. Justin Bergin, DC
4.8 225 Google reviews

What patients say about the practice

See all reviews on Google
Lakeland

“Dr. Bergin at Chiromed Wellness Centers is the best chiropractor in town. I no longer have to take pain meds. If you still have pain, you’re not seeing to best chiropractor.”

Debora K. Verified review
Lakeland

“I have had sich a great experience seeing Dr. Bergin. When other offices have told me I just had muscle damage or the only thing they could do for me was give shots, he said he had others ways to manage my pain and numbness, along with improving mobility. And he was right! I feel so much better!”

Emily G. Verified review
Lakeland

“I have had pain in my right upper back quadrant by my shoulder blade for at least a year now and the doctors have been unsuccessful in making the pain go away. I came to Dr. Bergin looking for some help. Within 3 to 4 weeks. My pain in that area is completely gone.”

Charlene L. Verified review
Lakeland

“Dr. Bergin is phenomenal. Chronic lower back issues led a different doctor to mention back surgery to me. That was not an option I wanted to entertain. After a consult with Dr. B, he was confident that he could help resolve my back issues. I’ve been seeing him weekly to resolve the issue, and I am so pleased with the results so far! More mobility, less pain, and a great customer experience.”

Joshua F. Verified review
The Villages

“I bless the day that Dr. Bergin started working on me. I have had long standing pain for so long. After just a few visits my pain left and I feel so good. He is very patient oriented and caring. I regard him highly.”

Elizabeth M. Verified review
Lakeland

“Dr. Bergin was instrumental in relieving my back pain which I had for many years. The techniques he used on relieving my back pain were impressive. I been going to chiropractors for years and Dr. Bergin is the best.”

Douglas Verified review

Get in touch

Schedule your sexual dysfunction evaluation

Tell us what you are feeling and which office is closer. A member of the ChiroMed team follows up within one business day.

  1. 1

    Send the form

    Two minutes. Tell us what hurts and which office is closer.

  2. 2

    We call you back

    A real person, within one business day, to find a time that works.

  3. 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
  • 4.8 out of 5 from 225 Google reviews
  • Choose Lakeland or The Villages on the form

Sexual Dysfunction questions

Tap a message for the honest answer. Call Lakeland (863) 940-3444

What kind of doctor should I see for erectile dysfunction?

Start with whoever can assess the cause. A primary care physician can check blood pressure, cholesterol and blood sugar. A urologist handles structural, prostate and hormonal questions. A practice like this one handles the non-surgical, drug-free side and will refer you on when the picture calls for it.

the clinic team
Can a 75 year old man get hard?

Yes, commonly. Erections change with age, they can take longer to develop and may be less firm, and that is normal. Being unable to achieve one at all is not simply age, it is usually vascular, and it is worth examining. Plenty of men in their seventies and eighties are treated for this successfully.

the clinic team
Does ED mean something is wrong with my heart or my blood sugar?

It can, and that is a reason to get checked rather than to panic. The same small vessels that supply an erection are affected early by diabetes, high blood pressure and high cholesterol, so symptoms here sometimes arrive before anything else does. Ask your physician for the basic bloodwork.

the clinic team
How to stay hard without Viagra?

The honest non-drug options are the boring ones plus one device-based one. Sleep, alcohol, activity, weight and blood pressure all matter and are often underestimated. Acoustic wave therapy targets the blood supply itself rather than a single episode. Nothing here is prescribed, and no approach works for everyone.

the clinic team
Is ChiroMed an approved GAINSWave provider?

Yes. GAINSWave is the acoustic wave protocol used for men's and women's sexual wellness at both offices, and the Omniwave platform behind it is the same acoustic technology used on the musculoskeletal side of the practice. Candidacy is assessed at the consultation before any session is booked.

the clinic team
Is this covered by insurance?

Generally no. Sexual wellness care sits in the cash-pay side of the practice and we tell you that up front. Medicare coverage varies by plan and by service, so ask our front desk and they will tell you what applies to your situation before you commit to anything.

the clinic team

Same-week appointments

Start with an examination, not a package.

Find out what is actually driving it before choosing a program.

  • 4.8 out of 5 on Google
  • $47 consultation, exam and report
  • 22 years in practice

Consultation, Exam, X-Rays (If Needed) & Report of Findings: Only $47

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